摘要
目的通过系统分析2009年天津市不同检出途径中发现HIV阳性者的首次CD4+T淋巴细胞均值以及单位发现每例HIV阳性者的成本,评估天津市不同检出途径早期发现HIV感染者的效率。方法采用统计学方法系统分析天津市2009年报告的HIV阳性者首次CD4+T淋巴细胞检测值以及单位成本,以不同检出途径中HIV阳性检出率,首次CD4+T淋巴细胞均值情况,以及发现HIV阳性者的单位成本为指标来评估不同HIV检出途径对于早期发现HIV感染者的效率。结果 2009年天津市不同检出途径中,自愿咨询检测途径HIV阳性感染者检出率最高,而性病门诊就诊者的HIV阳性感染者的首次CD4+T淋巴细胞均值最高,同时从单位成本分析性病门诊就诊者发现HIV抗体阳性者的单位成本最低。结论应加大对自愿咨询检测的宣传力度,从而进一步提高HIV阳性者的检出效率;同时还应加强对性病门诊的经费投入和管理,以尽早发现HIV阳性者,减少二代传播。
Objective To assess the efficiency for early detection of HIV-positive through systematic analysis of the mean of primary CD4＋T lymphocytes and unit cost of HIV-positive samples,which were derived from different detection channels in Tianjin City in 2009.Methods Statistical method was used to analyze the mean of primary CD4＋T lymphocytes and unit cost of HIV-positive samples which was reported in 2009.The detection rate and unit cost of HIV-positive samples,and the mean of primary CD4＋T lymphocytes were as indicators to evaluate the efficiency for early detection of HIV-positive in different detection channels.Results Among different detection channels,voluntary counseling and testing（VCT） was the highest detection rate.While the mean of primary CD4＋T lymphocytes of the clients of sexually transmitted disease clinic was the highest and the unit cost was the lowest.Conclusions The propaganda about VCT should be strengthened,and the efficiency of HIV-positive detection should be further enhanced.The management and funding for STD clinics should be increased to find the HIV-positive as early as possible,and reduce the second-generation transmission.
出处
《中华疾病控制杂志》
CAS
2011年第8期677-680,共4页
Chinese Journal of Disease Control & Prevention
基金
中国-比尔盖茨艾滋病项目
