摘要
目的了解天津市河东区人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体检测及阳性病例检出情况,为探索适合本区情况的、经济有效的艾滋病防治策略提供参考依据。方法依据2018—2022年天津市河东区艾滋病监测及流行病学调查资料,对HIV抗体检测数据及病例报告情况进行分析。结果2018—2022年天津市河东区累计开展HIV抗体检测273838人次,粗阳性检出率为8.25/万,粗阳性检出率从2020年开始逐年略有下降。不同检测来源HIV粗阳性检出率比较差异有统计学意义(P<0.05),其中术前检测人次数最多,共检测124703人次,专题调查确证阳性数最多,共62例(均为男男性行为人群),自愿咨询检测粗阳性检出率最高,为103.52/万。2018—2022年检出所有确证阳性病例中既往阳性比例为32.74%。河东区检测发现新报告病例中男性占98.68%,未婚占62.50%;年龄以21~40岁为主,占66.45%;传播途径以同性传播为主,占76.97%。2018—2022年按现住址统计当年新报告病例共265例,其中专题调查94例占比最高(35.47%)。结论天津市河东区不同检测来源在发现病例的力度上存在差异,自愿咨询检测、专题调查(男男性行为人群)及医疗机构重点科室就诊者检测为病例发现的主要途径,应进一步提升检测数量,加大检测力度,同时继续加强艾滋病防治知识宣传,增强居民防艾意识和主动检测意识。
Objective To discover the status of human immunodeficiency virus(HIV)antibody detection and positive cases in Hedong District of Tianjin City,and provide scientific reference for exploring cost-effective AIDS prevention and control strategies suitable for this area.Methods According to the sources collected from AIDS surveillance and epidemiological investigation in Hedong District from 2018 to 2022,the data of HiV antibody detection and case reports were summarized'and analyzed.Results From 2018 to 2022,a total of 273838 HIV antibody tests were carried out in Hedong District of Tianjin City,with a crude positive rate of 8.25/10000,and the crude positive rate decreased slightly year by year from 2020.There was a statistically significant difference in the crude HIV positive detection rate among different testing sources(P<0.05).Among which,the most people were found from pre-operation,with a total of 124703 people.The most people were confirmed to be HIV positively by special investigation,with a number of 62 cases(all from men who have sex with men population).The crude positive rate of voluntary counseling and testing was the highest,and the rate was 103.52/10000.Among all confirmed cases detected in 2018-2022,32.74%were previously positive cases.Among the newly reported cases detected in Hedong District,98.68%were males and 62.50%were unmarried.Most of cases were 21-40 years old,accounting for 66.45%.The main transmission route was same-sex transmission,accounting for 76.97%.From 2018 to 2022,a total of 265 new cases were reported according to current address,of which 94 cases of special investigations accounted for the highest proportion(35.47%).Conclusion There are differences in the intensity of finding cases from different testing sources in Hedong District of Tianjin Citylt is known that voluntary counseling and testing,special investigation(men who have sex with men population)and the detection of patients in key departments of medical institutions are the main ways to find cases.It is necessary to furth
作者
孙禄
田志红
赵甲戌
赵婷
SUN Lu;TIAN Zhihong;ZHAO Jiaxu;ZHAO Ting(STD and AIDS Prevention and Control Department,Tianjin Hedong District Center for Disease Control and Prevention,Tianjin,300151,China)
出处
《职业与健康》
CAS
2024年第12期1697-1700,共4页
Occupation and Health
