深圳市宝安区2012—2014年艾滋病自愿咨询检测情况分析  

HIV voluntary counseling and testing in Baoan District,Shenzhen,2012-2014

作　　者：孙群露[1] 邱望[1] 刘俊[1] 涂玉山[1] 潘海珊[1] 陈晓燕[1] 李意球 赵磊[3] 

机构地区：[1]深圳市宝安区疾病预防控制中心,广东深圳518101 [2]南方医科大学 [3]四川大学华西公共卫生学院

出　　处：《华南预防医学》2015年第2期151-154,共4页South China Journal of Preventive Medicine

摘　　要：目的对深圳市宝安区艾滋病自愿咨询检测（VCT）情况进行分析,为调整VCT策略、控制艾滋病传播提供科学依据。方法收集2012—2014年5月深圳市宝安区VCT门诊咨询者的相关资料及实验室检测结果,采用描述性流行病学方法进行分析。结果 1 322名求询者中,男女性别比为5∶1,以15-44岁为主（占93.49%）。求询原因主要包括商业异性性行为史（占33.28%）、非商业非固定异性性行为史（占21.71%）和男男性行为史（12.03%）。求询者来源广泛,本地户籍人口仅占13.01%。1 322名求询者中检出HIV抗体阳性53例,阳性率为4.01%,其中男男性行为者的阳性率最高（10.69%,17/159）。不同文化程度咨询者的HIV阳性率差异有统计学意义（P〈0.01）,以小学学历者阳性率最高,为15.38%,其次为文盲10.53%;不同性别、不同年龄、不同婚姻状况求询者的阳性率差异均无统计学意义（均P〉0.05）。结论 VCT是及时发现感染者的有效途径,男性流动人口、男男性行为者是宝安区VCT的重点人群。做好VCT门诊工作,发挥VCT门诊优势和作用,才能逐步实现预防和控制艾滋病传播的目的。Objective To analyze the situation of HIV voluntary counseling and testing（ VCT） in Baoan District,Shenzhen City so as to provide the scientific basis for adjusting the strategy of VCT and control of the spread of HIV / AIDS. Methods Data of HIV / AIDS VCT outpatient of Baoan District CDC in2012-2014 were collected and analyzed by descriptive epidemiology. Results A total of 1 322 clients received VCT service,93. 49% of them were aged 15-44 years,and the male to female ratio was 5∶ 1. The reasons for inquiry mainly included commercial heterosexual behavior（ 33. 28%）,non commercial and non fixed heterosexual contact（ 21. 71%）,and male homosexual contact（ 12. 03%）. The clients were from various areas,only 13. 01% of them were local household registration. All 1 322 clients received HIV test and 53 of them were confirmed as HIV positive with a positive rate of 4. 01%. The proportion of HIV positive rates was found to the highest in the male homosexual contacts（ 10. 69%）. The differences of HIV positive rates were statistically significant between clients with different educational levels（ P 0. 01）. The positive rate was the highest for those with primary education（ 15. 38%）,followed by illiterate ones（ 10. 53%）. The differences of HIV positive rates were not statistically significant between clients with different gender,age,or marital status（ P 0. 05 for all）. Conclusion VCT clinic is an effective way to identify HIV infection timely. Migrant men and MSM are key groups in Baoan VCT. It is necessary to improve the quality of VCT services to realize the purpose of the prevention and control of HIV transmission.

关 键 词：获得性免疫缺陷综合征 自愿咨询检测 

分 类 号：R512.91[医药卫生—内科学] R181[医药卫生—临床医学]