摘要
目的:通过对2 640例在我院自愿检测HIV抗体者进行分析,了解上海地区HIV高危行为发生的人群特点及各种高危行为的HIV初筛阳性构成比。方法:快速检测2 640例自愿检测者的HIV抗体,取得初筛结果,并留取每位被检者的相关信息。结果:统计发现,2 640例受检者进行免费检测的原因中前3位分别是异性性行为(1 524例,57.73%)、男男同性性行为(434例,16.44%)及其他(272例,10.30%)。初筛HIV阳性率较高的高危行为依次为注射毒品(50.00%)、母亲HIV阳性(21.43%)、输血(16.22%)、男男同性性行为(10.14%)和配偶HIV阳性(7.81%)。HIV初筛结果为阳性者共154例(5.83%),平均年龄为37岁。男性120例,最主要的高危行为是异性性行为(45.00%)和男男同性性行为(36.67%);女性34例,最主要的高危行为是为配偶HIV阳性(38.24%)和异性性行为(35.29%)。结论:HIV传播的高危行为中男男同性性行为的比例近些年上升较快,且年龄层次呈现年轻化、受教育程度呈现高学历状态。不同的高危行为其传播HIV的风险有所差异,部分高危人群中的疫情尤其严重。女性HIV初筛阳性人群中配偶HIV阳性成了最主要的高危行为之一,提示HIV在配偶间的传播也是今后防治工作的重点。
Objective To study the characteristics of high-risk behavior subjects and the positive HIV rate of each of these high-risk behaviors by a cohort study of 2 640 subjects seeking voluntary HIV counseling and testing（VCT） in our hospital.Methods All participants were tested for HIV antibody by primary screening reagent.The test results and the information about these participants were collected.Results The reasons for seeking VCT were heterosexual sex exposure（1524,57.73%）,male homosexual sex exposure（MSM）（434,16.44%）,and others（272,10.30%）.The high-risk behavior which had high positive HIV rates included injection drug user（50.00%）,having HIV-positive mother（21.43%）,history of blood transfusion（16.22%）,MSM（10.14%）,and sexual partner of HIV infected subject（7.81%）.One hundred and fifty-four（5.83%） participants got positive HIV test,their mean age was 37 years.Among participants with positive HIV test,120 were male;of them 45.00% had heterosexual exposure and 36.67% had MSM exposure.Of the 34 female participants with positive HIV test,38.24% were wife of HIV infected husband and 35.29% had heterosexual exposure.Conclusions HIV transmission via MSM increases significantly in recent years.This male homosexual crowd of people are younger and have received higher level of education.The risk of HIV infection is different between different high-risk activities.The positive rates of HIV test are high in some of the high-risk populations.Considering HIV infected husband is the major high-risk factor in female participants,effective prevention of HIV transmission among married couples should be emphasized.
出处
《诊断学理论与实践》
2011年第5期440-443,共4页
Journal of Diagnostics Concepts & Practice
基金
艾滋病患者终身随访管理优化
上海申康医院发展中心市级医院临床管理优化项目(SHDC2011622)
关键词
自愿检测
HIV抗体
初筛
Voluntary testing
Human immunodeficiency virus antibody
Primary screening
