2012—2017年江苏省疾病预防控制中心VCT门诊检测人群特征及HIV梅毒感染情况分析  

Analysis of the characteristics,HIV and syphilis infection among the clients to a VCT clinic during 2012-2017

作　　者：李莉[1] 管文辉[1] 朱银霞[1] 魏庆[1] 吴小刚[1] 陈莉萍[1] 胡海洋[1] LI Li;GUAN Wenhui;ZHU Yinxia;WEI Qing;WU Xiaogang;CHEN Liping;HU Haiyang(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210036,Jiangsu,China)

机构地区：[1]江苏省疾病预防控制中心

出　　处：《中国艾滋病性病》2019年第11期1129-1131,1156,共4页Chinese Journal of Aids & STD

基　　金：江苏省卫生健康委员会科研课题(Z2018039)~~

摘　　要：目的分析艾滋病自愿咨询检测(VCT)门诊咨询检测者的人群特征和艾滋病病毒(HIV)、梅毒感染情况,为艾滋病防治提供科学依据。方法对2012-2017年江苏省疾病预防控制中心VCT门诊自愿咨询检测人群的一般资料和HIV抗体、梅毒抗体检测结果进行分析。结果 23 082例求询检测者中,男女比例为7.08∶1,其中20~29岁青壮年占57.21%(13 206例),大专及以上文化程度占67.22%(15 515例),未婚占53.83%(12 425例);HIV抗体阳性率3.86%(891例),其中≥50岁和<20岁年龄组、离异或丧偶者、文盲和初中文化人群的HIV抗体阳性率分别为6.76%(76/1 125)、5.00%(29/580)、9.78%(81/828)、6.57%(9/137)和6.39%(86/1 345),不同特征人群HIV抗体阳性率差异有统计学意义。求询原因中注射毒品、男男性行为史以及配偶或性伴阳性人群的HIV抗体阳性率分别为12.50%(6/48)、10.53%(831/7 893)和8.81%(17/193),差异有统计学意义;梅毒现症感染率为5.76%(886/15 373),HIV和梅毒合并感染率为1.81%(279/15 373),6年间HIV、梅毒以及HIV合并梅毒抗体阳性率差异无统计学意义。结论 VCT是发现人群HIV感染的重要手段,今后要加强青年学生、老年人、离异或丧偶人群以及男男性行为者的干预检测工作。Objective To analyze the demographic characteristics and positive cases of HIV and syphilis among the clients to a Voluntary Counseling and Testing(VCT)clinic,so as to provide scientific basis for AIDS prevention and control.Methods Statistical analysis was made to know the general data of the clients to the VCT clinic and blood samples were collected for HIV and syphilis antibody tests in Jiangsu Provincial Center for Disease Control and Prevention from 2012 to 2017.Results Among the 23 082 clients,the ratio of male to female was 7.08∶1.57.21% were young aged between 20-29 years.67.22%had college education and above,and 53.83% were unmarried.The positive rate of HIV antibody test was 3.86% among the 23 082 clients,with 6.76%,5.00%,9.78%,6.57% and 6.39% for those aged above 50 and under 20 years,divorced or widowed,illiterate and junior high school,respectively,and the difference was statistically significant.Of all the reasons for the clients’ visit to the VCT clinic,the history of injection drug use,and homosexual behavior,spouses or regular partners infected with HIV had relatively higher HIV infection(12.5%,10.53%and 8.81%).The current infection rate of syphilis was5.76%,and the positive rate of both HIV and syphilis was 1.81%.During the 6 years,there was no statistical significance in the differences of HIV and syphilis positive rates.Conclusion VCT is important for AIDS prevention and treatment.It is necessary to strengthen the intervention and testing esp.for the young students,the elderly,divorced or widowed people and men who have sex with men.

关 键 词：自愿咨询检测 艾滋病病毒 梅毒 男男性行为 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]