摘要
目的 了解天津市艾滋病自愿咨询检测门诊主动求询者的HIV感染状况及其影响因素.方法 对2014-2015年天津市艾滋病自愿咨询检测门诊主动求询者的问卷调查资料和实验室检测结果进行统计,采用SPSS 21.0对数据进行统计学分析.结果 门诊累计为24 249人提供了HIV咨询检测服务,咨询者以20-39岁为主,男女比例1.8∶1,男性HIV检出率明显高于女性.HIV阳性检出率2.0％（473/24249）,梅毒阳性检出率4.6％（1119/24249）.HIV检出阳性最多的是男男性行为者、有商业异性性行为史者、有非商业非固定异性性行为史者,构成比分别为51.6％（244/473）、18.8％（89/473）、13.1％（62/473）.多因素分析显示,年龄、性别、文化程度、既往检测、梅毒结果和求询原因是调查对象HIV感染的影响因素.结论 应该在艾滋病高风险人群,尤其是男男同性性行为人群中加强健康教育和行为干预,开展更便利的VCT服务模式,促进高危人群主动检测.
Objective To analyze HIV infection status of voluntary counseling and testing（VCT） clients and its influencing factors in Tianjin.Methods The questionnaire data and serological information of VCT clients were collected from 2014 to 2015,and the results were analyzed using SPSS 21.0 software.Results A total of 24 249 clients received VCT service.The main age distribution was 20-39 years.The male/female ratio was 1.8∶ 1.The detection rate of HIV in male clients was higher than female ones.The positive rate of HIV and syphilis were 2.0% （473/24 249） and 4.6% （1119/24 249）.The largest number of HIV-positive detected from male homosexuals（MSM）,visitors who had commercial heterosexual behaviors,visitors who had non-commercial non-fixed heterosexual behaviors,which constituent ratio were 51.6% （244/473）,18.8% （89/473） and 13.1% （62/473）.Statistics showed that age,gender,education level,history of test,syphilis infection and counseling reason were influencing factors of HIV infection.Conclusions Health education and behavioral interventions should be carried out in high-risk population,especially MSM.More convenient VCT service mode should be developed to promote active detection of high-risk groups.
作者
柏建芸
周宁
董笑月
BAI Jian-yun ZHOU Ning DONG Xiao-yue(Tianfin Center for Disease Control and Prevention, Tianjin 300171, China.)
出处
《国际病毒学杂志》
2016年第5期297-299,307,共4页
International Journal of Virology
基金
天津市卫生行业重点攻关项目（14KG119）
关键词
艾滋病病毒
自愿咨询检测
影响因素
HIV
Voluntary counseling and testing
Influencing factor
