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目的评估中缅边境在华外国艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称外籍HIV感染者和AIDS病人)综合服务模式有效性,为制定外籍HIV感染者和AIDS病人综合服务模式提供科学依据。方法于2013年9月—2014年6月,选择云南省瑞丽市开展服务模式探索,根据外籍HIV感染者和AIDS病人境内居留时间长短、合法性和个人服务意愿等因素分群分层设计跨境婚姻、监管场所、其他人群三类服务模式。项目前后对该市随访到的、年龄≥15岁、可进行有效沟通的所有外籍HIV感染者和AIDS病人分别开展基线调查和评估调查。通过比较项目前后综合服务、高危行为信息进行模式评估。结果项目前基线调查151例,项目后评估调查131例。通过综合服务模式探索,外籍HIV感染者和AIDS病人获得HIV抗体检测咨询告知、随访、CD4+T淋巴细胞检测、抗病毒治疗、结核病检查分别从项目前的74.2%、25.8%、66.9%、44.4%和9.3%上升到项目后的100.0%、99.2%、98.5%、69.5%和87.0%(P均<0.05)。与中国人的配偶性行为每次使用安全套的比例分别从项目前的26.1%(12/46)上升到项目后的50.0%(22/44)(P<0.05)。最近6个月与中国人注射吸毒从未共用针具的比例从项目前的1.3%(1/78)上升到项目后的15.5%(9/58)(P<0.05)。结论外籍HIV感染者和AIDS病人综合服务模式促进了外籍HIV感染者和AIDS病人获得综合服务改变了高危行为。
Objective To assess the effectiveness of the comprehensive service model of foreign HIV patients and AIDS patients (Sino-Burmese border disease in China) and to provide a comprehensive service model for foreign HIV infected persons and AIDS patients Scientific basis. Methods From September 2013 to June 2014, the author selected Ruili City of Yunnan Province to explore the service mode and designed cross-border marriage by stratified grouping according to the length of residence, legitimacy and personal service willingness of foreign HIV-infected and AIDS patients , Regulatory sites, other groups of three types of service patterns. Before and after the project, all the foreign HIV-infected persons and AIDS patients who were aged 15 years or older who were followed up in the city and communicated with each other effectively conducted baseline survey and assessment survey. By comparing the service before and after the project, high-risk behavior information for model evaluation. Results 151 pre-project baseline survey, post-project evaluation of 131 cases. Through the exploration of comprehensive service mode, foreign HIV-infected and AIDS patients were informed of HIV antibody testing and follow-up, CD4 + T lymphocyte test, anti-virus treatment and tuberculosis test were 74.2%, 25.8%, 66.9% and 44.4 % And 9.3% to 100.0%, 99.2%, 98.5%, 69.5% and 87.0% after the project (all P <0.05). The proportion of condom use per spouse with Chinese people rose from 26.1% (12/46) before the project to 50.0% (22/44) after the project (P <0.05). In the recent 6 months, the proportion of injecting drug users in China who never shared needles increased from 1.3% (1/78) before the project to 15.5% (9/58) after the project (P <0.05). Conclusion The integrated service model of foreign HIV infected persons and AIDS patients has promoted the high-risk behavior of foreign HIV infected persons and AIDS patients.