杭州市2016—2020年青少年学生艾滋病自愿咨询检测特征  

Voluntary counseling and testing among young students in Hangzhou City during 2016-2020

作　　者：张丽[1] 姚英[2] 潘忠廉 胡锦峰[2] ZHANG Li;YAO Ying;PAN Zhonglian;HU Jinfeng(Quality Management Section of Shangcheng County Center for Disease Control and Prevention,Hangzhou 310004,China;不详)

机构地区：[1]浙江省杭州市上城区疾病预防控制中心质管科,310004 [2]杭州市上城区疾病预防控制中心传防科

出　　处：《中国学校卫生》2021年第10期1578-1581,共4页Chinese Journal of School Health

摘　　要：目的通过分析艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊青少年学生求询特征,为评估当地学校艾滋病防控效果提供参考。方法通过艾滋病检测咨询信息管理系统收集杭州市上城区2016—2020年VCT门诊7~28岁学生咨询者1223例,采用横断面研究方法分析其流行特征。结果青少年学生求询者占全部求询者的25.21%(1223/4852),主要求询原因以无高危行为为主(28.29%,346例),其次是男男性行为(26.41%,323例)和非商业非固定异性性行为(25.92%,317例)。非商业非固定异性性行为、商业异性性行为求询比例均随时间呈下降趋势(χ^(2)_(趋势)值分别为-6.04,-3.59,P值均<0.01)。HIV平均阳性检出率3.03%(37例),且随时间呈上升趋势(χ^(2)_(趋势)=2.45,P<0.01)。结论中小学校开展规范系统的性教育和艾滋病宣教十分必要,杭州市在男男性行为干预方面还需探索更有针对性的措施。Objective To analyze the characteristics of young students inquiry to voluntary counseling and testing(VCT)clinics,and to provide reference for AIDS prevention and control effectiveness of local schools.Methods A total of 1223 students aged 7-28 years were collected and characterized through HIV Testing Consulting Information Management System in Shangcheng VCT clinics during 2016-2020.The epidemic characteristics were analyzed by cross-sectional studies.Results Young students accounted for 25.21%(1223/4852)of the total counseling population in VCT clinics from 2016 to 2020.The main reason for counseling was non-high-risk(28.29%,346 cases),followed by MSM(26.41%,323 cases)and non-commercial non-fixed heterosexual behavior(25.92%,317 cases).The counseling proportion of non-commercial non-fixed heterosexual behavior and commercial heterosexual sex behavior declined with time(χ^(2)_(trend)=-6.04,-3.59,P<0.01).The average of HIV positive detection rate among young students was 3.03%(37 cases),which increased with time(χ^(2)_(trend)=2.45,P<0.01).Conclusion Sex education and HIV/AIDS knowledge education are necessary in primary and secondary schools.Targeted strategies are in great need in terms of MSM behavior intervention.

关 键 词：获得性免疫缺陷综合征 患病率 同性恋 男性 学生 

分 类 号：R512.91[医药卫生—内科学] G478[医药卫生—临床医学]