Abstract
Objective
By investigating the large-scale HIV antibody screening of more than 1 million people, we explored weather the strategy of integrated universal HIV testing in a public health care program was useful.
Methods
We used a multi-stage stratified random cluster sampling method in a community-based investigation of 30 sample points within 9 counties in the Zhejiang province. The HIV antibody was detected, and demographic information was collected.
Results
Of the 1 113 030 people screened for HIV, 310 tested positive (adjusted HIV prevalence, 3.45/10000; 95% confidence interval [CI], 3.41–3.48). The HIV prevalence was higher in men(5.62/10000 ) than in women(1.17/10000) of all ages; those in the 25–34 and 35–44 age groups were highest (compared with the < 15 age group, the adjusted odds ratios were 25.69 and 18.48, respectively). The HIV prevalence at the medium gross domestic product (GDP) level (adjusted HIV prevalence, 5.28/10000; 95% CI, 4.53–6.04) was significantly higher than those at high and low GDP levels Especially in the male 25–34 and 35–44 age groups. Compared with the native HIV positive population, the migrants were younger, did not have a stable sexual partner, and had a lower level of education.
Conclusion
By using universal HIV testing integrated into a public health care program was feasible and (perhaps) effective in finding new HIV cases. We should pay more attention to the 25–44 age male population, as well as migrants in our HIV/AIDS control strategies, especial in industrial activity district.
Integrated universal HIV testing with public health care program: an exploratory study of 1.1 million people from Eastern China
