潍坊市2016-2023年艾滋病自愿咨询检测分析  

Analysis of HIV voluntary counseling and testing in Weifang from 2016 to 2023

作　　者：宋明明[1] 张娜娜[1] 成方 刘晓芹 王洁 刘冬莹[1] SONG Mingming;ZHANG Nana;CHENG Fang;LIU Xiaoqin;Wang Jie;LIU Dongying(Weifang municipal Center for Disease Control and Prevention,Weifang,Shandong 261061,China)

机构地区：[1]潍坊市疾病预防控制中心性病与艾滋病防制科,山东潍坊261061

出　　处：《社区医学杂志》2024年第23期791-795,806,共6页Journal Of Community Medicine

基　　金：潍坊市卫健委科研项目(WFWSJK-2021-305)。

摘　　要：目的了解潍坊市2016-01-01-2023-06-30自愿咨询检测(VCT)人员艾滋病病毒(HIV)感染状况,为制定潍坊市艾滋病防治策略提供参考依据。方法以2016-01-01-2023-06-30到潍坊市VCT门诊接受VCT服务的求询者为研究对象,从艾滋病防治工作信息系统中下载潍坊市VCT数据库,采用SPSS 21.0统计软件进行χ^(2)检验及泊松回归分析。结果2016-2023年共检测120632例,HIV和梅毒抗体阳性率分别是0.64%(774/120632)和2.17%(2484/114697),既往接受过HIV抗体检测比例为17.64%。男性阳性率(1.28%)明显高于女性(0.10%),差异有统计学意义,P<0.001;40~49岁人群阳性率(1.15%)高于其他年龄组,差异有统计学意义,P<0.05;离异或丧偶者阳性率(4.01%)高于其他婚姻状况者,差异有统计学意义,P<0.001;小学及以下学历者阳性率(0.88%)高于大专及以上(0.69%)和不详(0.36%),差异有统计学意义,均P<0.05;来源于主动求询者阳性率(0.87%)高于高危人群外展干预(0.20%)和转介求询者(0.48%),差异有统计学意义,均P<0.001;发生过注射吸毒行为者阳性率(12.50%)高于其他原因求询者(0.50%),差异有统计学意义,P<0.001。≥40岁年龄段、离异或丧偶、样本来源为主动寻求和转介服务者、主要求询原因为商业异性性行为、男男性行为史、配偶/固定性伴阳性和注射吸毒、梅毒抗体阳性者为危险因素,非中心城区、女性、高中/中专、大专及以上为保护因素。结论VCT有利于HIV感染者的发现,应全面普及并加大宣传力度。要着重加强对中老年人、离异丧偶者、男同人群的防艾知识宣传教育。Objective To understand HIV infection status among the person from voluntary counseling and testing(VCT)clinics in Weifang prefecture during January 1,2016 to June 30,2023,and to provide reference for developing preventive strategies of HIV prevention and treatment in Weifang city.Methods Participants received VCT services in the VCT clinics in Weifang city from January 1,2016 to June 30,2023 were selected.The VCT data of Weifang city were downloaded from the AIDS Comprehensive Prevention Information System.Chi-square tests and poisson regression analysis were performed by using SPSS 21.0 statistical software.Results 120632 cases were tested during 2016 to 2023.The detection rates of population positive for HIV-antibody and syphilis were 0.64%(774/120632)and 2.17%(2484/114697).The repeat testing rate was 17.64%.The males group(1.28%)were higher than the females group(0.10%)(P<0.001),the age group of 40-49 years old(1.15%)was higher than other age groups(P<0.05),the divorced or widowed group(4.01%)was higher than other marital status groups(P<0.001),the lower than junior high school education background(0.88%)was higher than college degree and above education background(0.69%)and not quite clear groups(0.36%)(all P<0.05),the rate of HIV infection among person actively consulted(0.87%)was higher than outreach intervention(0.20%)and referral service(0.48%)(all P<0.001),the injecting drug users group(12.50%)was higher than others(0.50%)(P<0.001).Poisson regression analysis showed that≥40 years old,divorce or widowhood,the sources of enquirers from voluntary inquiries and referral service,the reasons for inquiries of commercial heterosexual sexual history and men who have sex with men and positive spousal/regular partner and history of injecting drug use,syphilis antibody positive were high risk factors for HIV infection.Living in a non-central urban area and female and high School/technical secondary school and Junior College and above were protective factors HIV infection.Conclusions VCT is beneficial to detection

关 键 词：人类免疫缺陷病毒 自愿咨询检测 男男同性行为 潍坊市 

分 类 号：R512.91[医药卫生—内科学]