2008—2015年北京市海淀区艾滋病自愿咨询检测结果及影响因素  

Results of HIV voluntary counseling and testing and influencing factors in Haidian District of Beijing from 2008-2015

作　　者：肖智毅[1] 王路[1] 陈鸿雁[1] 贺江梅[1] 

机构地区：[1]北京市海淀区疾病预防控制中心性病艾滋病科,北京100094

出　　处：《职业与健康》2017年第15期2097-2100,共4页Occupation and Health

摘　　要：目的了解北京市海淀区自愿咨询检测人群艾滋病感染状况及其影响因素,为艾滋病防控提供依据。方法收集2008—2015年北京市海淀区自愿咨询检测(VCT)门诊登记的求询者一般资料、高危行为等信息,人类免疫缺陷和病毒(HIV)抗体检测结果,利用统计软件SPSS 13.0进行数据分析。结果接受VCT服务总人数为12 003人,男女性别比为3.03∶1;以20~39岁的青壮年为主,占83.95%;婚姻状况以未婚为主,占60.08%;文化程度以大专及以上为主,占71.09%;求询类型以非婚异性性行为(64.43%)和男男性行为者(MSM)(22.58%)为主。HIV抗体阳性率2.26%,HIV抗体阳性率有逐年增高的趋势(χ_(趋势)~2=6.760,P<0.01)。MSM求询者HIV抗体阳性率6.68%,HIV抗体阳性率有逐年增高的趋势(χ_(趋势)~2=73.869,P<0.01)。logistic多因素分析显示,男性、离异或丧偶、配偶固定性伴阳性、文化程度低、MSM是VCT人群HIV感染的危险因素。结论男性未婚知识水平高的青年是北京市海淀区受到艾滋病影响的主要人群,应重视其性安全意识教育。同时,应加强离异或丧偶人群、配偶固定性伴阳性人群、文化程度低人群、MSM人群艾滋病的防控宣传和VCT动员检测。[Objective] To understand the HIV infection situation and its influencing factors in people receiving voluntary counseling and testing（VCT）service in Haidian District of Beijing,provide scientific evidence for AIDS prevention and control.[Methods]The general information,high-risk behaviors and HIV antibody test results of people receiving VCT service in Haidian District of Beijing from 2008-2015 were collected,and the data were analyzed with SPSS 13.0 software. [Results]A total of 12 003 people have received VCT service with the male-to-female ratio of 3.03：1. Most of them were young adults aged 20-39 years old,accounting for 83.95%,60.08% were unmarried. 71.09% of them had the education level of junior college or above. The reasons for inquiry mainly included non-marital heterosexual behavior（64.43%） and men who had sex with men（MSM,22.58%）. The positive rate of HIV antibody was 2.26%,and it increased year by year（χtrend^2=6.760,P〈0.01）. The positive rate of HIV antibody among MSM was 6.68%,and it increased year by year（χtrend^2=73.869,P〈0.01）. Multivariate logistic regression showed that male,divorced and widowed,HIV-positive in spouse or fixer sexual partner,low education level,and MSM were the risk factors for HIV infection among people receiving VCT service. [Conclusion]Education about sexual safety awareness should be conducted on unmarried young men with higher education level,who are main susceptible people of HIV in Haidian District of Beijing. At the same time,it is necessary to strengthen AIDS publicity and VCT service among divorced or widowed people,people with HIV-positive spouse or fixer sexual partner,population with lower education level and MSM.

关 键 词：自愿咨询检测 艾滋病病毒 感染状况 影响因素 

分 类 号：R183.9[医药卫生—流行病学]