江苏省江阴市VCT和PITC途径发现HIV阳性病例结果分析  

Comparative analysis of positive cases from VCT and PITC in Jiangyin of Jiangsu during 2002-2015

作　　者：章婵[1] 符和英[1] 徐银[1] 邹良军[1] 蒋建华[1] 唐建梅[1] ZHANG Chan;FU Heying;XU Yin;ZOU Liangjun;JIANG Jianhua;TANG Jianmei(Jiangyin Center for Disease Control and Prevention,Jiangsu 214400,China)

机构地区：[1]江阴市疾病预防控制中心,江苏214400

出　　处：《医学动物防制》2018年第9期847-850,共4页Journal of Medical Pest Control

基　　金：江阴市卫计委重点科研项目(K201702)

摘　　要：目的了解艾滋病自愿咨询检测(Voluntary counseling and testing,VCT)和主动提供艾滋病检测咨询服务(Provider initiated HIV testing and counseling,PITC)途径发现HIV阳性病例的特征,探讨有效艾滋病防治模式。方法收集2002-2015年现住址为江阴市的HIV阳性病例资料进行构成比统计,利用卡方检验比较VCT和PITC两组数据差异。结果 VCT和PITC两种途径分别发现139例和219例HIV阳性病例,两组在婚姻(χ2=22.634)、职业(χ2=27.834)、年龄(χ2=14.035)、传播途径(χ2=17.777)、疾病状态(χ2=15.859)、当年死亡情况(χ2=16.327)、晚发现情况(χ2=27.315)、CD4检测情况(χ2=6.770)、CD4计数(t=2.635)上的差异均有统计学意义(P<0.05);VCT途径发现的HIV阳性病例在同性传播比例、HIV感染者比例、CD4细胞计数200~500个/μl和≥500个/μl的比例均高于PITC途径;PITC途径发现的HIV阳性病例在当年死亡比例、艾滋病病人比例、晚发现比例、CD4细胞计数<200个/μl比例均高于VCT。结论 VCT在早期发现病例和在MSM筛查中存在优势;进一步推广PITC途径有助于发挥其在普通人群中的检测优势;两者结合模式应推广实施。Objective To understand the characteristics of HIV-positive cases from VCT and PITC and explore an effective mode of AIDS prevention. Methods HIV-positive cases in Jiangyin during 2002-2015 were collected to make constituent ratio statistics and compare the two groups of VCT and PITC with chi square test. Results A total of 139 HIV-positive cases were found from VCT and 219 positive cases were found from PITC. The differences of positive cases from VCT and PITC showed statistical significance in terms of marital status（χ2= 22. 634）,occupation（χ2= 27. 834）,age（χ2= 14. 035）,route of transmission（χ2= 17. 777）,state of disease（χ2= 15. 859）,the death in the current year（χ2= 16. 327）,later discovery（χ2= 27. 315）,CD4 lymphocyte detection（χ2= 6. 770） and the counts of CD4（t = 2. 635）,（P〈0. 05）. The rate of homosexual transmission,HIV,patients received CD4 lymphocyte count testing,CD4 lymphocyte 200 ~ 500 cells/μl and ≥ 500 cells/μl in VCT were higher than those in PITC. The HIV-positive cases from PITC,the rate of the death in the year,AIDS,later discovery,CD4 lymphocyte counts 200 cells/μl were higher than those in VCT. Conclusion VCT had privilege over discovering the early-stage patients and screening in MSM; further development of PITC will help to improve its detection advantages in the general population. To sum up,a combination mode should be put into practice.

关 键 词：自愿咨询检测 PITC HIV阳性 艾滋病 

分 类 号：R512.91[医药卫生—内科学]