2018-2020年北京市通州区艾滋病自愿咨询检测人群感染结果及影响因素分析  

Analysis of HIV infection and its influencing factors among HIV voluntary counseling and testing population in Tongzhou district of Beijing,2018-2020

作　　者：李乐 戚广浩[1] 李震[1] 刘静静[1] 温祁 LI Le;QI Guang-hao;LI Zhen;LIU Jing-jing;WEN Qi(Tongzhou District Center for Disease Prevention and Control,Beijing 101100,China)

机构地区：[1]北京市通州区疾病预防控制中心,101100

出　　处：《首都公共卫生》2022年第5期279-282,共4页Capital Journal of Public Health

摘　　要：目的探讨北京市通州区艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊人群人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染状况及其影响因素,为通州区艾滋病防控工作提供科学依据。方法获取2018-2020年通州区VCT门诊求询者的一般资料、血液检测结果进行统计分析。结果2018-2020年,通州区VCT门诊共检测2198人,男女性别比为3.35∶1,以20~39岁(72.84%)、大专及以上(63.15%)的求询者为主。HIV抗体阳性率为8.14%,阳性者中高危行为以男男同性性行为为主(90.50%),且人数有逐年增加趋势,其阳性检出率为14.34%(162/1130)。Logistic多因素回归分析显示男性(OR=12.703,95%CI:1.636~98.643)、发生男男同性性行为(OR=3.436,95%CI:1.010~11.694)、初中及以下学历(OR=3.005,95%CI:1.877~4.811)是VCT门诊求询者感染HIV的影响因素。结论初中及以下学历、男男同性性行为人群是通州区HIV感染的重点人群,应精准选择该人群进行艾滋病防治知识宣传以减少不安全性行为的发生。Objective To explore the status of human immunodeficiency virus(HIV)infection and its influencing factors in voluntary counseling and testing(VCT)outpatients in Tongzhou district,Beijing,and provide scientific evidence for the prevention and control of AIDS in Tongzhou district.Methods The general information and blood test result of VCT outpatients in Tongzhou district from 2018 to 2020 were obtained for statistical analysis.Results From 2018 to 2020,a total of 2198 cases were tested at VCT clinics in Tongzhou district,with a male to female ratio of 3.35∶1,mainly inquirers by those who aged 20-39(72.84%)or those who had a educational level of college degree or above(63.15%).HIV antibody positive rate was 8.14%.Among the high-risk behaviors of the positive persons,men who had sex with men(90.50%)were the main ones,the number of those was increasing by year,and the positive detection rate of those was 14.34%(162/1130).Multivariate Logistic regression analysis showed that male(OR=12.703,95%CI:1.636-98.643),MSM(OR=3.436,95%CI:1.010-11.694),and the educational level of junior high school or below(OR=3.005,95%CI:1.877-4.811)were the risk factors of HIV infection among VCT outpatient inquirers.Conclusions MSM population with educational level of junior high school or below is the key population of HIV infection in Tongzhou district,and they should be precisely selected for HIV prevention and control knowledge publicity to reduce the occurrence of unsafe sex.

关 键 词：艾滋病 自愿咨询检测 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]