title: [Analysis of early detection of HIV infections by provider initiated HIV testing and counselling in regions with high HIV/AIDS epidemic in China].
abstract: OBJECTIVE
  To understand provider initiated HIV testing and counseling (PITC) in a region with high HIV/AIDS epidemic in China, and analyze its effect to early detection of HIV infections.
  
  
  METHODS
  Between January and December, 2013, 37 county level medical institutions were selected as the study sites, among which, 19 were public medical institutions and 18 were private institutions. According to the related regulation, procedures and contents of PITC, the study was implemented among outpatients and inpatients who seek for doctors in these medical institutions and PITC were provided for them. The 'Individual Investigation Form' was used to record the information and high-risky factors, and the respondents were taken venous blood and given HIV screening and confirmation. All available serum samples of newly found HIV/AIDS cases were tested using the BED HIV Incidence Capture Enzyme Immunoassay (BED-CEIA) to differentiate the long-term infections and new infections (early detected infections). Chi-square analysis was used to compare the differences of characteristics of newly infected patients.
  
  
  RESULTS
  Between January and December, 2013, a total of 37 medical institutions provided PITC. 55 164 person times were received HIV screening, among which 658 were HIV positive, and 598 were confirmed to be HIV positive. The 598 cases were all provided transferring service. The differences of age, marital status, education levels, transmission routes and testing institutions had statistical significance to early detection (χ(2) equals to 23.54, 10.50, 17.96, 21.22 and 4.80; P equals to < 0.001, 0.005, < 0.001, < 0.001 and 0.029, respectively). And the early detection proportions among patients aged from 20 to 29 and from 50 to 84 were 47.1% (114/242) and 42.1% (24/57), respectively; the proportions among single and married patients were 37.8% (56/148) and 38.9% (143/368), respectively; the proportion among patients with high school education levels were 42.6% (26/61); the proportion among patients transmitted by fixed heterosexual sexual partners was 46.0% (86/187); the proportion among private hospitals was 40.3% (58/144).
  
  
  CONCLUSIONS
  A certain proportion of HIV infections were early detected by PITC in this region. The HIV early detection proportions among specific age group and population with spouse/fixed sexual partners were relatively high.
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Duo
authors.initials: D
authors.lastname: Shan
authors.forename: Song
authors.initials: S
authors.lastname: Duan
authors.forename: Jie
authors.initials: J
authors.lastname: Gao
authors.forename: Yuecheng
authors.initials: Y
authors.lastname: Yang
authors.forename: Runhua
authors.initials: R
authors.lastname: Ye
authors.forename: Yiyun
authors.initials: Y
authors.lastname: Hu
authors.forename: Hui
authors.initials: H
authors.lastname: Xue
authors.forename: Guang
authors.initials: G
authors.lastname: Zhang
authors.affiliation: Email: jpsun@chinaaids.cn.
authors.forename: Jiangping
authors.initials: J
authors.lastname: Sun
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000453:epidemiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003376:Counseling; D042241:Early Diagnosis; D058872:Epidemics; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D017533:Marital Status; D008403:Mass Screening; D008875:Middle Aged; D010045:Outpatients; D011795:Surveys and Questionnaires; D055815:Young Adult