2009-2023年嘉定区HIV检测结果分析  

HIV detection in Jiading District from 2009 to 2023

作　　者：张永[1] 丁盈盈[2] 钟培松[1] 王伟炳[2] 冯燕[1] 吴学福 殷方兰[1] ZHANG Yong;DING Yingying;ZHONG Peisong;WANG Weibing;FENG Yan;WU Xuefu;YIN Fanglan(Department of Chronic Infectious Disease Prevention,Jiading District Center for Disease Control and Prevention,Shanghai 201800,China;Fudan University,Shanghai 200032,China)

机构地区：[1]上海市嘉定区疾病预防控制中心慢性传染病防治科,上海201800 [2]复旦大学,上海200032

出　　处：《预防医学》2024年第12期1056-1059,共4页China Preventive Medicine Journal

基　　金：复旦大学公共卫生学院-嘉定区卫生健康委公共卫生高质量发展传染病流行病学重点学科项目(GWGZLXK-2023-01);国家重点研发计划(2022YFC2304901);上海市嘉定区科委项目(JDKW-2024-0034)。

摘　　要：目的 分析2009-2023年上海市嘉定区不同检测途径的艾滋病病毒(HIV)检测结果,为完善HIV检测措施提供依据。方法 通过中国疾病预防控制信息系统艾滋病综合防治信息系统收集2009-2023年嘉定区HIV检测资料,描述性分析VCT门诊、性病门诊、术前及输血(制品)、婚前及孕产期、其他临床就诊者和其他人群6类检测途径的HIV检测人次和HIV阳性率。结果 2009-2023年嘉定区检测HIV 1 729 347人次,年均增长率为7.55%;确证HIV阳性1 125例,年均阳性率为6.51/万。VCT门诊、性病门诊、术前及输血(制品)、婚前及孕产期、其他临床就诊者和其他人群检测途径分别检测11 516、112 880、692 609、635 770、196 315和80 257人次;其中术前及输血(制品)和婚前及孕产期途径检测人次较多,分别占40.05%和36.76%。VCT门诊、性病门诊、术前及输血(制品)、婚前及孕产期、其他临床就诊者和其他人群检测途径HIV阳性率分别为336.05/万、21.79/万、2.93/万、0.35/万、10.95/万和6.48/万;VCT门诊检测途径的HIV阳性率高于其他检测途径(均P<0.001)。结论 2009-2023年嘉定区HIV检测人次增加,主要通过术前及输血(制品)和婚前及孕产期途径检测;VCT门诊检测途径的HIV阳性率较高。Objective To analyze the HIV detection results through different detection routes in Jiading District,Shang⁃hai Municipality from 2009 to 2023,so as to provide the reference for improving HIV detection measures.Methods Data pertaining to HIV detection in Jiading District from 2009 to 2023 was collected through the HIV/AIDS Comprehen⁃sive Control System of Chinese Disease Prevention and Control Information System.The number of HIV detection and HIV positive rates through detection routes including voluntary counseling and testing(VCT)clinics,sexually transmitted disease(STD)clinics,pre-operation and blood transfusion(products),premarital and antenatal periods,other clinical out⁃patients and other populations were described.Results A total of 1729347 HIV tests were conducted in Jiading Dis⁃trict from 2009 to 2023,with an average annual growth rate of 7.55%.A total of 1125 HIV positive cases were con⁃firmed,with an HIV positive rate of 6.51/104.The number of HIV detection conducted in VCT clinics,STD clinics,pre-operation and blood transfusion(products),premarital and antenatal periods,other clinical outpatients and other pop⁃ulations were 11516,112880,692609,635770,196315 and 80257,respectively.The main detection routes were pre-operation and blood transfusion(products)as well as premarital and antenatal periods,accounting for 40.05%and 36.76%,respectively.The HIV positive rates in VCT clinics,STD clinics,pre-operation and blood transfusion(prod⁃ucts),premarital and antenatal periods,other clinical outpatients and other populations were 336.05/104,21.79/104,2.93/104,0.35/104,10.95/104 and 6.48/104,respectively.The HIV positive rate in VCT clinics was higher than that in other detection routes(all P<0.001).Conclusions From 2009 to 2023,the number of HIV tests increased in Jiading District,mainly through pre-operation and blood transfusion(products)as well as premarital and antenatal periods.The HIV positive rate was the highest in VCT clinics.

关 键 词：HIV 检测途径 阳性率 自愿咨询检测 医疗机构 

分 类 号：R512.91[医药卫生—内科学]