鞍山市2009年艾滋病自愿咨询检测服务的效果  

Effect of VCT Services in Anshan City in 2009

作　　者：徐姜[1] 赵丽[1] 郑军[1] 赵文彬[1] 姜延峰[1] 

机构地区：[1]辽宁省鞍山市疾病预防控制中心办公室,114002

出　　处：《职业与健康》2011年第10期1088-1090,共3页Occupation and Health

摘　　要：目的评价自愿咨询检测(VCT)服务在鞍山市实施的效果,为进一步扩大VCT服务范围,强化VCT服务策略提供科学依据。方法在鞍山市疾病预防控制中心设置VCT室,对求询者提供规范的VCT服务,将得到的数据上报至全国艾滋病综合防治数据信息管理系统,利用SPSS 11.5软件对上报的1 145条数据进行分析。结果 2009年共咨询检测1 145人,平均年龄为(29.03±9.65)岁,其中男性1 072人,女性73人;求询原因以有男男同性性行为史和非婚异性性行为史为主,分别占78.0%和16.5%;男男同性性行为者的重复检测率(71.2%)明显高于其他原因求询者(35.3%),差异有统计学意义(χ2=109.077,P<0.05);1 145人中共检出人类免疫缺陷病毒(H IV)阳性28例,检出率为2.4%。除去既往检测阳性的7人,在该次检测为阳性的21人中,有男男同性性行为史者19人,有注射吸毒史者1人,有非婚异性性行为史者1人;重复检测者与首次检测者H IV阳性检出率分别为1.95%和1.67%,两者差异无统计学意义(χ2=0.117,P>0.05)。结论该市VCT求询者以青壮年为主,男性且有男男同性性行为史者居多,男男同性性行为者重复检测率较高,而重复检测对H IV阳性检出率并无影响。因此,应进一步完善咨询检测与行为干预相结合的VCT服务模式,使VCT真正成为艾滋病防治工作的有效手段。[Objective]To assess the effect of VCT implementation in Anshan City,and provide scientific basis for expansion and strengthening of VCT services.[Methods] VCT services were established in Anshan CDC,providing standard VCT services for enquirers.The obtained data were input in National HIV Information Management System.SPSS 11.5 software was applied to analyze 1 145 pieces of data.[Results]In 2009,there were 1 145 enquirers whose average ages were 29.03±9.65 years old.1 072 enquirers were males,73 were females,with histories of male homosexual activities 78.0% and histories of non-marriage heterosexual activities 16.5% respectively.A significantly higher rate of repeat tests requests from male homosexual enquirers（71.2%）,comparing to those from other enquirers（35.3%） was noted.（χ2 =109.077,P0.05）.28 out of 1 145 enquirers（2.4%） were proved to be HIV positive.Excluding 7 enquirers who were reported to be HIV positively in previous tests,there were 21 new cases with HIV positive results.Among which 19 cases were homosexual men,1 had drug use history,1 had history of non-marriage sexual relationship.Positive rate from repeat tests and from first-presenting tests were 1.95% and 1.67% respectively,which were not significantly different（χ2=0.117,P0.05）.[Conclusion]The majority of enquirers are young males with history of homosexual activities.There is a higher rate of repeat tests request in male enquirers,while repeat test positive rate had no effect on HIV-positive detection rate..Therefore,optimizing VCT services with behavioral intervention as an effective measure to prevent HIV management is valuable.

关 键 词：艾滋病 自愿咨询检测 效果评价 

分 类 号：R181.3[医药卫生—流行病学]