2016—2022年成都市温江区艾滋病自愿咨询检测结果分析  

Analysis of voluntary counseling and testing of AIDS in Wenjiang District of Chengdu from 2016 to 2022

作　　者：张波 车双双 杨铭 李婷 陈玉莲 胡苏红 ZHANG Bo;CHE Shuangshuang;YANG Ming;LI Ting;CHEN Yulian;HU Suhong(Wenjiang District Center for Disease Control and Prevention,Chengdu 611130,Sichuan Province,China)

机构地区：[1]成都市温江区疾病预防控制中心,成都611130

出　　处：《寄生虫病与感染性疾病》2023年第4期203-207,共5页Parasitoses and Infectious Diseases

摘　　要：目的 分析2016—2022年成都市温江区艾滋病自愿咨询检测(VCT)门诊求询者特征和HIV感染情况,为制定艾滋病预防控制措施提供科学依据。方法 以2016—2022年在成都市温江区VCT门诊接受VCT服务并登记上报的求询者作为研究对象,从艾滋病综合防治信息系统中下载2016—2022年温江区VCT数据库,采用SPSS 23.0统计软件进行χ^(2)检验、趋势卡方检验及Logistic回归分析,以P<0.05为差异有统计学意义。结果 1692名求询者中,男性占72.04%,20~30岁年龄段占41.43%,大专及以上学历者占45.80%,已婚有配偶者占49.35%;男性、50岁及以上、初中及以下、离异或丧偶、有男男性行为史人群的HIV抗体阳性检出率最高,分别为11.00%、14.47%、13.66%、19.26%和28.93%,不同特征人群HIV抗体阳性检出率差异均有统计学意义(P均<0.05)。男性、初中及以下,离异或丧偶及男男性行为者是感染HIV的高风险因素。2016—2022年近7年年均HIV抗体阳性检出率为9.69%,各年HIV抗体阳性检出率差异有统计学意义(χ^(2)_(趋势)=31.406,P<0.001)。结论 VCT咨询服务是发现人群HIV感染的重要手段,要加强对老年男性、初中及以下、离异或丧偶以及男男性行为者的干预检测工作,加大艾滋病防治宣传力度,制定相应措施控制艾滋病的蔓延。Objective To analyze the characteristics of HIV voluntary counseling and testing(VCT)outpatients and HIV infection in Wenjiang District of Chengdu from 2016 to 2022,and to provide scientific basis for the development of HIV prevention and control measures.Methods Participants received VCT services,registered and reported in the VCT clinics in Wenjiang District of Chengdu from 2016 to 2022 were selected.The VCT data of Wenjiang District in 2016 to 2022 were downloaded from the AIDS Comprehensive Prevention Information System.Chi-square tests,trend Chi-square tests and Logistic regression analysis were performed by using SPSS 23.0 statistical software,the difference P<0.05 was considered statistically significant.Results Among 1692respondents,72.04%were male,and 41.43%were between 20-30 years old,45.80%were college degree or above,and 49.35%were married with a spouse.Among them,the highest HIV antibody positive detection rates of males,50 years old and above,junior high school education level,divorce or widowhood,and men with a history of male sex were 11.00%,14.47%,13.66%,19.26%and 28.93%,respectively.There were significant differences in the detection rates of HIVpositive for different characteristics(all P<0.05).Male,junior high school and below,divorce or widowhood,and men who had sex with men were high risk factors for HIV infection.From 2016to 2022,the average annual positive HIV antibody detection rate was 9.69%.The difference of HIV antibody positive detection rates among different years was statistically significant(χ^(2)_(trend)=31.406,P<0.001).Conclusions VCT is an important means to detect HIV infection in the population.It is necessary to strengthen the intervention and testing of older men,junior high school and below,divorced or widowed and men who have sex with men.We should increase the publicity of AIDS prevention and control,and formulate corresponding measures to control the spread of AIDS.

关 键 词：艾滋病 自愿咨询检测 HIV抗体阳性率 影响因素 

分 类 号：R512.91[医药卫生—内科学]