2021年福州市社会组织参与自愿咨询检测HIV感染者发现情况分析  

HIV infection status of clients accessing HIV voluntary counseling and testing from social organization in Fuzhou City, 2021

作　　者：石蕾[1] 陈艳[1] 卢园[1] 陈玲玲 姚栩[1] 张宏[1] SHI Lei;CHEN Yan;LU Yuan;CHEN Ling-ling;YAO Xu;ZHANG Hong(Fuzhou Municipal Center for Disease Control and Prevention,Fuzhou,Fujian 350004,China)

机构地区：[1]福州市疾病预防控制中心,福建福州350004

出　　处：《实用预防医学》2022年第12期1428-1431,共4页Practical Preventive Medicine

摘　　要：目的 了解2021年福州市自愿咨询检测(voluntary counseling and testing, VCT)HIV感染者的人口学特征,分析社会组织在参与艾滋病防治工作并积极发现HIV感染者方面做出的成效。方法 收集2021年1-12月到福州市疾病预防控制中心VCT门诊及福建省性病艾滋病防治志愿者协会接受VCT的初筛阳性者相关信息及检测结果,使用SPSS 19.0和ArcGIS 10.2统计软件进行分析。结果 在初筛阳性185人中,以<40岁(74.59%)、男性(93.51%)、汉族(98.92%)为主,未婚(67.03%)、有男男性行为史(60.54%)、大专及以上学历(55.68%)比例较高。100人是通过依托社会组织提供咨询检测并送检的,占54.05%。同VCT门诊发现的初筛阳性者相比,呈现出年龄低(t=2.896,P=0.004)、男性(P=0.000)、男男性行为传播(χ^(2)=59.055,P=0.000)、确证阳性率高(χ^(2)=8.627,P=0.003)、文化程度高(χ^(2)=13.055,P=0.005)为主的特征。此外,对157人确证阳性HIV感染者的户籍地进行统计,其中福州本地户籍仅占49.68%,外地户籍阳性率与外地流入人口基数存在一定关联。结论 福州市社会组织参与艾滋病防治成效较好,福州作为人口净流入的沿海城市,艾滋病防控仍面临严峻挑战。Objective To understand the demographic characteristics of HIV-infected persons from voluntary counseling and testing(VCT) service in Fuzhou in 2021,and to analyze the effectiveness of social organization in participating in AIDS prevention and treatment and actively discovering HIV infectors.Methods We collected the relevant information and testing results of patients with positive HIV initial screening from VCT Clinic of Fuzhou Municipal Center for Disease Control and Prevention and Fujian Volunteers Association of STD&AIDS Prevention and Control(FJVASPC) from January to December 2021.SPSS 19.0 software and ArcGIS 10.2 were used for statistical analysis.Results The overwhelming majority of 185 patients with positive HIV initial screening were under 40 years old(74.59%),males(93.51%) and Han people(98.92%).The proportions of unmarried patients(67.03%),patients with a history of male-to-male sex(60.54%) and patients with junior college degree or above(55.68%) were higher.100 patients with positive HIV initial screening weer found out by VCT provided by FJVASPC,accounted for 54.05%.They were mainly characterized by low age(t=2.896,P=0.004),male(P=0.000),male-to-male sexual transmission(χ^(2)=59.055,P=0.000),high positive rate(χ^(2)=8.627,P=0.003),and well-educated background(χ^(2)=13.055,P=0.005) compared with patients with positive HIV initial screening detected by VCT Clinic.In addition,statistical analysis displayed that only 49.68% of 157 HIV infectors were registered permanent residents in Fuzhou City.There is a certain correlation between the positive rate of patients without local household registration and the cardinal number of inflow floating population.Conclusion Social organization in Fuzhou City has achieved remarkable results in HIV prevention and control.Fuzhou as a coastal city with net population inflow,AIDS prevention and control is still facing severe challenges.

关 键 词：HIV 自愿咨询检测 社会组织 男男性行为 

分 类 号：R512.91[医药卫生—内科学]