2020—2022年河南省信阳市艾滋病自愿咨询检测门诊就诊者人口学特征及HIV感染状况  

Demographic characteristics and HIV infection status of voluntary counseling test of AIDS in Xinyang City,Henan Province from 2020 to 2022

作　　者：张秀娟[1] 黄宁宁 ZHANG Xiujuan;HUANG Ningning(Xinyang Center for Disease Control and Prevention,Xinyang,Henan 464000,China)

机构地区：[1]信阳市疾病预防控制中心,河南信阳464000

出　　处：《现代疾病预防控制》2024年第11期822-826,共5页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的了解河南省信阳市自愿咨询检测门诊就诊者HIV感染状况及行为特征,为制定针对性的宣传策略和开展干预服务提供依据。方法收集2020—2022年在信阳市各级艾滋病自愿咨询门诊接受过HIV抗体检测服务的求询者基本资料与检测结果,并进行分析。结果2020—2022年,信阳市艾滋病咨询检测门诊共有24076人求询者接受了HIV抗体检测,确证阳性率0.97%;梅毒检测20602人,阳性率0.94%。就诊者男女比为0.94∶1;以20~<30岁(38.80%)、已婚有配偶(42.65%)、文化程度初中(19.58%)群体为主。HIV抗体检测阳性率以男性(1.60%)、≥50岁(2.71%)、离异或丧偶(3.97%)、小学及以下(4.08%)、男男性行为史(11.07%)以及梅毒抗体阳性(6.70%)的人群最高,不同特征人群之间HIV抗体阳性检出率差异有统计学意义(χ2值分别为93.434、157.495、41.069、126.510、749.761、64.432,P均<0.05)。多因素logistic回归分析显示男性(OR=1.745,95%CI:1.093~2.787)、小学及以下学历(OR=4.392,95%CI:1.976~9.761)、未婚(OR=2.414,95%CI:1.086~5.366)、有过男男性行为史(OR=71.340,95%CI:30.922~164.591)、配偶/固定性伴阳性(OR=13.598,95%CI:5.939~31.135)、商业异性行为史(OR=13.122,95%CI:6.251~27.546)、非商业非固定异性性行为史(OR=3.600,95%CI:1.690~7.667)是HIV感染的危险因素。而<20岁(OR=0.302,95%CI:0.097~0.936)、20~<30岁(OR=0.144,95%CI:0.064~0.324)、30~<40岁(OR=0.313,95%CI:0.161~0.607)、40~<50岁(OR=0.591,95%CI:0.364~0.960)、梅毒感染阴性(OR=0.349,95%CI:0.163~0.748)的感染风险相对较低。结论自愿咨询检测是信阳市发现艾滋病感染者/病人的重要途径,应重点关注男男性行为、梅毒抗体阳性和配偶或固定性伴HIV抗体阳性等人群的行为干预和检测工作。Objective To understand the infection status and behavioral characteristics of HIV and syphilis in voluntary consul tation and testing clinics in Xinyang City of Henan Province,and to provide a basis for developing targeted publicity strategies and intervention services.Methods The basic data and test results of respondents who had received HIV antibody testing ser vices at all levels in Xinyang City from 2020 to 2022 were analyzed.Results 24076 people received HIV antibody testing,The confirmed positive rate was 0.97%;20602 syphilis tests,a positive rate of 0.94%.The gender ratio was 0.94∶1;20-<30 years old(38.80%),married(42.65%)and junior high school diploma(19.58%).HIV antibody positive rates among men(1.60%),over 50 years old(2.71%),divorced or widowed(3.97%),diploma in primary school and below(4.08%),behavioral history of male males(11.07%),and positive antibody to syphilis(6.70%)antibody positive populations had the highest HIV antibody positive rates.There were significant differences in HIV antibody positive rates among populations with different characteristics(The values ofχ2 were 93.434,157.495,41.069,126.510,749.761,and 64.432,P<0.05).Multivariate logistic regression analysis showed that male(OR=1.745,95%CI:1.093-2.787),diploma of primary school and below(OR=4.392,95%CI:1.976-9.761),unmarried(OR=2.414,95%CI:1.086-5.366),history of MSbehavior(OR=71.340,95%CI:30.922-164.591),spouse or fixed with positive(OR=13.598,95%CI:5.939-31.135),history of commercial heterosexual behavior(OR=13.122,95%CI:6.251-27.546),a histo ry of non-commercial and non-fixed heterosexual sex(OR=3.600,95%CI:1.690-7.667)was a risk factor for HIV infection.However,the risk of infection aged under 20 years(OR=0.302,95%CI:0.097-0.936),20~<30(OR=0.144,95%CI:0.064-0.324),30~<40(OR=0.313,95%CI:0.161-0.607),40~<50(OR=0.591,95%CI:0.364-0.960),syphilis infection negative(OR=0.349,95%CI:0.163-0.748)was relatively low.Conclusions Voluntary counseling and testing is an important way to find HIV-infect ed persons/patients in Xinyang City.Em

关 键 词：艾滋病 自愿咨询检测 高危行为 危险因素 

分 类 号：R512.91[医药卫生—内科学] R181.8[医药卫生—临床医学]