Current situation and associated factors of active HIV testing among people living with HIV diagnosed through different routes in six cities of Jiangsu Province
Objective This study aimed to investigate the current situation and its associated factors of active HIV testing among people living with HIV(PLWH)diagnosed through different routes in six Jiangsu Province.Methods A self-designed questionnaire was conducted from May to December 2022,targeting newly diagnosed PLWH in six cities in Jiangsu Province to collect information on basic demographic characteristics and information on active HIV testing behaviors.The Chi-square test was employed to analyze the association between active testing and diagnosis routes,while a multivariate logistic regression model was used to examine the impact of different diagnosis routes on active testing and its associated factors among PLWH.Results A total of 431 PLWH were included,with an active testing prevalence of 55.92％.The prevalence of active testing among PLWH identified through hospital-based and non-hospital-based routes were 43.72％and 72.28％,respectively,showing a statistically significant difference(x2=34.888,P＜0.001).Multivariate analysis revealed that,compared to those diagnosed through hospital-based routes,individuals diagnosed through non-hospital-based routes were more likely to undergo active HIV testing(aOR=3.08,95％CI:1.96-4.91).Among the individuals diagnosed through hospital-based routes,those with homosexual transmission(aOR=1.99,95％CI:1.02-3.90),identified in departments of dermatology and sexually transmitted infection(STI)clinics(aOR=2.33,95％CI:1.05-5.15),and departments of infectious disease(aOR=2.58,95％CI:1.09-6.09)were more likely to undergo active testing compared to those diagnosed through heterosexual transmission or other departments.For individuals diagnosed through non-hospital-based routes,those younger than 50 years old(aOR=3.59,95％CI:1.22-10.53),with homosexual transmission(aOR=2.69,95％CI:1.08-6.66),and diagnosed by the Centers for Disease Control and Prevention(CDC)(aOR=15.28,95％CI:4.23-55.19)were more likely to undergo active testing compared to those aged 50 and above,with heterosexual transmission,and who had a self-testing.Conclusions The proportion of active HIV testing and awareness among hospital-diagnosed individuals in the six cities of Jiangsu Province remains relatively low.Efforts should be strengthened to promote HIV/AIDS prevention and education within hospitals,particularly in key departments such as dermatology,STI clinics,and infectious disease departments.These departments should proactively offer HIV and STI testing and counseling services to patients.Additionally,comprehensive voluntary counseling and testing(VCT)services at CDC should be enhanced to provide convenient and timely testing and counseling services,thereby to promote early testing,diagnosis,and intervention for HIV/AIDS.
people living with HIV(PLWH)active testingdiagnostic routesassociated factors
万方数据
维普
