摘要
目的探讨结核病患者接受HIV抗体检测的影响因素和对策。方法 30个调查县区中,由结防机构门诊医生对2008年9月至2009年1月新登记的结核病患者进行HIV检测动员,同意者抽血样进行HIV抗体检测。以受检率为指标进行统计分析。结果调查期间,共有5 447例结核病患者被动员接受HIV抗体检测,其中5 161例有检测结果,总受检率为94.6%。粤中、粤东、粤西和粤北4个地区的受检率分别为99.2%、93.1%、92.9%和98.4%,受检率存在地区差异(2=80.164,P<0.001),粤东和粤西的受检率低于粤中和粤北(2粤东vs粤中=66.692,P<0.001;2粤西vs粤中=65.829,P<0.001;2粤东vs粤北=12.984,P<0.001;2粤西vs粤北=13.228,P<0.001)。体力劳动患者、初中文化程度患者、外地户籍患者、转诊患者、有咳嗽咳痰2周以上患者和肺外结核患者更愿意接受HIV抗体检测(P<0.05)。结论广东省结核病患者接受HIV抗体检测的受检率高。但粤东地区和粤西地区受检率偏低,说明在开展结核病患者HIV抗体检测工作中,须根据实际情况采取针对性措施提高结核病患者HIV抗体受检率。
Objective To investigate the influence factors of HIV - testing rate among tuberculosis （TB） patients and the Methods TB patients, who were registered from September 2008 to January 2009, were ad- vised to have HIV test in 30 countries. Blood sample for HIV - testing was collected from the patients who consented to HIV test. Results Among 5 447 cases with TB advised to have HIV - test, 5 161 cases received the test, with a total HIV -test rate of 94.6%. The HIV - test rates were 99.2%, 93.1%, 92. 9% and 98.4%, respectively in Middle, Eastern, Western and Northern Guangdong, with significant differences among these 4 regional differences （X2 = 80. 164, P 〈 0. 001 ）. The HIV - test rates in Eastern and Western Guangdong were both significantly lower than that in Middle or Northern Guangdong （ P 〈 0. 001 ）. Patients, who were manual labor, with junior high education, floating population, referral, with cough more than 2 weeks or extra - pulmonary TB, preferred to have HIV test （P 〈 0. 05）. Conclusion The HIV - test rate is high in Guangdong. However, the lower test rate in Eastern and Western Guangdong poses requirement of improvement of the HIV - testing among TB patients, which should be adjusted to local situation.
出处
《广东医学》
CAS
CSCD
北大核心
2011年第23期3118-3121,共4页
Guangdong Medical Journal
基金
国家"十一五"重大传染病专项资助项目(编号:2008ZX10003-007)
广东省医学科研基金资助项目(编号:C2008007)
关键词
结核
预防和控制
HIV检测
tuberculosis
prevention and control
HIV - testing
