上海市徐汇区2010-2015年艾滋病自愿咨询检测及其阳性发现分析

发布时间：2018-06-03 03:57

本文选题：艾滋病病毒 + 艾滋病自愿咨询检测　；参考：《中国艾滋病性病》2017年02期

【摘要】：目的了解上海市徐汇区疾病预防控制中心艾滋病自愿咨询检测(VCT)门诊求询者的人口学特征、艾滋病病毒(HIV)感染状态及其确证的HIV感染者特征,为艾滋病防治工作和政策制定提供现实依据。方法对2010-2015年徐汇区VCT门诊求询者的调查数据用SPSS 16.0进行统计分析。结果2010-2015年,共有9 078人前来VCT门诊咨询检测,检测率96.96%(8 802人),HIV抗体阳性检出率3.35%(295/8 802);男性8 047人(88.64%),15~34岁青壮年占82.97%(7 532人),未婚者占64.64%(5 868人),大专及以上文化者占78.85%(7158人)。求询原因中,高危性行为史占88.64%(8 047人);HIV抗体阳性检出率前两位是男男性行为史(9.15%,200/2 186)和配偶/固定性伴阳性7.01%(11/157)。经VCT发现的HIV感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中,男男性行为感染的占67.80%(200/295),VCT新发现的HIV/AIDS病人占同时期全区新发现HIV/AIDS病人的25.03%(237/947),其CD4~+T淋巴细胞(简称CD4细胞)检测比例(97.47%,231/237)和CD4细胞值(Median=386个/μL)高于同时期医疗机构发现的HIV/AIDS病人(83.80%,595/710;Median=297个/μL),而发病和死亡比例低于后者,差异均有统计学意义。结论自愿咨询检测成为徐汇区HIV/AIDS病人的主要发现方式之一,通过VCT有利于病人的早发现和随访管理,改善预后,将更好助力遏制艾滋病。
[Abstract]:Objective to investigate the demographic characteristics, HIV / AIDS (HIV / AIDS) infection status and confirmed HIV infection in outpatients of AIDS voluntary counseling and testing (VCT) clinic of the Center for Disease Control and Prevention (CDC) in Xuhui District, Shanghai. To provide practical basis for AIDS prevention and control work and policy formulation. Methods the survey data of VCT outpatients in Xuhui District from 2010 to 2015 were statistically analyzed with SPSS 16.0. Results from 2010 to 2015, 9 078 people came to VCT clinic to consult and test. The detection rate was 96.96 and 8 802. The positive rate of HIV antibody was 3.35 / 295 / 8 802, 82.97 / 7532 were 82.97 / 7532, 64.64 / 5868 were unmarried, and 78.85 / 7158 were from college and above, respectively, from 8 047 men to 88.64 / 8,802, and 82.97 to 7,532 young adults aged 1534, 64.64 to 5,868, and 78.85 to 7158 from junior college and above. Among the reasons for inquiry, the positive rate of HIV antibody in 8 047 persons with high risk sexual behavior was 88.64 and 8 047. The first two were male sex history 9.15 / 200 / 2 1866) and spouse / fixed partner 7.01 / 157 positive. Among the HIV infected persons / AIDSpatients (HIV/AIDS patients) found by VCT, Male sex infection: 67.80% / 295VCT newly discovered HIV/AIDS patients in the same period accounted for 25.037 / 947% of newly discovered HIV/AIDS patients in the same period. The proportion of CD4T lymphocyte (CD4 cells) and CD4 cell values were higher than that of medical institutions at the same period (P < 0.05). The ratio of CD4T lymphocytes (CD4 cells for short) and the cell value of CD4 were significantly higher than those found by medical institutions in the same period. HIV/AIDS patients had 83.80% 595% 710% medianum per 渭 L, while the morbidity and mortality rates were lower than those of the latter. The difference was statistically significant. Conclusion Voluntary counseling and detection is one of the main methods of finding HIV/AIDS patients in Xuhui District. VCT is beneficial to early detection and follow-up management of patients, improves prognosis, and will help to contain AIDS better.
【作者单位】：上海市徐汇区疾病预防控制中心;上海市疾病预防控制中心;河南省人民医院;
【分类号】：R512.91

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