2014年德宏州艾滋病自愿咨询检测人群艾滋病病毒感染状况分析  

HIV infection among HIV voluntary counselling and testing people in Dehong Prefecture,Yunnan Province in 2014

作　　者：李艳玲[1] 张玉成[2] 高洁[1] 杨继香 王继宝[1] 曹艳芬[1] 李林[1] 叶润华[1] 杨跃诚[1] 姚仕堂[1] 何纳[2] 段松[1] 

机构地区：[1]云南省德宏州疾病预防控制中心,云南芒市678400 [2]复旦大学公共卫生学院流行病学教研室公共卫生安全教育部重点实验室,上海200032

出　　处：《中国农村卫生事业管理》2016年第4期454-457,共4页Chinese Rural Health Service Administration

基　　金：国家重点地区艾滋病防治项目;国家科技重大专项(2013zx10004-906)~~

摘　　要：目的：了解云南省德宏州2014年艾滋病自愿咨询检测（VCT）人群HIV阳性率及影响因素。方法：通过艾滋病综合防治信息系统收集德宏州2014年艾滋病自愿咨询检测人群信息,进行统计分析。结果：在纳入研究的3 625例研究对象中,HIV检测阳性180例,阳性率为5.0%。多因素Logistic回归分析显示,30~39岁年龄组、40~49岁年龄组、50岁及以上年龄组人群被诊断为HIV阳性的风险高于16~29岁年龄组人群（OR=1.91,95%CI：1.19-3.06,P=0.007）、（OR=2.66,95%CI：1.62-4.38,P〈0.001）、（OR=2.97,95%CI：1.71-5.14,P〈0.001）;离异或丧偶人群被诊断为HIV阳性的风险高于未婚人群（OR=2.65,95%CI：1.32-5.33,P=0.006）;文盲、小学教育程度人群被诊断为HIV阳性的风险高于大专及以上教育程度人群（OR=9.20,95%CI：3.19-26.47,P〈0.001）、（OR=3.25,95%CI：1.15-9.19,P=0.026）;与有非商业非固定异性性行为史人群相比,配偶/固定性伴阳性人群、有注射毒品史人群被诊断为HIV阳性的风险更高（OR=2.15,95%CI：1.46-3.18,P〈0.001）、（OR=3.00,95%CI：1.59-5.66,P=0.001）。结论：2014年德宏州VCT人群HIV阳性率较高。VCT在发现HIV感染者方面起到了重要作用,当地疾病预防控制机构需进一步加强对高危人群的检测及艾滋病相关知识教育。Objective To know about the prevalence of HIV infection among people who had voluntary counselling and testing （＂VCT＂ for short） in Dehong Prefecture Yunnan Province in 2014. Methods Information about people who had VCT during 2014 in Dehong Prefecture was obtained from the national information system for comprehensive AIDS prevention and control, and statistical analysis was performed. Results The prevalence of H＇IV positive among VCT peo- ple was 5.0% （180/3 625）. Multivariate logistic regression analysis indicated that people aged 30 ~ 39,40~49,50 had a higher risk of H IV positive compared with people aged 16 - 29 [（OR： 1.91,95 ~ CI： 1.19- 3.06, P = 0. 007）, （OR=2.66,95;CI：1.62-4.38,P（0. 001） ,（OR=2.97,95%CI.. 1.71--5.14,P〈0. 001） ,respectively] ;people who were divorced or widowed had a higher risk of HIV positive compared with those who were unmarried（OR= 2.65,95 CI： 1.32-5.33, P= 0. 006） ~people who were illiterate, and people who had a primary school education had a higher risk of HIV positive compared With those who had a college degree or above[（OR= 9.20,95;CI：3.19--26.47,P〈 0.001）, （OR = 3.25,95 % CI： 1.15- 9.19, P = 0. 026）, respectively] ; people who had an H IV positive spouse as well as injection drug users had a higher risk of HIV positive compared with people who had sexual behavior with non--com- mercial anfixed partner[（OR=2.15,95%CI：1.46-3.18,P〈0. 001）, （OR=3.00,95%Ch 1.59-5.66,P=0. 001）, respectively]. Conclusions The prevalence of HIV infection among VCT people in Dehong Prefecture was relatively high. VCT had played an important role in HIV identification. Still,there is much more to do in HIV surveillance and education among people who had high risk behavior.

关 键 词：获得性免疫缺陷综合征 自愿咨询检测 感染 

分 类 号：R512.91[医药卫生—内科学]