宝鸡市某VCT门诊6年间求询者HIV感染情况及影响因素分析  

Analysis of HIV infection and influencing factors among VCT clinic clients in Baoji,2010 to 2015

作　　者：高娟[1] 严钏元[1] 田辉[1] 温丽萍[1] 李红兵[1] 李钟[1] 付海龙[1] 胡晓倩[1] 

机构地区：[1]宝鸡市疾病预防控制中心,陕西宝鸡721006

出　　处：《中国健康教育》2017年第11期1008-1010,共3页Chinese Journal of Health Education

摘　　要：目的分析宝鸡市疾控中心VCT门诊6年间服务利用情况,为探寻重点人群艾滋病干预措施提供科学依据。方法采用流行病学描述方法,收集2010—2015年间到宝鸡市疾控中心VCT门诊接受咨询服务的求询者一般人口学资料、求询原因等信息,采用非条件Logistic回归分析影响VCT求询者HIV感染的相关因素。结果 1120名求询者中共检出HIV抗体阳性115人,阳性检出率为10.27%。单因素分析结果显示,性别(χ~2=18.740,P<0.05)、文化程度(χ~2=23.481,P<0.05)、婚姻状况(χ~2=8.384,P<0.05)、求询原因(χ~2=151.532,P<0.05)、求询来源(χ~2=31.866,P<0.05)与HIV感染存在统计学关联。多因素Logistic回归分析,男性(OR=7.057,95%CI:2.403~20.725)、离异或丧偶(OR=2.845,95%CI:1.129~7.171)、男男同性行为史(OR=10.954,95%CI:4.437~27.044)、配偶/固定性伴阳性史(OR=5.522,95%CI:1.750~17.417)、转介求询(OR=4.532,95%CI:1.843~11.147)为HIV感染的危险因素。结论男男同性行为史和配偶/固定性伴阳性史是VCT人群中感染HIV的最主要因素,需进一步做好该人群的干预检测工作。Objective To analyze the utilization of HIV voluntary counseling and testing （VCT） service in VCT clinic of Baoji CDC, and provide evidence for preventative measures establishment. Methods The epidemiological descrip- tion method was used to analyze demographic information, included reasons for seeking and results of HIV infection from 2010 to 2015. Unconditional logistic regression was used to analyze testing results and factors associated with HIV infection. Results 1120 clients received VCT test and 115 of them were positive, positive rate was 10. 27%. Univariate analysis showed that gender （X^2=18.740, P〈0.05）, education level （X^2=23.481, P〈0.05）, marriage （X^2=8.384, P〈 0. 05 ）, source of attendants （ X^2 = 151. 532, P 〈 0. 05 ）, the reasons of attending （ X^2=31. 866, P 〈 0. 05 ） were associ- ated with HIV infection. Multivariate logistic regression analysis showed that male （ OR = 7. 057, 95% CI： 2. 403 - 20. 725）, divoreed or widowed （ OR = 2. 845, 95% CI： 1. 129 - 7. 171 ） , sex with men （ OR = 10. 954, 95% CI： 4. 437 - 27. 044） and sex with HIV positive spouse/sex partner （ OR = 5. 522, 95% CI： 1. 750 - 17. 417） , referral for attending （ OR = 4. 532, 95% CI： 1. 843 - 11. 147 ） were major risk factors for HIV infection. Conclusion MSM and sex with HIV positive spouse/sex partner were the main transmission routes for HIV in VCT clients in Baoji. It is necessary to strengthen health education and HIV surveillance among them.

关 键 词：艾滋病 自愿咨询检测 影响因素 

分 类 号：R193[医药卫生—卫生事业管理] R512.91[医药卫生—公共卫生与预防医学]