艾滋病自愿咨询检测人群的特征及HIV感染率分析  

Analysis of characteristics of the population undertaking HIV voluntary counseling and testing and HIV infection rate among them

作　　者：汤琰[1] 傅益飞 周洁[1] 黄星[1] 王涛[1] 李旭[1] 盛燕华[1] 马平[1] 朱林英[1] 孙乔[1] 

机构地区：[1]上海市浦东新区疾病预防控制中心,上海200136

出　　处：《中国艾滋病性病》2013年第6期422-424,共3页Chinese Journal of Aids & STD

基　　金：上海市浦东新区卫生系统重点学科建设资助(PWZXK2010-09)~~

摘　　要：目的了解艾滋病自愿咨询检测(VCT)人群的特征和艾滋病病毒(HIV)的感染情况。方法对2008-2011年浦东新区VCT人群进行HIV检测和人群特征分析,并对部分VCT求询者进行艾滋病相关知识和心理测试。结果 2008-2011年,VCT人群HIV感染率分别为1.52%、2.33%、3.92%、4.25%,感染途径以性接触为主。其中男男同性行为占51.11%,非婚异性性行为占31.11%,婚内性行为占8.89%;异性性行为与男男同性性行为之间感染率的差异有统计学意义(P<0.05)。VCT求询者平均年龄为(29.69±7.52)岁,20～45岁的青壮年占94.80%;92.84%因非婚性接触(同性及异性)来咨询检测;男男同性性行为与非婚异性性行为之间的完全用套率差异有统计学意义(P<0.05),大专及以上、高中(含中专)和初中及以下3组不同文化程度的非婚异性性接触者,完全用套率的差异也有统计学意义(均P<0.05)。抽查人群的艾滋病知识水平、自我效能感相对较高。结论 VCT是发现HIV感染者和开展干预的重要窗口,应针对不同人群进一步完善健康教育和行为干预。Objective To understand the current status of human immunodeficiency virus（HIV） infection and the characteristics of the visitors attending HIV voluntary counseling and testing（VCT）.Method Visitors receiving HIV voluntary counseling and testing in Pudong New Area from 2008 to 2011 were examined.Their characteristics were analyzed.A number of visitors were tested about AIDS knowledge and psychological conditions.Results The HIV positive rates among VCT visitors from 2008 to 2011 were 1.52%,2.33%,3.92% and 4.25%,respectively.HIV infection occurred mainly via sexual contact,among which men who have sex with men（MSM） accounted for 51.11%,extramarital heterosexual contact accounted for 31.11%,sexual behavior within marriage accounted for 8.89%;the infection rate among those with heterosexual behaviors and MSM had statistical significance（P0.05）.The average age of VCT visitors was（29.69±7.52） years old,those aged 20-45 accounted for 94.80%;visitors with extramarital sexual contact（homosexual and heterosexual） accounted for 92.84%.Complete condom use among MSM and those with extramarital heterosexual behaviors had statistical significance（P0.05）,and complete condom use among those with extramarital heterosexual behavior in the three groups with different educational backgrounds also had significant difference（P0.05）.AIDS knowledge level and self-efficacy perception among the sampled population were relatively high.Conclusion VCT is an important window to find HIV infection and the development of interventions,health education and behavioral intervention aiming at different population groups should be further improved.

关 键 词：艾滋病病毒 艾滋病自愿咨询检测 感染率 

分 类 号：R512.91[医药卫生—内科学]