北京市西城区医疗卫生机构开展男男性行为者VCT工作的情况分析

发布时间：2018-05-04 15:02

本文选题：男男性行为者 + 自愿咨询检测　；参考：《中国艾滋病性病》2017年06期

【摘要】：目的对北京市西城区在2011-2015年间,开展的男男性行为者(MSM)艾滋病病毒(HIV)咨询检测服务的现状进行评估。方法采用回顾性研究方法,收集2011-2015年西城区4个自愿咨询检测(VCT)点的HIV检测相关数据,利用描述性统计分析方法进行数据整理和统计分析。结果 2011-2015年,共为3 487人次MSM提供了VCT服务、HIV及梅毒检测,HIV阳性率为5.8%(203人次),梅毒阳性率为7.6%(265人次)。HIV感染者中95.1%(193/203)接受了CD4~+T淋巴细胞(简称CD4细胞)检测,确证阳性至接受CD4细胞检测的平均时间为40天。69.0%(140/203)接受了抗病毒治疗,从HIV确证阳性至接受抗病毒治疗平均间隔为241天。CD4细胞350个/μL、350~499个/μL、≥500个/μL组人群,接受抗病毒治疗(ART)的比例分别为80.5%(66/82)、73.0%(46/63)、44.8%(26/58)。统计学检验结果表明,CD4细胞水平与接受ART的比例间的差异有统计学意义(P0.01)。结论 2011-2015年北京市西城区MSM的HIV报告阳性率逐年增高,其中CD4细胞≥350个/μL的病人进行ART的比例仍较低,需进一步提高基层医疗卫生机构的能力和水平。
[Abstract]:Objective to evaluate the status of the male male actor (MSM) AIDS virus (HIV) counseling and testing service in Xicheng District, Beijing, in 2011-2015 years. Methods the retrospective study method was used to collect the related data of the 4 voluntary counseling and testing (VCT) spots in Xicheng District for 2011-2015 years and to use the descriptive statistical analysis method to carry out the data. Results 2011-2015 years, a total of 3487 MSM were provided with VCT service, HIV and syphilis detection, HIV positive rate was 5.8% (203 people), the positive rate of syphilis was 7.6% (265 people), 95.1% (193/203) received CD4~+T lymphocyte (CD4 cell) detection, the average time of confirmed positive to CD4 cell detection was The 40 day.69.0% (140/203) received antiviral therapy. The average interval between HIV and antiviral therapy was 241 days on the average interval of 350 / mu L, 350~499 / L, 500 / u L group, and 80.5% (66/82), 73% (46/63), 44.8% (26/58). The difference between the proportion of ART was statistically significant (P0.01). Conclusion the positive rate of HIV report of MSM in Xicheng District, Beijing, is increasing year by year, and the proportion of ART in patients with CD4 cells more than 350 / mu is still low, and the ability and level of primary health care institutions should be further improved.

【作者单位】：北京积水潭医院;北京市西城区疾病预防控制中心;
【分类号】：R512.91

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