2011-2013年贵港市VCT门诊检测者HIV感染率及相关因素分析  

Analysis of HIV infection and associated factors among people seeking consultation in a VCT clinic in Guigang City in 2011-2013

作　　者：覃春伟[1] 李晓华[1] 覃雄林[1] 陈永锋[1] 梁耀富 苏嘉慧 

机构地区：[1]贵港市疾病预防控制中心,广西贵港537100

出　　处：《实用预防医学》2015年第4期407-410,共4页Practical Preventive Medicine

基　　金：国家科技重大专项(项目编号:2012ZX10004910)

摘　　要：目的了解贵港市接受艾滋病自愿咨询检测（VCT）服务人群的感染状况及相关因素,为艾滋病防治措施的制定提供科学依据。方法收集2011-2013年VCT门诊求询者的基本信息和检测结果,并进行统计学分析。结果 2011-2013年检测人数分别是2 268例、2 399例、3 492例,检出阳性743例,HIV平均阳性率为9.11%,每年检测阳性率分别是8.43%（191/2 268）、7.76%（186/2 399）、10.49%（366/3 492）,差异有统计学意义（χ^2=14.57,P=0.001）。求询者男女比例为1.16：1;年龄以20~39岁年龄段为主,占52.32%（4 269/8 159）。男性阳性检出率12.03%（526/4 373）,60岁以上人群为24.17%（293/1 212）,初中以下12.91%（420/3 254）,离异或丧偶者的为12.71%（69/543）,有男男性行为史、配偶/固定性伴阳性史、注射吸毒史、异性性行为史的人群HIV抗体阳性率分别为35.48%、30.55%、4.08%、8.31%。多因素Logistic回归分析结果显示,与HIV感染率相关的因素有性别、年龄、婚姻状况、文化程度、求询者来源类型、主要求询原因、梅毒检测情况。结论贵港市疾病预防控制中心VCT门诊求询者HIV阳性率较高,与HIV感染率相关的因素有性别、年龄、婚姻状况、文化程度、求询者来源类型、主要求询原因、梅毒检测情况。Objective To investigate prevalence of HIV infection and its related factors among people receiving service in a vol- untary counseling and testing （VCT） clinic in Guigang City, so as to provide scientific basis for formulating prevention and control measures. Methods Statistical analysis was made on data and test reports of people seeking consultation in the VCT clinic of Guigang Center for Disease Control and Prevention in 2011 - 2013. Results Totally, 2,268, 2,399 and 3,492 people recie- ved VCT in 2011,2012 and 2013 respectively, among which 743 cases were found to be HIV positive, with an average HIV pos- itive rate of 9.11%. The annual positive rates from 2011 to 2013 were 8.43% （191/2,268）, 7.76% （186/2,399） and 10.49% （366/3,492） respectively, which were statistically significant（ x^2 = 14.57, P = 0. 001）. The male/female ratio of the VCT receivers was 1.16：1. 52.32% （4,269/8,159） of them were aged 20 - 49 years. The positive rates among males, receiv- ers aged over 60 years , receivers with education below junior middle school and the divorced or widowed were 12.03% （526/ 4,373）, 24.17%（293/1,212） , 12.91% （420/3,254） and 12.71% （69/543） respectively. The HIV positive rates of those with MSM history, those having sexual relationship with spouses or regular partners who were HIV positive, these with injection drug use history, and those with heterosexual sex were 35.48 %, 30.55 %, 4.08 % and 8.31% respectively. Multivariate logis- tic regression analysis showed that males, receivers aged 60 years or above, the married, receivers with low education level, active consultation- seekers , receivers having MSM behavior as the main reason for seeking consultation and these having positive syphilis detection results had higher prevalence of HIV infection. Conclusions HIV- positive rate is high in people seeking consultation in the VCT clinic of Guigang Center for Disease Control and Prevention. The associated factors include gender, age, marital status, education level,

关 键 词：艾滋病 自愿咨询检测 HIV感染 相关因素 

分 类 号：R512.91[医药卫生—内科学]