摘要
目的了解2013—2022年北京市房山区疾控中心实验室HIV抗体筛查检测结果和阳性者的流行病学特征,为科学制定艾滋病防控措施提供依据。方法通过北京市房山区疾控中心实验室日新系统收集2013—2022年HIV抗体筛查检测信息,通过中国疾病预防控制信息系统艾滋病综合防治信息系统收集HIV抗体检测阳性者的相关资料,采用WPS2016和SPSS 23.0软件进行分析。率的比较采用χ^(2)检验,多因素分析采用非条件Logistic回归模型,以P<0.05为差异有统计学意义。结果2013—2022年北京市房山区疾控中心实验室共检测HIV 33101人次,其中包括羁押人员23156人次、VCT求询者9945人次;共检出HIV抗体阳性131人,阳性检出率为0.40%;阳性检出率整体呈现出2013—2019年上升、2020—2022年下降的趋势(χ^(2)_(趋势)=68.506,P<0.001)。不同样本来源的受检者中男性HIV阳性检出率明显高于女性(χ^(2)=91.049,P<0.001),婚姻状况多为非在婚状态(χ^(2)=91.260,P<0.001)。羁押人群中其他民族阳性检出率高于汉族,19~54岁和55岁及以上年龄组阳性检出率基本一致,文化程度以高中或中专为主,户籍地多为本市其他区县,接触史以注射毒品史、男男性行为史为主;VCT人群中HIV阳性检出率汉族高于其他民族,18岁及以下年龄组阳性率高于其他年龄组,大专及以上学历阳性率高于其他学历组,户籍地多为本区县,接触史以男男性行为史为主。多因素分析显示19~54岁和55岁及以上年龄组、高中或中专学历和大专及以上学历、在婚或同居为HIV抗体阳性的不利因素(χ^(2)分别为11.504、5.534、5.091、5.345和124.751,P均<0.05),注射吸毒史为HIV抗体阳性的有利因素(χ^(2)=95.461,P<0.001)。结论北京市房山区艾滋病流行形势依然严峻,VCT人群HIV抗体阳性检出率明显高于羁押人群,应重视VCT人群艾滋病防控工作;同时加强流动人口、男男性行为人群等重点人群的健康宣�
Objective To understand the HIV antibody screening results and epidemiological characteristics of positive patients in Fangshan District Center for Disease Control and Prevention of Beijing from 2013 to 2022,so as to provide a basis for scientific prevention and control measures of AIDS.Methods The information of HIV antibody screening and testing was collected through the laboratory Rixin System,and the data of HIV antibody positive persons were collected through the AIDS integrated prevention and Control Information System of the China Disease Control and Prevention Information System.WPS 2016 and SPSS 23.0 software were used to analyze.χ^(2)test was used to compare the rates,and multivariate analysis was performed by unconditional Logistic regression model.The difference P<0.05 was considered statistically significant.Results From 2013 to 2022,a total of 33101 HIV cases were detected in the laboratory of Fangshan District Center for Disease Control and Prevention of Beijing,which including 23156 detention personnel and 9945VCT applicants.A total of 131 HIV antibody positive cases were detected,with a positive detection rate of 0.40%.The overall positive detection rate increased from 2013 to 2019 and decreased from2020 to 2022(χ^(2)_(trend)=68.506,P<0.001).Among subjects from different sample sources,the positive detection rate of males was significantly higher than that of females(χ^(2)=91.049,P<0.001),and the marital status was mostly unmarried(χ^(2)=91.260,P<0.001).The positive detection rate of other nationalities in detention group was higher than that of Han nationality,the positive detection rate of 19-54 age group and 55 and above age group was basically the same,the education level was mainly senior high school or secondary technical school,the place of residence was mostly other districts or counties of the city,the contact history was mainly injection drug history,and the history of male sex.In the VCT clinic,the positive detection rate of Han nationality was higher than that of other ethnic grou
作者
刘利鹏
张曦月
王更新
史文凤
LIU Lipeng;ZHANG Xiyue;WANG Gengxin;SHI Wenfeng(Fangshan District Center for Disease Control and Prevention,Beijing 102441,China)
出处
《寄生虫病与感染性疾病》
CAS
2023年第4期192-197,共6页
Parasitoses and Infectious Diseases
