摘要
目的了解武汉市高危人群参加艾滋病自愿咨询(VCT)门诊的293例阳性感染者感染途径及现状,以针对性地制订健康教育干预计划。方法回顾性分析2004年7月～2010年9月武汉市高危人群在44个VCT门诊自愿参加和未参加HIV抗体检测数量、阳性感染者感染途径、性行为取向及安全套使用的资料。结果共有54 840人参加了VCT门诊咨询和血清检测,其中仅咨询人数5 998人,参加血清检测人人数48 842人,发现HIV血清抗体阳性者293人,发现率占总数的0.60%。在293名阳性检测者中,因男男同性恋性接触感染64人,占全部感染人数的21.84%;异性性接触感染96人,占32.76%;采供血感染30人,占10.24%;静脉吸毒50人,占17.06%;感染途径不祥25人,占8.19%;因配偶/固定性伴阳性而感染23人,占7.85%;母婴感染5人,占1.71%。从不使用安全套的比例为54.8%。结论经同性和异性性行为传播艾滋病是主要传播途径。卖淫嫖娼、男男同性恋和吸毒人群仍是传播艾滋病的高危人群。近三年来通过免费的艾滋病自愿咨询发现艾滋病阳性感染者的比例逐渐增加。VCT门诊能较早发现HIV阳性感染者,有利于提供疾病流行预警信息,对于防止艾滋病从高危人群向普通人群传播具有不可估量的作用。
Aim To understand the current infection status and infection mutes of 293 HIV-positives detected from high-risk voluntary consultation test（VCT）outpatients in Wuhan City, Hubei Province and offer reference for health education intervention. Methods The data concerning the HIV positives detected from 44 voluntary VCT in Wuhan City and their infection routes,sexual behaviors and use of condoms from July 2004 to September 2010 were collected and retrospectively analyzed. Results Totally 54 840 volunteers attended the VCT for consultation and serum test including 5 998 volunteers for consultations and 48 842 persons for serum test. There 293 persons were HIV positives, accounted for 0.0% of the total,including 64 MSM accounted for 21.84 of the total infections,96 heterosexual behavior acconted for 32.76% ,30 infected through blood donation accounted for 10.24% ,50 through intravenous drug injection accounted for 17.06% ,25 infections with unknown transmission route accounted for 8.19%. There 23 HIV positives infected through their positive spouse/fixed sexual partner accounted for 7.85% and 5 positives infected due to vertical transmission from mothers to the babies accounted 1.71%. In addition,S4.8% of the positives did never use the condoms. Conclusion Homosexual and heterosexual behaviors are the main route of HIV/AIDS transmission,prostitution,MSM and dug users are the high risk population. VCT can detect HIV infection at early time helpful for offering early warning information and playing a fundamental role in preventing HIV/AIDS spreading from high risk population to general population.
出处
《中国热带医学》
CAS
2011年第7期823-825,共3页
China Tropical Medicine
基金
湖北省全球基金艾滋病防治项目办公室基金资助(No.GF060026)
关键词
艾滋病
咨询
检测
高危行为分析
HIV/AIDS
Consultation
Detection
High risk behavior
