HIV现场快速检测在浴池男男性接触人群中的应用  

The Application of the On-site Rapid Detection of HIV Antibody among MSM in Public Bathroom

作　　者：李剑[1] 徐丹戈[1] 倪志敏[1] 葛阳[1] 陈婷[1] 方叶珍[1] 

机构地区：[1]杭州市江干区疾病预防控制中心,浙江杭州310004

出　　处：《浙江预防医学》2011年第9期6-9,共4页Zhejiang Journal of Preventive Medicine

基　　金：中盖艾滋病项目(2010)

摘　　要：目的通过现场快速检测方法在浴池MSM人群艾滋病性病干预检测的应用,建立和完善可行的干预流程,探讨浴池MSM人群初筛阳性者高流失情况的解决方法。方法按自愿原则分2组,1组为现场快检组,在浴池对MSM人群开展快速检测HIV抗体;另1组为常规检测组,现场采血。两组均进行人口学、性行为学特征问卷调查和血清常规HIV、梅毒的检测。结果 180名调查对象中,87名自愿参加现场快检,发现初筛HIV抗体阳性10名,感染率11.49%;93名参加常规检测,发现初筛HIV抗体阳性15名,感染率16.13%,现场快检与常规检测HIV阳性发现率差异无统计学意义(P>0.05)。未婚人员参加现场快检较常规检测比例高(P<0.05)。检测对象结果整体告知92.78%,常规检测与现场快检结果告知情况差异无统计学意义(P>0.05)。HIV初筛阳性者常规检测追踪到位率60.00%,失访率40.00%;现场快检追踪到位率100.00%,现场快检失访率明显低于常规检测(P<0.05)。结论现场快速检测HIV抗体方法在浴室MSM人群干预中具有很强的实用性,值得推广使用。Objective To apply On - site rapid detection of HIV antibody among MSM in public bathroom, solve the problem of high loss to follow -up rate in MSM population who were detected positive in HIV primary screening, and to establish a feasible way of intervention. Methods Volunteers were divided into 2 groups by their choice, one group for both the on - site rapid detection and routine test, the other only for routine test. The demographic characteristics, sexual behavioral characteristics of the subjects were collected, and the routine serological tests were carried out in both groups. Results Among 180 eligible subjects, 87 （48. 33% ） took the on - site rapid detection, and 10 men＇ s antibodies of HIV were detected positive, the infection rate in this group was 11.49%, 93 （ 51.67% ） chose the routine test, 15 were detected positive, the infection rate was 16. 13%. There was no significant statistical difference in the infection rates between two groups （ P 〉 0, 05 ）. More unmarried men chose the on - site rapid detection rather than the routine test （ P 〈 0. 05）. Among all subjects, 92. 78% received their test Results. The difference of informing rate between two groups showed no significance （ P〉0. 05）. All subjects who were detected HIV positive by on - site rapid detection were followed - up （ the follow - up rate was 100% ）, while only 9 of 15 subjects detected HIV positive by routine testing were followed - up （ the follow - up rate was 60% ） , the difference between two groups was significant （ P 〈 0. 05 ）. Conclusions On - site rapid detection of HIV antibody was proved to be very practical. It should be widely applied in HIV intervention among MSM in the public bathroom.

关 键 词：男男性接触者 快速检测 人免疫缺陷病毒感染 

分 类 号：R512.91[医药卫生—内科学]