2018—2022年石景山区疾控中心VCT门诊HIV感染情况及其影响因素分析  

Analysis of HIV infection status and influencing factors among visitors in voluntary counseling and testing clinic in Shijingshan CDC,2018-2022

作　　者：张夏燕[1] 梁欣[1] 张国磊[1] Zhang Xiayan;Liang Xin;Zhang Guolei(Section for AIDS/STD Prevention and Control,Shijingshan District Center for Disease Control and Prevention,Beijing 100040,China)

机构地区：[1]北京市石景山区疾病预防控制中心性病艾滋病科,100040

出　　处：《国际病毒学杂志》2024年第3期257-260,共4页International Journal of Virology

基　　金：2021年度北京市重大疫情防治重点专科流行病学建设项目(2021135)。

摘　　要：目的对2018—2022年在石景山区疾控中心艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊求询并接受HIV检测数据进行分析,为辖区艾滋病防控提供依据。方法收集2018—2022年石景山区疾控中心VCT门诊求询者一般信息,现场采集求询者5 mL外周静脉血进行HIV抗体筛查,利用SPSS 22.0软件进行数据分析。结果2018—2022年石景山区疾控中心VCT门诊共接收求询者1847人,其中HIV抗体确证阳性72人,阳性率为3.90%;单因素分析结果显示,不同性别、年龄、婚姻状况、既往HIV检测史、主要求询原因的VCT门诊求询者的HIV阳性率差异有统计学意义(χ^(2)=17.489,P<0.001;χ^(2)=13.434,P=0.009;χ^(2)=18.205,P<0.001;χ^(2)=26.371,P<0.001;χ^(2)=245.975,P<0.001);多因素分析结果显示,年龄(40~49岁:OR=4.784,95%CI:1.401~16.329;30~39岁:OR=6.120,95%CI:1.875~19.979;20~29岁:OR=5.996,95%CI:1.676~21.448)、婚姻状况(离异或丧偶:OR=5.922,95%CI:2.111~16.618)、主要求询原因(男男性行为史:OR=174.000,95%CI:22.780~1328.986)是求询者HIV阳性率的影响因素。结论VCT服务是控制艾滋病流行的有力途径之一,应进一步完善门诊流程,加大宣传力度,加强针对男男性行为者、离异或丧偶者等人群的干预措施,促进其主动检测,降低HIV感染风险。Objective To study the data of voluntary counseling and testing(VCT)clinic in Shijingshan CDC during 2018-2022,and to provide references for AIDS prevention and control.Methods General demographic information of visitors in VCT clinic in Shijingshan CDC from 2018 to 2022 was collected.5 mL venous blood was collected for HIV antibody testing.SPSS 22.0 software was employed to conduct data analysis.Results A total of 1847 counselors visited VCT clinic in Shijingshan CDC during 2018-2022and 72 counselors were HIV positive with a HIV positive rate of 3.90%;Results of univariate analysis showed that there were significant differences in HIV positive rate between different gender,age,martial status,previous HIV testing history,main counseling reason(χ^(2)=17.489,P<0.001;χ^(2)=13.434,P=0.009;χ^(2)=18.205,P<0.001;χ^(2)=26.371,P<0.001;χ^(2)=245.975,P<0.001);Multivariate analysis revealed that influencing factors included age(40-49 years old:OR=4.784,95%CI:1.401-16.329;30-39 years old:OR=6.120,95%CI:1.875-19.979;20-29 years old:OR=5.996,95%CI:1.676-21.448),martial status(OR=5.922,95%CI:2.111-16.618)and main counseling reason(OR=174.000,95%CI:22.780-1328.986).Conclusion VCT service was proved to be effective strategy for HIV/AIDS control.VCT clinic process should be improved and the VCT service publicity should be strengthened.Specific measures targeting MSM,the divorced/widowed group should be conducted and maintained to encourage active testing and reduce HIV infection.

关 键 词：HIV 艾滋病 自愿咨询检测 影响因素 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]