上海市徐汇区2008-2015年VCT情况分析

发布时间：2018-04-29 02:19

本文选题：艾滋病病毒 + 自愿咨询检测　；参考：《中国艾滋病性病》2017年04期

【摘要】：目的对上海徐汇区艾滋病自愿咨询检测(VCT)人群的社会人口学特征、求询原因、艾滋病病毒(HIV)抗体筛查阳性率及其变化趋势等情况进行分析,为进一步拓展VCT门诊服务内涵和覆盖面提出建设性意见。方法采用横断面研究设计,对VCT门诊2008年1月至2015年12月期间求询检测者的相关信息进行描述性分析。结果 10 815名求询检测者男女比例为7.26∶1,平均年龄为(31.65±10.18)岁,20~29岁组人数最多,婚姻状况以未婚者为主,占64.45%(6 970/10 815),大专及以上文化程度的占78.88%(8 531/10 815)。求询原因中,有异性性行为史者(7 040人)居首位,其次为男男性行为者(MSM)(2 370人)。求询检测者的性别、婚姻状况、文化程度以及求询原因的构成情况在不同年份有波动,差异均有统计学意义。VCT门诊筛查阳性率为3.75%(386/10289)。结论徐汇区VCT门诊的求询检测者以年轻、未婚、高学历的男性人群为主。求询原因中MSM人数增长迅速,筛查阳性率居高不下。VCT门诊多项指标均高于国内其他同类地区。上述特征及其变化波动得益于徐汇区疾病预防控制中心不断创新VCT综合服务模式,将VCT工作与高危干预、哨点监测、科研项目等工作紧密结合。建议加强与非政府组织合作,加大宣传力度和深度,扩大暗娼、外来务工人员等人群的检测。
[Abstract]:Objective to analyze the social demographic characteristics, the causes, the positive rate of HIV antibody screening and the trend of HIV antibody screening among the VCTs in Xuhui District, Shanghai. To further expand the content and coverage of VCT outpatient service put forward constructive suggestions. Methods A cross-sectional study was used to analyze the relevant information of VCT outpatients from January 2008 to December 2015. Results the ratio of male to female was 7.26: 1, the average age was 31.65 卤10.18 years old and 2029 years old. The marriage status was mostly unmarried, accounting for 64.45% 6970 / 10 815%, and 78.8881% 10 81515%. Among the reasons, 7 040 persons had a history of heterosexual sex, followed by MSMN 2370 men who had sex with men. The sex, marital status, educational level and the composition of the reasons of asking for information fluctuated in different years. The positive rate of VCT outpatient screening was 3.75- 386 / 10289%. Conclusion VCT outpatients in Xuhui District are young, unmarried and highly educated males. Among the reasons, the number of MSM increased rapidly, and the positive rate of screening was high. Many indexes of MSM outpatient service were higher than those of other similar regions in China. The above characteristics and their fluctuation were attributed to the continuous innovation of VCT integrated service model by the Center for Disease Prevention and Control in Xuhui District, which closely combined the work of VCT with high-risk intervention, sentinel surveillance and scientific research projects. It is suggested to strengthen the cooperation with NGOs, increase the propaganda and depth, and expand the detection of prostitutes, migrant workers and so on.
【作者单位】：上海市徐汇区疾病预防控制中心;复旦大学公共卫生学院;
【分类号】：R512.91;R181.3

【相似文献】