2020年日照市艾滋病自愿咨询检测资料分析  

Data analysis of AIDS voluntary counseling and testing in Rizhao City in 2020

作　　者：孟祥萍[1] 郑祺[1] 王琦 李晓 MENG Xiang-ping;ZHEN Qi;WANG Qi;LI Xiao(Department of AIDS Prevention and Control,Rizhao Center for Disease Control and Prevention,Rizhao 276826,China)

机构地区：[1]日照市疾病预防控制中心艾滋病防制科,山东日照276826

出　　处：《社区医学杂志》2022年第7期370-374,共5页Journal Of Community Medicine

摘　　要：目的分析日照市艾滋病自愿咨询检测(VCT)开展情况,探索日照市VCT服务可持续运转模式。方法对2020年日照市VCT门诊进行艾滋病咨询检测的求询者进行问卷调查,采血进行人类免疫缺陷病毒(HIV)抗体检测。不同影响因素率的比较采用χ^(2)检验,不满足χ^(2)检验适用条件的使用Fisher确切概率法检验。HIV阳性影响因素采用logistic回归分析。结果2020年共为4491人做了检测,发现HIV阳性感染者29例,阳性率为0.65%。求询人员主要以在综合医院求询为主,占55.42%。73.93%的检测者年龄为20~39岁,已婚者居多,占79.78%。非商业非固定异性性行为史为主要的高危行为史,占24.63%;其次为男男性行为史,占18.35%。单因素分析结果显示,不同性别(χ^(2)=31.431,P<0.001)、婚姻状况(χ^(2)=15.264,P<0.001)、文化程度(χ^(2)=12.012,P=0.017)及行为史(P<0.001)差异有统计学意义。多因素分析结果显示,婚姻状况的未婚、离异及丧偶(OR=1.97,95%CI为1.42~4.31,P=0.021),行为史中的男男性行为史(OR=3.81,95%CI为2.73~10.00,P=0.011)以及配偶固定性伴阳性史(OR=8.49,95%CI为6.29~15.51,P<0.001)是VCT者HIV阳性的危险因素。结论开展艾滋病VCT服务,是发现HIV感染者及艾滋病患者最有效的方式,应大力开展VCT工作,有效控制艾滋病的蔓延。Objective To analyze the development of AIDS voluntary counseling and testing(VCT)in Rizhao City,explore the persistent operating mode of VCT in Rizhao City.Methods A questionnaire survey was conducted on human immunodeficiency virus(HIV)counseling and testing patients in Rizhao City voluntary counseling and testing clinic in 2020.Blood samples were taken for HIV antibody test.The comparison of the rates of different influencing factors adopts the chi square test.If it did not meet the applicable conditions of chi square test,Fisher’s exact probability method was used.logistic regression model was used to analyze the associated factors of HIV.Results Totally 4491 people were tested in 2020,and 29 cases of HIV positive infection were found,with a positive rate of 0.65%.The consultants were mainly from medical institutions,accounting for 55.42%.73.93%of the subjects were aged between 20 and 39 years old,and most of them were married,accounting for 79.78%.The main high-risk behavior history was non-commercial non-fixed heterosexual behavior,accounting for 24.63%,followed by MSM(18.35%).Univariate analysis showed that there were statistically significant differences in gender(χ^(2)=31.431,P<0.001),marital status(χ^(2)=15.264,P<0.001),educational level(χ^(2)=12.012,P=0.017)and behavioral history(P<0.001).The results of multivariate analysis showed that marital status of unmarried,divorced and widowed(OR=1.97,95%CI=1.42-4.31,P=0.021),male and female behavioral history(OR=3.81,95%CI=2.73-10.00,P=0.011)and spouse fixation with positive history(OR=8.49,95%CI=6.29-15.51,P<0.001)were risk factors for HIV positivity in volunteers.Conclusion The development of AIDS counseling and testing services is conducive to the timely detection of HIV infection and patients,and great efforts should be made to carry out counseling and testing to effectively prevent and control the spread of AIDS.

关 键 词：艾滋病 人类免疫缺陷病毒 自愿咨询检测 日照市 

分 类 号：R512.91[医药卫生—内科学]