大连市2008-2013年艾滋病VCT利用情况分析  

An analysis of service utilization of HIV voluntary counseling and testing in Dalian City in 2008-2013

作　　者：熊帮洁[1] 万悦竹[1] 张群[1] 赵志杰[1] 佟伟[1] 孙茂利[1] 刘大鹏[1] 李德钧[1] 

机构地区：[1]大连市疾病预防控制中心,辽宁大连116021

出　　处：《中国艾滋病性病》2014年第11期857-859,共3页Chinese Journal of Aids & STD

摘　　要：目的分析2008-2013年大连市艾滋病自愿咨询检测（VCT）服务的利用情况,为制定高危人群干预策略提供依据。方法采用描述性流行病学方法,对VCT门诊求询者的基本信息、人群特征、检测情况进行统计分析。结果 2008-2013年,累计10 078人接受了大连市疾病预防控制中心VCT门诊服务,男性占90.73%,20-29岁年龄组的青年求询者占59.69%。9898名（98.21%）求询者自愿接受了艾滋病病毒（HIV）抗体检测,发现244例HIV新发感染者,HIV抗体检测阳性率为2.47%。新发HIV感染者中,男男性行为人群（MSM）占65.16%,商业异性性接触者占12.70%,非商业非固定异性性接触者和注射吸毒者各占6.56%。43.97%的求询者为重复检测,重复检测者与首次检测者的HIV抗体阳性检出率的差异有统计学意义（χ2=22.98,P〈0.01）。男男同性性接触者、商业异性性行为者和非商业非固定异性性行为者,HIV抗体阳性检出率的差异有统计学意义（χ2=58.79,P〈0.01）。4746人接受梅毒检测,梅毒筛查阳性360人,梅毒筛查阳性率为7.59%。梅毒筛查阳性者中MSM占75.28%。结论 VCT服务方式正逐渐被越来越多的高危险人群认同并接受,尤其是MSM。女性高危人群主动利用VCT服务的情况没有明显变化,应将医疗机构的妇科门诊作为女性高危人群干预和宣传的新阵地,进一步探讨出更为有效的干预措施,以控制HIV传播。Objective To estimate the utilization of HIV voluntary counseling and testing （VCT） service in Dalian City of Liaoning Province from 2008 to 2013, then provide reasonable and scientific advices for development of HIV preventive strategy. Methods Descriptive epidemiological method was used to analyze the demographic characteristics, HIV-associated behaviors and status of HIV infection. Results There were a total of 10078 clients receiving VCT in Dalian CDC from 2008 to 2013, among which 90.73% were male, persons at the age of 20 - 29 accounted for 59.69%, and 98.21% received HIV test. The positive rate of HIV infection was 2.47M （244/9863）. Among people with HIV infection, the proportion of men who have sex with men （MSM）, commercial heterosexual clients, noncommercial sexual clients and illegal injection drug users was 65.16%, 12.70%, 6.56% and 6.56%, respectively. Repeat testing occurred in 43.97% of clients. There was a statistical difference in HIV positive rate between clients with repeat testing and those with initial testing （χ^2 =22.98 ,P〈0.01）. There was also a statistical difference in HIV positive rate among MSM, commercial sexual clients and noncommercial irregular sexual cli- ents （χ^2 =58.79,P〈0.01）. Syphilis screening test were performed in 4746 clients, among which a60 were posi- tive, with a positive rate of 7. 590//00. MSM accounted for 75.28% among syphilis positive clients. Conclusion HIV VCT service is gradually being more and more recognized and accepted among HIV high risk population, especially MSM. There is no significant increase in active utilization of VCT among female HIV high risk population. Gyneco- logical clinics should be taken as a new site of intervention and propaganda for female high risk population to further explore a more effective interventions to control the spread of HIV.

关 键 词：艾滋病病毒 自愿咨询检测 利用情况 

分 类 号：R512.91[医药卫生—内科学]