唐山市2008-2015年艾滋病自愿咨询检测情况分析

发布时间：2018-02-01 15:38

本文关键词： 艾滋病病毒/艾滋病自愿咨询检测求询者　出处：《中国艾滋病性病》2017年03期 　论文类型：期刊论文

【摘要】：目的分析唐山市2008-2015年艾滋病自愿咨询检测(VCT)数据,为制定更有针对性的防治策略提供科学依据。方法对2008-2015年全市各类型VCT门诊工作情况、求询者的基本信息和艾滋病病毒(HIV)抗体检测情况进行统计分析。结果 2008-2015年,全市各类型VCT门诊共为99 969人提供了咨询检测服务,HIV抗体筛查总阳性率为0.25%(249人)。全部求询者男女性别比为1.07∶1;求询者中15~44岁青壮年占91.13%;有非婚异性性行为史者占87.25%,其构成比近年有下降趋势;其次为有男男性行为史者,占3.84%,其构成比近年上升较为明显。15~24岁组(0.31%)、55~64岁组(0.54%)、65岁及以上组(1.03%)、男性(0.44%)、未婚者(0.32%)、大专及以上学历者(0.62%),HIV抗体筛查阳性率较高;不同类型求询者中以有男男性行为史者和配偶/固定性伴阳性者两类人群HIV抗体筛查阳性率较高,分别为4.67%和4.63%,与其他类型人群间存在显著性差异。结论应将有男男性行为史人群作为VCT工作的主要干预目标,早期发现,减少二代传播。同时应积极倡导医疗机构医务人员主动提供的艾滋病检测咨询服务,充分发挥医疗机构的优势。
[Abstract]:Objective to analyze the data of HIV / AIDS voluntary counseling and testing from 2008 to 2015 in Tangshan City. To provide a scientific basis for the formulation of more targeted prevention and control strategies. Methods the data of various types of VCT outpatient service in the city from 2008 to 2015 were analyzed. Basic information of the interviewees and HIV / AIDS antibody testing were statistically analysed. Results 2008-2015. All types of VCT outpatients in the city provided counseling and testing services for a total of 99 969 people. The total positive rate of HIV antibody screening was 0.25 / 249. The sex ratio of male to female was 1.07: 1; The age of 1544 years old was 91.13 years old. 87.25 cases had a history of heterosexual non-marital behavior, and the composition of them was lower than that of recent years. The second was male sex history (3.84%), whose composition was significantly higher than that of the group of 24 years old (0.31%) and that of the group of 64 years old (0.54%). The positive rate of HIV antibody screening was higher in the group of 65 years old and above, 0.44% in male, 0.32 in unmarried, and 0.62% in those with college degree or above. The positive rates of HIV antibody screening were 4.67% and 4.63% in the two groups of different types of interviewees, male sex history and spouse / fixed partner positive, respectively. Conclusion it should be regarded as the main intervention target of VCT work for men with male sexual history and early detection. At the same time, we should actively advocate the HIV / AIDS counseling service provided by medical staff in medical institutions, and give full play to the advantages of medical institutions.
【作者单位】：唐山市疾病预防控制中心;
【分类号】：R512.91
【正文快照】： 艾滋病自愿咨询检测(VCT)是指人们通过咨询,在充分知情和完全保密的情况下,自愿选择是否接受艾滋病病毒(HIV)抗体检测、改变危险行为及获得相关服务的过程。VCT是联合国艾滋病规划署、世界卫生组织积极倡导的预防控制艾滋病的重要公共策略之一[1]。唐山市于2005年起逐步开展VC

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