Implementation and assessment of a model to increase HIV testing among men who have sex with men and transgender women in Thailand, 2011-2016

被引：21

作者：

Wasantioopapokakorn, Montinee ^{[1
]}

Manopaiboon, Chomnad ^{[2
]}

Phoorisri, Thanongsri ^{[1
]}

Sukkul, Akechittra ^{[2
]}

Lertpiriyasuwat, Cheewanan ^{[1
]}

Ongwandee, Sumet ^{[1
]}

Langkafah, Farida ^{[2
]}

Kritsanavarin, Usanee ^{[2
]}

Visavakum, Prin ^{[2
]}

Jetsawang, Bongkoch ^{[2
]}

Nookhai, Somboon ^{[2
]}

Kitwattanachai, Prapaporn ^{[3
]}

Weerawattanayotin, Wanwimon ^{[4
]}

Losirikul, Mana ^{[5
]}

Yenyarsun, Naruemon ^{[1
]}

Jongchotchatchawal, Nuchapong ^{[2
]}

Martin, Michael ^{[2
,6
]}

机构：

[1] Minist Publ Hlth, Bur AIDS TB & STIs, Nonthaburi, Thailand

[2] Thailand Minist Publ Hlth US CDC Collaborat TUC, DGHT, Nonthaburi, Thailand

[3] Minist Publ Hlth, Udonthani Hosp, Udonthani, Thailand

[4] Minist Publ Hlth, Patong Hosp, Phuket, Thailand

[5] Minist Publ Hlth, Khon Kaen Prov Hlth Off, Khon Kaen, Thailand

[6] Ctr Dis Control & Prevent, Div Global HIV & TB, Ctr Global Hlth, Atlanta, GA USA

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2018年 / 30卷 / 10期

关键词：

HIV; men who have sex with men; transgender women; HIV testing; HIV incidence; Thailand; INFECTION; BANGKOK; COMMUNITY; EPIDEMIC; BEHAVIOR; LINKAGE; TRENDS;

D O I：

10.1080/09540121.2018.1492697

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

HIV testing among men who have sex with men (MSM) and transgender (TG) women remains low in Thailand. The HIV prevention program (PREV) to increase HIV testing and link those who tested HIV-positive to care provided trainings to peer educators to conduct target mapping, identify high risk MSM and TG women through outreach education and offer them rapid HIV testing. Trained hospital staff provided HIV testing and counseling with same-day results at hospitals and mobile clinics and referred HIV-positive participants for care and treatment. We used a standardized HIV pre-test counseling form to collect participant characteristics and analyzed HIV test results using Poisson regression and Wilcoxon rank sum trend tests to determine trends over time. We calculated HIV incidence using data from participants who initially tested HIV-negative and tested at least one more time during the program. Confidence intervals for HIV incidence rates were calculated using the Exact Poisson method.From September 2011 through August 2016, 5,629 participants had an HIV test; their median age was 24 years, 1,923 (34%) tested at mobile clinics, 5,609 (99.6%) received their test result, and 1,193 (21%) tested HIV positive. The number of people testing increased from 458 in 2012 to 1,832 in 2016 (p<0.001). Participants testing at mobile clinics were younger (p<0.001) and more likely to be testing for the first time (p<0.001) than those tested at hospitals. Of 1,193 HIV-positive participants, 756 (63%) had CD4 testing. Among 925 participants who returned for HIV testing, HIV incidence was 6.2 per 100 person-years. Incidence was highest among people 20-24 years old (10.9 per 100 person-years).HIV testing among MSM and TG women increased during the PREV program. HIV incidence remains alarmingly high especially among young participants. There is an urgent need to expand HIV prevention services to MSM and TG women in Thailand.

引用

页码：1239 / 1245

页数：7

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