摘要
目的分析2018—2022年长沙市岳麓区VCT门诊人群特征和HIV感染情况,为今后有针对性地开展艾滋病防治工作提供依据。方法描述2018—2022年长沙市岳麓区VCT门诊求询者人口学特征、求询原因、HIV及梅毒检测结果,采用Cochran-Armitage检验连续5年阳性检出率的变化趋势,采用Logistic回归分析求询者感染HIV的相关因素。检验水准α=0.05。结果2018—2022年,共有3384人(男性2650人,女性734人)进行艾滋病自愿咨询检测,检出HIV抗体阳性136人(男性127人,女性9人),总检出率为4.02%,5年阳性检出率呈上升趋势(Z=3.977,P<0.001)。求询者年龄分布以20~<40岁年龄组为主,占75.44%。多因素Logistic回归分析结果显示,有男男性行为史(OR=7.58,95%CI:4.17~13.80)、梅毒抗体阳性(OR=4.45,95%CI:2.36~8.40)和求询者年龄≥60岁(OR=7.14,95%CI:2.74~18.61)与HIV感染有关,P均<0.05。结论高危性行为人群和老年人是该区HIV感染的高风险人群,在以后的工作中应加大对该类人群的宣传、检测和干预力度。
Objective To analyze the characteristics of clinic population in a VCT site of Changsha and the situation of HIV infection during 2018 to 2022,and to provide a basis for the targeted prevention and control work effectively of AIDS in the future.Methods Data were gathered in VCT sites in Yuelu District of Changsha City from 2018 to 2022,demographic characteristics,reasons for inquiry,the test results of HIV and syphilis were described.Trend of HIV positive detection rates for five years was identified using the Cochran-Armitage test.Logistic regression was employed to analyze the factors associated with HIV infection in inquirers,the test leveα=0.05.Results From 2018 to 2022,a total of 3384 people(2650 males and 734 females)were tested for HIV/TP voluntary,136(127 males and 9 females)were tested positive for HIV antibody,with an overall positive rate of 4.02%,and the positive rates was increasing in the 5 years(Z=3.977,P<0.001).Most of participants were aged between 20-39,accounting for 75.44%.The result of multivariate logistic regression analysis showed that:had MSM behavior(OR=7.58,95%CI:4.17-13.80),Syphilis antibody positive(OR=4.45,95%CI:2.36-8.40)and age of inquirer≥60(OR=7.14,95%CI:2.74-18.61)were associated with HIV infection,all P<0.05.Conclusions High-risk sexual behavior population and elderly are at high risk for HIV infection in this area.It is necessary to enhance the publicity,testing and intervention measures among them.
作者
胡艳红
吴昊
HU Yanhong;WU Hao(Yuelu Center for Disease Control and Prevention,Changsha 430103,Hunan Province,China.)
出处
《预防医学情报杂志》
2025年第9期1221-1225,共5页
Journal of Preventive Medicine Information
关键词
艾滋病
自愿咨询检测
趋势分析
AIDS
voluntary counseling and testing(VCT)
trend analysis
