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目的评价下城区社区卫生服务机构艾滋病病毒(HIV)快速检测模式在扩大男男性行为者(MSM)检测范围的应用效果。方法在MSM志愿者工作组办公室就近的社区卫生服务机构建立HIV快速检测点,通过动员转介和外展干预的方式为MSM人群提供HIV抗体快速检测,初筛阳性者送疾病预防控制中心复核和确认。比较实施前后MSM人群的检测量以及新确认HIV感染者数的变化情况。结果 2012年-2013年共快速检测MSM 3 962人,新确认HIV感染者159例。2012年、2013年与前一年比较,社区快速检测使MSM检测量的增长率分别提高了244.07%、67.67%,MSM人群新确认HIV感染者数的增长率分别提高了227.27%、81.18%,全区新确认HIV感染者总数的增长率分别提高了39.69%、35.23%。结论社区HIV快速检测能有效扩大MSM检测范围,发现更多的HIV感染者。
Objective To evaluate the effect of rapid HIV testing in community health services in urban areas in expanding the detection range of men who have sex with men (MSM). Methods Rapid HIV testing was established in the community health service agencies near the office of MSM volunteers’ office. Rapid HIV antibody testing was provided to MSM population through mobilization of referrals and outreach interventions. Initial screening was sent to CDC for review and confirm. Comparison of the MSM population before and after the test and the newly confirmed changes in the number of HIV infections. Results A total of 3 962 MSMs were detected rapidly during 2012-2013, and 159 newly confirmed HIV-infected persons. Compared with the previous year in 2012 and 2013, rapid community testing increased the MSM detection rate by 244.07% and 67.67%, respectively, and the newly confirmed HIV-infected population increased by 227.27% and 81.18% respectively in MSM population. The region’s total newly identified HIV-infected persons increased by 39.69%, 35.23% respectively. Conclusion The rapid community HIV testing can effectively expand the detection range of MSM and find more HIV-infected people.