湖北省2013年VCT人群HIV抗体筛查阳性率及影响因素

发布时间：2018-05-10 14:31

本文选题：艾滋病 + 自愿咨询检测　；参考：《中国公共卫生》2015年12期

【摘要】：目的了解湖北省2013年艾滋病自愿咨询检测(VCT)情况,并探讨其影响因素,为调整VCT策略提供依据。方法对2013年湖北省333个VCT门诊求询者的人口学信息、求询者类型和主要求询原因以及艾滋病病毒(HIV)抗体检测情况进行统计分析。结果共有57 378人接受了自愿咨询检测,其中56 654人接受了HIV抗体筛查,筛查率为98.74%(56 654/57 378),查出HIV抗体阳性442人,阳性率为0.78%(442/56 654)。求询者类型以主动求询为主,占91.96%(52 099/56 654)。求询原因以非商业非固定异性性行为和商业异性性行为为主,分别占34.23%(19 390/56 654)、30.87%(17 489/56 654)。HIV抗体阳性率最高的是男男性行为者,达6.88%(145/2 109),其次是配偶/固定性伴阳性者,为5.47%(61/1 116)。多因素logistic分析显示,年龄、求询者类型、咨询单位以及既往检测情况等4个因素与求询者HIV抗体阳性率有关。结论将VCT与医疗机构开展医务人员主动提供HIV检测咨询相结合,要加强男男性行为者和老年人检测后咨询及干预力度。
[Abstract]:Objective to investigate the status of HIV / AIDS voluntary counseling and testing in Hubei province in 2013, and to explore its influencing factors and to provide basis for adjusting VCT strategy. Methods the demographic information of 333 VCT outpatients in Hubei province in 2013, the types and reasons of the inquiry and the detection of HIV antibody were analyzed statistically. Results A total of 57,378 people received voluntary counseling and testing, 56,654 of whom were screened for HIV antibody. The screening rate was 98.7474 / 56 / 654 / 57,378g, and the positive rate of HIV antibody was 442 and the positive rate was 0.7842 / 56654 / 56,654. The type of inquiry was mainly active inquiry, accounting for 91.96 / 52,099 / 56,654 / 52,099 / 56,654 / 52,099 / 56,654%. The main reasons for inquiry were non-commercial heterosexual behavior and commercial heterosexual behavior, accounting for 34.23% 19 390 / 56 654 / 30. 879 / 56 654).HIV antibody positive rate was the highest among men who had sex with men, reaching 6.885 / 2 109%, followed by spouse / fixed partner positive person, 5.4761 / 1 116%. Multivariate logistic analysis showed that age, type of candidate, counseling unit and past tests were related to the positive rate of HIV antibody. Conclusion the combination of VCT and active HIV counseling by medical staff in medical institutions should strengthen the counseling and intervention of men who have sex with men and the elderly after testing.
【作者单位】：湖北省疾病预防控制中心;
【分类号】：R512.91

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