2017—2020年桂林市VCT门诊艾滋病新发感染病例调查及危险因素分析  

Survey of new HIV infection cases and risk factors analysis of VCT outpatient clinics in Guilin City from 2017 to 2020

作　　者：徐芳[1] 阳冬 莫靖林[1] 周芸[1] 蒋秀丽 付小凤[1] 周玲米 王力 XU Fang;YANG Dong;MO Jinglin;ZHOU Yun;JIANG Xiuli;FU Xiaofeng;ZHOU Lingmi;WANG Li(GuiLin Center For Disease Control And Prevention,Guilin,Guangxi Zhuang Autonomous Region 541001,China)

机构地区：[1]桂林市疾病预防控制中心,广西壮族自治区桂林541001

出　　处：《医学动物防制》2023年第8期741-744,749,共5页Journal of Medical Pest Control

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016563);桂林市科学研究与技术开发计划项目课题(20190602-1,20190218-12)。

摘　　要：目的调查分析艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊艾滋病新发感染病例危险因素,为当地精准防控提供依据。方法收集2017—2020年桂林市疾控中心VCT门诊艾滋病新发感染病例个案信息,应用SPSS 23.0软件进行统计分析。结果2017—2020年桂林市VCT门诊求询者共13340人,男女比为1∶1.17;以20~<40岁年龄组为主,占比为58.61%;婚姻状况以未婚(45.16%)和已婚(44.40%)为主;文化程度以初中及以上为主,占比为83.26%;求询者来源以主动求询(45.03%)和高危人群外展服务(42.03%)为主;求询原因以商业异性性行为史为主,占比为51.78%。HIV抗体新发阳性率为4.88%。多因素logistic回归分析表明,男性、年龄大、未婚、文化程度低、商业/非商业非固定异性性行为史、男男性行为(men who have sex with men,MSM)史和配偶/固定性伴阳性是求询者新发感染艾滋病病毒(Human immunodeficiency virus,HIV)的危险因素。结论应加强艾滋病针对性的宣传和干预,从而达到精准防控的目的。Objective To investigate and analyze the risk factors of new HIV infection cases in voluntary counseling and testing(VCT)outpatient clinics to provide a basis for local accurate prevention and control.Methods The case information of new HIV infection cases in VCT outpatient clinics of Guilin Center for Disease Control and Prevention from 2017 to 2020 was collected and statistical analysis was performed by SPSS 23.0 software.Results From 2017 to 2020,a total of 13340 enquirers in VCT clinic at Guilin City,with a male to female ratio of 1:1.17.The age group of 20 to<40 years was predominant,accounting for 58.61%.The marital status was predominantly unmarried(45.16%)and married(44.40%).The predominant education level was junior high school and above,accounting for 83.26%.The sources of enquirers were mainly voluntary inquiries(45.03%)and outreach services for high-risk groups(42.03%).The reason for inquiries was predominantly commercial heterosexual sexual history,accounting for 51.78%.The positive rate of new HIV antibodies was 4.88%.Multi-factor logistic regression analysis showed that male,older age,unmarried,low level of educational,a history of commercial/non-commercial non-regular heterosexual sex,a history of men who have sex with men(MSM),and positive spousal/regular partner were risk factors for new Human immunodeficiency virus(HIV)infection among the enquirers.Conclusion Targeted propaganda and intervention should be strengthened so as to achieve precise prevention and control of AIDS.

关 键 词：艾滋病 自愿咨询检测 新发感染 危险因素 调查 分析 

分 类 号：R512.91[医药卫生—内科学]