| 沙莎,戴淑玉,郑雯琳,金军怡,杨伟华,李锦峰,毛传菊,王芃.我国社会组织的男男性行为人群艾滋病预防级联服务效果研究[J].中华流行病学杂志,2022,43(6):960-965 |
| 我国社会组织的男男性行为人群艾滋病预防级联服务效果研究 |
| Study on the effect of AIDS preventive cascade services provided by social organizations for men who have sex with men in China |
| 收稿日期:2022-03-03 出版日期:2022-06-16 |
| DOI：10.3760/cma.j.cn112338-20220303-00166 |
| 中文关键词: 艾滋病 男男性行为者 社会组织 预防 |
| 英文关键词: AIDS Men who have sex with men Social organizations Prevention |
| 基金项目: |
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| 中文摘要: |
| 目的 分析我国社会组织参与艾滋病防治基金（CAFNGO）支持的MSM干预项目艾滋病预防级联服务效果和主要差距，为提高社会组织艾滋病防治服务质量和项目管理优化提供建议。方法 通过CAFNGO项目管理信息系统及访谈等收集指标数据和信息，对不同类型社会组织、不同地区的MSM干预项目艾滋病预防级联服务中HIV初筛和确证检测、HIV感染者发现和转介治疗等各项工作指标完成情况进行统计学分析，绘制服务链图。结果 2016-2020年CAFNGO支持的1 508个MSM干预项目，共动员1 183 234名MSM接受HIV检测，占社会组织申请HIV检测服务容量的68.8%（1 183 234/1 719 139），发现初筛HIV阳性55 783人，HIV确证检测比例86.6%（48 327/55 783），新报告HIV感染者比例3.8%（45 347/1 183 234）。2017-2020年新报告HIV感染者治疗转介比例89.8%（32 719/36 444）。未在民政部门登记的社会组织项目和在民政部门登记的社会组织项目分别占项目总数的75.8%（1 143/1 508）和24.2%（365/1 508）。2种类型社会组织MSM干预项目的新报告HIV感染者比例（3.8%和3.8%）和新报告HIV感染者治疗转介比例（89.7%和89.9%）差异无统计学意义，但部分地区2种类型社会组织的2个指标存在差异，且差异有统计学意义。结论 CAFNGO建立的重点人群艾滋病预防级联服务模式有效促进了MSM感染者早期发现和早期治疗工作，但在资金资助覆盖面、预防级联服务质量及社区组织提供级联服务能力等方面有继续改进的空间。 |
| 英文摘要: |
| Objective To analyze the effect and main gaps of each stage in the AIDS prevention cascade for men who have sex with men (MSM) provided in intervention projects supported by the China AIDS Fund for non-governmental organizations (CAFNGO) and provide suggestions to improve the quality of cascade services and project management. Methods Data were collected through the CAFNGO management information system and field interviews to analyze the differences in the number of MSM receiving HIV testing and confirming tests, the newly reported patients, and the number of antiviral treatment (ART) referrals of newly established reported patients among different social organization service areas. A service chain chart was also drawn. Results Between 2016 and 2020, 1 508 MSM intervention projects were funded by CAFNGO, including 1 183 234 MSM being mobilized to receive HIV testing. However, only 68.8% (1 183 234/1 719 139) of the testing capacity of social organizations was covered by these projects. As a result, 55 783 HIV-positive MSM were detected in preliminary screening, and only 86.6% (48 327/55 783) received confirming tests. The proportion of newly reported infections was 3.8% (45 347/1 183 234). The ratio of antiviral treatment (ART) referrals for newly reported patients between 2017 and 2020 was 89.8% (32 719/36 444). 75.8%(1 143/1 508) of total MSM intervention projects were implemented by community-based organizations (Non-registered civil affairs departments). In comparison, organizations registered in civil affairs departments took up 24.2% (365/1 508) of the total MSM intervention projects. No significant difference was noticed in the proportion of newly reported infected (3.8% and 3.8%) and the ratio of ART referrals (89.7% and 89.9%) between community-based organizations and registered organizations' projects. But these two proportions are significantly different between these two types of organizations in some areas in China.Conclusions The AIDS prevention cascade established in CAFNGO has effectively promoted the early detection and treatment of infected MSM. However, CAFNGO needs more financial support to extend testing coverage for MSM. Meanwhile, confirmation testing for positives in preliminary screening and ART referrals needs to be improved for newly reported patients. In addition, various capacity building needs to be provided for different social organizations. |
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