Strategic Study On HIV-infector Detected Among Tuberculosis Patients

BACKGROUND AND PURPRSES: Through the investigation in program field, we analyzed the key factors which influence the active behavior to do HIV antibody test among new tuberculosis patients. And the reasonable and effective measures would be prolonged to detect more HIV-infectors in tuberculosis patients.METHODS: Analytic hierarchy process (AHP) was applied to analyze the weight of indexes which were brought by experts doing the disease control and prevent work and to choose factors with more weight. Through typical sampling method, we choose three fields with high incidence rate of AIDS and tuberculosis as study fields and other two fields as control fields. Between September in 2007 and April in 2009, we have collected the questionnaires of prior and later period from 2295 tuberculosis cases, which include 1658 cases in three study fields and 638 cases in two control fields. We do the distribution analysis, T test, Chi-Square test and Logistic regression analysis on the collected data with SPSS 13.0.RESULTS: Through AHP, we found the factors, such as the setting of tuberculosis control and prevention institution and AIDS control and prevention institution, coverage of national policy and the acceptance of HIV-antibody test, respectively as the more important factors in co-infection control work, measure and assuming the work for detecting HIV-infectors. In reality, there were more voluntary than acceptance for HIV-antibody test among tuberculosis patients. And more patients do actively testing in study fields than that in control fields, while after finishing questionnaire and accepting the health education, more patients did actively testing than prior period. The factors including the knowledge of disease control and prevention, the setting of institutions and social attitude against tuberculosis and AIDS have influence the active behavior of HIV-antibody test in various degree. Moreover, national policy, health education, economy level and type of medical security had affect on active behavior.CONCLUSIONS: To advance the feasibility of high HIV-infector found rate through taking HIV-antibody test as routine test in areas with high incidence of tuberculosis and AIDS, improving knowledge level of disease control and prevention and promoting the active behavior. To give more social support for HIV-infector in the ways of multi-aspect education,enhancing the population's confidentiality with VCT service, rationally using public facilities and health resource. To increase more HIV-infectors detected synthesized by advocating the more type of health education and giving the direction education to special population.