2010-2013年深圳市福田区艾滋病自愿咨询检测人群梅毒和艾滋病病毒检测分析  

Survey of Syphilis and HIV Among VCT Volunteers in Futian District of Shenzhen,2010-2013

作　　者：陈润莉[1] 曾华书[1] 莫浩联[1] 申红卫[1] 刘莹[1] 赖植发[1] 

机构地区：[1]深圳市福田区疾病预防控制中心,广东深圳518040

出　　处：《预防医学情报杂志》2016年第2期138-141,共4页Journal of Preventive Medicine Information

摘　　要：目的了解广东省深圳市福田区艾滋病自愿咨询检测（Voluntary counseling and testing,VCT）门诊中求询者的梅毒和艾滋病病毒感染率。方法对2010-2013年深圳市福田区VCT门诊求询者相关资料及实验室检测结果进行统计,采用SPSS17.5进行数据分析。结果 2010-2013年深圳市福田区VCT门诊共接受求询者15 037人,男女性别比为1.32∶1,20~39岁的青壮年占83.26%,未婚者占52.96%,求询者类型中非婚异性性行为人群分别占41.20%、54.67%、41.15%和41.00%,无高危行为史呈上升趋势（χ~2=376.477,P〈0.001）,注射毒品史（趋势χ~2=2.225,P=0.136）、献血浆史（χ~2=4.955,P=0.026）和输血/血制品史（χ~2=8.146,P=0.004）呈下降趋势。2010年-2013年HIV抗体筛查阳性率分别为0.81%、1.30%、1.48%和1.82%,呈逐年递增,其中男男性行为史为12.91%,配偶/固定性伴阳性为10.83%,注射毒品史近3年筛查阳性率为零。11 723名VCT求询者同时进行了梅毒抗体检测,4年中梅毒抗体阳性率分别为0.72%、0.60%、0.72%和1.19%,梅毒抗体阳性人群的HIV阳性率为28.42%,梅毒抗体阴性人群的HIV抗体阳性率为1.21%,两者之间差异有统计学意义（χ~2=474.777,P〈0.01）。结论男男性行为史及配偶/固定性伴阳性为深圳市福田区VCT门诊求询者HIV传播最主要的传播方式,应加强该人群宣传教育及干预行为,提高该人群的自愿咨询检测率。Objective To survey the infection rate of syphilis and HIV among the voluntary counseling and testing （VCT） volunteers in Futian district of Shenzhen. Methods Data of the syphilis and HIV detection results of the VCT volunteers in Futian district during 2010 -2013 were statistically analyzed using SPSS 17.5. Results Alto- gether 15 037 VCT volunteers were received and the gender ratio was 1.32 ： 1. There were 83.26% of the m were between 20 - 39 years old and 52.96% were unmarried. Most of the inexperienced non - marriage hetero- sex. The high -risk behaviors and the experiences of drug injection, blood donation and blood transfusion de- creased annually. The HIV positive rates of 2010 -2013 increased annually and were O. 81% , 1.30% , 1.48% and 1.82% , respectively. The highest HIV positive rate （ 12.91% ） was found in men with history of homo- sex. No HIV cases were detected in those who used drug in the last three years. The syphilis detection was performed in the 11 723 VCT volunteers. The syphilis positive rates of 2010 - 2013 were 0. 72% , 0.60% , 0. 72% and 1.19%, respectively. The HIV positive rate in the syphilis positive VCT volunteers was 28.42% , while the HIV pos-itive rate in the syphilis negative VCT volunteers was 1.21%, showing a statistical difference with the for mer （X^2 =474.78, P 〈 0. 001 ） . Conclusion Intervention measures should be performed in the male homosexual activities and the VCT detection rate in this group is yet to be increased.

关 键 词：艾滋病病毒 梅毒 自愿咨询检测 

分 类 号：R512.91[医药卫生—内科学]