Effectiveness of the "Internet Plus-based AIDS Comprehensive Prevention Service System" among MSM in Guangzhou
10.3760/cma.j.issn.0254-6450.2019.10.010
- VernacularTitle: 广州市MSM"互联网+艾滋病综合预防服务体系"对HIV/AIDS关怀效果分析
- Author:
Yuzhou GU
1
;
Weibin CHENG
1
;
NgaiSie WONG
2
;
Fei ZHONG
1
;
Yanshan CAI
1
;
Yefei LUO
1
;
Zhigang HAN
1
;
Weiyun HE
1
;
Qi LIU
3
;
Jiewei LIU
4
;
Huifang XU
1
Author Information
1. Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
2. Stanley Ho Center for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong 999077, China
3. Lingnan Partners Community Support Center, Guangzhou 510080, China
4. Department of AIDS Control and Prevention, Guangzhou Baiyun District Center for Disease Control and Prevention, Guangzhou 510405, China
- Publication Type:Journal Article
- Keywords:
Men who have sex with men;
HIV/AIDS;
Care service;
Internet
- From:
Chinese Journal of Epidemiology
2019;40(10):1222-1226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of the "Internet Plus-based AIDS Comprehensive Prevention Service System" among men who have sex with men in Guangzhou.
Methods:Data through case-reporting and follow-up programs on MSM HIV/AIDS in Guangzhou was collected from the China Information System for Disease Control and Prevention, which including those from the referral and follow-up treatment compliance programs in 2008-2014 (pre-treatment) and 2017-2018 (post-treatment). According to the types of care services, three groups were set as: with "Internet Plus" service, with 'HIV counseling/testing service’ or with 'routine medical service’. General Estimating Equation (GEE) was used to analyze the follow up situation of HIV/AIDS cases, annually. Cox proportional hazard regression model was used to analyze the proportions of treatment referral, within the 30 days of diagnosis.
Results:Before the implementation of immediate treatment after HIV diagnosis, 90.6% (707/780) of the HIV/AIDS cases received the first follow up program including the CD4+ T cells counts (CD4) test service within 90 days of diagnosis, in the "Internet Plus-based HIV/AIDS care service" group presented 1.19 times (95%CI: 1.14-1.25) of the routine medical service group. The implementation of immediate treatment after HIV diagnosis, compared with the routine medical service group, the "Internet Plus" service group presented 1.71 times (95%CI: 1.03- 2.83) more treatment referrals within the 30 days of diagnosis, when the first testing CD4 was ≤200 cells/μl. Compared with the routine medical service group, the HIV counseling and testing service group showed 1.37 times (95%CI: 1.20-1.56) more of the treatment referrals within the 30 days of HIV diagnosis, after the first testing CD4 counts as >200 cells/μl.
Conclusion:Standardized care and follow-up service should be promoted as soon as the referral and treatment programs were set after the diagnosis was made, under the "Internet Plus-based AIDS Comprehensive Prevention Service System" for the MSM population, in Guangzhou.
