摘要
目的了解丽水市VCT机构服务人群的特征情况,为控制丽水市艾滋病疫情蔓延提供科学依据。方法对2011年-2014年丽水市VCT门诊求询者的年龄和性别、求询原因、HIV抗体检测情况以及不同途径阳性率进行统计分析。结果 2011年-2014年丽水市共20 473人接受了VCT服务,以20岁-39岁的青壮年为主,女性多于男性,≥65岁人群只占1.37%;求询原因以商业异性性行为史和非商业非固定异性性行为史为主;VCT门诊HIV抗体阳性率为0.55%,高于医疗机构监测（0.03%）和重点人群监测（0.08%）,差异有统计学意义（χ-2=992.22,P=0.00）,阳性检出率前3位的是配偶或固定性伴阳性者（3.70%）、男男性行为史者（3.56%）、注射毒品史者（2.33%）。结论应加强对男男性行为者和老年男性的宣传和干预力度,促使该人群主动参与艾滋病的咨询检测,同时加强咨询员的培训,使自愿咨询检测工作在预防控制艾滋病工作发挥更大的作用。
Objective To understand the characteristics of the service population of VCT in Lishui,and to provide scientific basis for controlling the spread of HIV/AIDS. Methods Statistically analyzing the VCT consultants＇ s data and information from2011 to 2014,including the age,the gender and the reasons,HIV antibody detection and the positive rate from different approaches. Results A total of 20 473 people accepted VCT services from year 2011 to 2014. Consultant was given priority to mainly young adults with 20 to 39 year old,more women than men. Greater than or equal to 65 year old people accounted for only1. 37%. The cause of the consulting was given priority to commercial history of heterosexual sex and history of non- commercial fixed heterosexual sex behavior. In VCT clinic,HIV antibody positive detection rate was 0. 55%,higher than medical institutions detection（ 0. 03%）,and key crowd monitoring（ 0. 08%）,and had statistical significance（ χ-2= 992. 22,P = 0. 00）. The top three positive detection rates were spouse or fixed partners positive history（ 3. 70%）,men and men sexual behavior history（ 3. 56%） and history of injecting drug use behavior（ 2. 33%）. Conclusion The promotion and intervention in men who have sex with men and older men should be strengthened to prompt the crowd to actively participate in AIDS counseling and testing,and the training of the consultant also should be strengthened to make voluntary counseling testing work play a more important role in AIDS prevention and control of work.
出处
《中国卫生检验杂志》
CAS
2016年第4期556-558,共3页
Chinese Journal of Health Laboratory Technology
基金
浙江省卫生厅2014年艾滋病耐药基因及溯源研究课题
