Cargando…
Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China
BACKGROUND: Tuberculosis (TB) and HIV are two worldwide public health concerns. Co-infection of these two diseases has been considered to be a major obstacle for the global efforts in reaching the goals for the prevention of HIV and TB. METHOD: A comprehensive cross-sectional study was conducted to...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931821/ https://www.ncbi.nlm.nih.gov/pubmed/24586987 http://dx.doi.org/10.1371/journal.pone.0089723 |
_version_ | 1782304720258334720 |
---|---|
author | Xu, Junjie Tang, Weiming Cheng, Shiming Mahapatra, Tanmay Zhou, Lin Lai, Yuji Jiang, Yongjun Liu, Feiying Zhen, Xinan He, Jinge Zhang, Jing Lu, Jinxin Mahapatra, Sanchita Shang, Hong |
author_facet | Xu, Junjie Tang, Weiming Cheng, Shiming Mahapatra, Tanmay Zhou, Lin Lai, Yuji Jiang, Yongjun Liu, Feiying Zhen, Xinan He, Jinge Zhang, Jing Lu, Jinxin Mahapatra, Sanchita Shang, Hong |
author_sort | Xu, Junjie |
collection | PubMed |
description | BACKGROUND: Tuberculosis (TB) and HIV are two worldwide public health concerns. Co-infection of these two diseases has been considered to be a major obstacle for the global efforts in reaching the goals for the prevention of HIV and TB. METHOD: A comprehensive cross-sectional study was conducted to recruit TB patients in three provinces (Guangxi, Henan and Sichuan) of China between April 1 and September 30, 2010. RESULTS: A total of 1,032 consenting TB patients attended this survey during the study period. Among the participants, 3.30% were HIV positive; about one quarter had opportunistic infections. Nearly half of the participants were 50 years or older, the majority were male and about one third were from minority ethnic groups. After adjusting for site, gender and areas of residence (using the partial/selective Model 1), former commercial plasma donors (adjusted OR [aOR] = 33.71) and injecting drug users(aOR = 15.86) were found to have significantly higher risk of being HIV-positivity. In addition, having extramarital sexual relationship (aOR = 307.16), being engaged in commercial sex (aOR = 252.37), suffering from opportunistic infections in the past six months (aOR = 2.79), losing 10% or more of the body weight in the past six months (aOR = 5.90) and having abnormal chest X-ray findings (aOR = 20.40) were all significantly associated with HIV seropositivity (each p<0.05). CONCLUSIONS: HIV prevalence among TB patients was high in the study areas of China. To control the dual epidemic, intervention strategies targeting socio-demographic and behavioral factors associated with higher risk of TB-HIV co-infection are urgently called for. |
format | Online Article Text |
id | pubmed-3931821 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-39318212014-02-25 Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China Xu, Junjie Tang, Weiming Cheng, Shiming Mahapatra, Tanmay Zhou, Lin Lai, Yuji Jiang, Yongjun Liu, Feiying Zhen, Xinan He, Jinge Zhang, Jing Lu, Jinxin Mahapatra, Sanchita Shang, Hong PLoS One Research Article BACKGROUND: Tuberculosis (TB) and HIV are two worldwide public health concerns. Co-infection of these two diseases has been considered to be a major obstacle for the global efforts in reaching the goals for the prevention of HIV and TB. METHOD: A comprehensive cross-sectional study was conducted to recruit TB patients in three provinces (Guangxi, Henan and Sichuan) of China between April 1 and September 30, 2010. RESULTS: A total of 1,032 consenting TB patients attended this survey during the study period. Among the participants, 3.30% were HIV positive; about one quarter had opportunistic infections. Nearly half of the participants were 50 years or older, the majority were male and about one third were from minority ethnic groups. After adjusting for site, gender and areas of residence (using the partial/selective Model 1), former commercial plasma donors (adjusted OR [aOR] = 33.71) and injecting drug users(aOR = 15.86) were found to have significantly higher risk of being HIV-positivity. In addition, having extramarital sexual relationship (aOR = 307.16), being engaged in commercial sex (aOR = 252.37), suffering from opportunistic infections in the past six months (aOR = 2.79), losing 10% or more of the body weight in the past six months (aOR = 5.90) and having abnormal chest X-ray findings (aOR = 20.40) were all significantly associated with HIV seropositivity (each p<0.05). CONCLUSIONS: HIV prevalence among TB patients was high in the study areas of China. To control the dual epidemic, intervention strategies targeting socio-demographic and behavioral factors associated with higher risk of TB-HIV co-infection are urgently called for. Public Library of Science 2014-02-21 /pmc/articles/PMC3931821/ /pubmed/24586987 http://dx.doi.org/10.1371/journal.pone.0089723 Text en © 2014 Xu et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Xu, Junjie Tang, Weiming Cheng, Shiming Mahapatra, Tanmay Zhou, Lin Lai, Yuji Jiang, Yongjun Liu, Feiying Zhen, Xinan He, Jinge Zhang, Jing Lu, Jinxin Mahapatra, Sanchita Shang, Hong Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title | Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title_full | Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title_fullStr | Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title_full_unstemmed | Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title_short | Prevalence and Predictors of HIV among Chinese Tuberculosis Patients by Provider-Initiated HIV Testing and Counselling (PITC): A Multisite Study in South Central of China |
title_sort | prevalence and predictors of hiv among chinese tuberculosis patients by provider-initiated hiv testing and counselling (pitc): a multisite study in south central of china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931821/ https://www.ncbi.nlm.nih.gov/pubmed/24586987 http://dx.doi.org/10.1371/journal.pone.0089723 |
work_keys_str_mv | AT xujunjie prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT tangweiming prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT chengshiming prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT mahapatratanmay prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT zhoulin prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT laiyuji prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT jiangyongjun prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT liufeiying prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT zhenxinan prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT hejinge prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT zhangjing prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT lujinxin prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT mahapatrasanchita prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina AT shanghong prevalenceandpredictorsofhivamongchinesetuberculosispatientsbyproviderinitiatedhivtestingandcounsellingpitcamultisitestudyinsouthcentralofchina |