摘要
目的分析北京市怀柔区艾滋病自愿咨询检测(VCT)门诊求询者的HIV感染状况及其影响因素,为制定艾滋病防控策略提供科学依据。方法采用SPSS 21.0对2014-2016年怀柔区VCT门诊求询者的问卷调查资料和实验室检测结果进行统计分析。结果 VCT门诊三年累计咨询服务2 066人,求询者以20~39岁年龄组为主,已婚有配偶和初中文化程度求询比例较高,男女性别比为1.09∶1。求询原因以商业异性和非商业非固定异性性行为史为主,占52.51%。男性HIV检出率明显高于女性。HIV阳性检出率0.68%(14/2 066),梅毒阳性检出率0.92%(19/2 066),无HIV和梅毒双重感染病例。HIV检出阳性人群中男男性行为者、非商业非固定异性性行为史者构成比分别为71.43%(10/14)和28.57%(4/14)。求询者HIV抗体检测结果中性行为、性别和文化程度是HIV感染的影响因素。HIV阳性检出率2014年与2016年比较,差异有统计学意义(χ2=7.758,P=0.017)。结论应该在艾滋病高风险人群,尤其是男男性行为人群中扩大宣传教育和行为干预,不断优化VCT服务策略,使VCT在预防控制艾滋病传播中发挥更大作用。
Objective To analyze the HIV infection status and its risk factors in the outpatient consultation of HIV/AIDS in Huairou district of Beijing,and to provide scientific basis for the development of the prevention and control strategy of HIV/AIDS. Methods SPSS 21. 0 was used to analyze the questionnaire survey data and laboratory test result of VCT clinic in Huairou district from 2014 to 2016. Results In the three years of the VCT consultation,2 066 subjects had consultation,and the participants were aged mainly between 20 to 39 years old,with a higher proportion of married couples or with junior middle school education background,and the male-to-female sex ratio was 1. 09. The pursuit for the inquiry were based on the history of commercial heterosexual and non-commercial random heterosexual sex,accounting for 52. 51%. Male HIV detection rate was significantly higher than that of women,with HIV positive detection rate of 0. 68%（ 14/2 066）,syphilis positive detection rate of 0. 92%（ 19/2 066）,no cases of mixed infection of HIV and syphilis. The proportion of male-who-have-sex-with-male and non-commercial random heterosexual sex in HIV positive group was 71. 43%（ 10/14） and 28. 57%（ 4/14）,respectively. The gender and education background were the influencing factors of HIV infection. The HIV positive detection rate was statistically significant between 2014 and 2016（ χ~2= 7. 758,P = 0. 017）. Conclusion Expand heatlh education and behavior intervention should be carried out in the high risk population of HIV/AIDS,especially among MSM individuals,and the VCT service strategy should be constantly optimized to make VCT a greater role in the prevention and control of HIV infection.
作者
蒋贵英
JIANG Gui-ying(Huairou District Center for Disease Control and Prevention,Beifing 101400,China)
出处
《首都公共卫生》
2018年第4期203-205,共3页
Capital Journal of Public Health
关键词
艾滋病
自愿咨询检测
影响因素
AIDS
Voluntary consultation test
Risk factors
