2014-2016年江阴市艾滋病自愿咨询检测情况分析  

HIV/AIDS voluntary counseling and testing in Jiangyin City,2014-2016

作　　者：徐银[1] 骆莺 符和英[1] 章婵[1] XU Yin;LUO Ying;FU He-ying;ZHANG Chan(Institute of Dermatosis,STD/A1DS Prevention and Control,Jiangyin Municipal Center for Disease Control and Prevention,Wuxi,Jiangsu 214431,China)

机构地区：[1]江阴市疾病预防控制中心皮肤病性病艾滋病防治所,江苏无锡214431 [2]上海市第十人民医院

出　　处：《实用预防医学》2018年第10期1162-1165,共4页Practical Preventive Medicine

基　　金：国家自然科学基金青年科学基金项目(81602944);江阴市卫计委重点科研项目(K201702)

摘　　要：目的了解江阴市艾滋病自愿咨询检测(VCT)人群特征及HIV感染状况,为更有针对性地制定艾滋病防治计划提供依据。方法收集2014-2016年江阴市所有自愿咨询检测门诊资料进行分析。结果 2014-2016年共4 702人接受了VCT服务,以非婚异性性行为者为主,占55.21%。求询者中商业异性性行为史人群构成比呈逐年上升趋势(χ~2_(趋势)=21.46,P<0.001);注射毒品(χ~2_(趋势)=15.89,P<0.001)、配偶/固定性伴阳性(χ~2_(趋势)=8.26,P=0.016)人群比例呈逐年下降趋势。HIV抗体、梅毒阳性检出率分别为1.83%和6.59%,HIV/梅毒合并感染率为0.68%。三年来HIV阳性检出率逐年下降,梅毒阳性率逐年增加,趋势性差异无统计学意义(分别χ~2_(趋势)=0.49,P=0.783;χ~2_(趋势)=1.40,P=0.497)。男性、离异或丧偶、大专及以上、梅毒阳性的求询者HIV抗体阳性检出率较高(分别χ~2=44.41,P<0.001;χ~2=12.49,P=0.002;χ~2=45.11,P<0.001;χ~2=133.34,P<0.001)。其中男男性行为史者HIV阳性率最高(18.79%),其次为配偶/固定性伴阳性人群(5.43%)。2014-2016年男男性行为史人群HIV阳性率分别为25.25%、18.58%和14.18%,逐年递减(χ~2_(趋势)=4.51,P=0.105);而配偶/固定性伴阳性人群HIV阳性率分别为3.51%、5.26%和8.82%,逐年增加(χ~2_(趋势)=1.11,P=0.573),趋势性差异均无统计学意义。结论 2014-2016年江阴市VCT人群以25~44岁的青壮年、男性、已婚者为主,VCT是及时发现HIV感染者的有效途径,今后应加强男男性行为人群以及配偶/固定性伴阳性人群的检测和干预。ObjectiveTo investigate the characteristics of population with HIV/AIDS voluntary counseling and testing（VCT）and the status of HIV infection in Jiangyin City,and to provide a basis for developing HIV/AIDS targeted prevention and control measures.MethodsAll data of outpatients with HIV/AIDS voluntary counseling and testing in Jiangyin City during 2014-2016 were collected and analyzed.ResultsA total of 4,702 outpatients received VCT service from 2014 to 2016,and most of them had non-marital heterosexual sex,accounting for 55.21%.The proportion of outpatients with history of commercial heterosexual sex behavior showed an upward tendency year by year（χ^2（tendency）=21.46,P〈0.001）,while the proportions of injection drug users（χ^2（tendency）=15.89,P〈0.001）and HIV-positive spouse/fixed sexual partner（χ^2（tendency）=8.26,P=0.016）showed a downward tendency year by year.The positive rates of HIV and syphilis were 1.83%and 6.59%respectively,and the positive rate of HIV-syphilis co-infection was 0.68%.During the 3-year period,the positive rate of HIV decreased year by year,while the positive rate of syphilis increased year by year,without statistically significant difference in the trend（χ^2（tendency）=0.49,P=0.783;χ^2（tendency）=1.40,P=0.497）.The positive rate of HIV was found to be higher in male outpatients（χ^2（44.41,P〈0.001）,divorced or widowed outpatients（χ^2（12.49,P=0.002）,outpatients with college degree or above（χ^2（45.11,P〈0.001）and syphilis-positive outpatients（χ^2（133.34,P〈0.001）.The positive rate of HIV was found to be the highest in men who have sex with men（MSM）（18.79%）followed by outpatients with HIV-positive spouse/fixed sexual partner（5.43%）.The positive rates of HIV in MSM in2014,2015 and 2016 were 25.25%,18.58%and 14.18%respectively,showing a gradually decreasing tendency（χ^2（tendency）=4.51,P=0.105）.The positive rates of HIV in outpatients with HIV-positive spouse/fixed sexual partner were 3.51%,5.26%and8.82%r

关 键 词：VCT 艾滋病 梅毒 流行病学 

分 类 号：R512.91[医药卫生—内科学]