摘要
目的分析湖北省2008-2010年艾滋病自愿咨询检测(VCT)情况,为制定艾滋病防治对策提供依据。方法对2008-2010年全省VCT门诊求询者的基本信息、艾滋病病毒(HIV)抗体检测情况及各类VCT门诊工作状况进行统计分析。结果 2008-2010年,到全省各级VCT门诊接受咨询检测的人数共计163 634人,男女性别比为1.34∶1;求询者以20～39岁青壮年为主,占73.48%;求询者类型以有非婚异性性行为史为主,且其构成比逐年上升。96.76%的求询者接受了HIV抗体筛查检测,筛查阳性率以配偶/固定性伴HIV抗体阳性者和有男男性行为史者两类人群为高,分别为8.52%和5.97%,与其他类型人群之间存在显著性差异。2008～2010年,各级医疗机构设立的VCT门诊数占VCT门诊总数的比例分别为64.86%、64.71%和70.06%,其咨询检测人数占VCT总人数的比例分别为39.59%、41.98%和47.55%。结论应进一步加强对配偶/固定性伴阳性和有男男性行为史人群的早期发现和干预工作,减少二代传播;同时应加快推进医疗机构医务人员主动提供的艾滋病检测咨询服务,充分发挥医疗机构的优势和作用。
Objective To analyze the basic situation of HIV voluntary counseling and testing（VCT） in Hubei from 2008 to 2010 in order to provide evidence for developing policy for HIV/AIDS prevention and control.Method HIV voluntary counseling and testing（VCT） data in Hubei from 2008 to 2010 were analyzed in terms of demographic,behaviors and HIV antibody testing among VCT clients and working status of VCT clinics.Results A total of 163,634 people received HIV VCT services at all levels of VCT clinics in Hubei from 2008 to 2010,with the male/female ratio of 1.34：l.Most of the VCT clients were young adults aged between 20 and 39,accounting for 73.48%.Heterosexuals who had extramarital sexual history comprised the majority of the clients with a rising trend annually.Of the clients 96.76% received HIV antibody screening,and the highest HIV antibody screening positive rate was found among two groups,i.e.people with positive spouses and man who have sex with man（8.52% and 5.97% respectively）,which was significantly different from that in other groups.The proportion of VCT services to overall outpatient services provided by medical institutions at different levels from 2008 to 2010 was 64.86%,64.71% and 70.06% respectively,while the proportion of tests and counsellings to total VCT visits reached 39.59%,41.98% and 47.55% in the respective 3 years.Conclusion It is important to strengthen early case-finding and intervention among groups of people with positive spouses and man who have sex with man for reducing secondary transmission.Provider-initiated testing and counseling should be promoted to bring the strength and role of medical institutions into full play.
出处
《中国艾滋病性病》
CAS
2011年第6期657-659,共3页
Chinese Journal of Aids & STD
关键词
艾滋病
自愿咨询检测
高危人群
AIDS
Voluntary counseling and testing
VCT
Risk group
