2014—2018年平顶山市湛河区艾滋病自愿咨询检测者HIV抗体调查分析

Analysis of HIV antibody in voluntary counseling and testing persons from 2014 to 2018 in Zhanhe District, Pingdingshan

目的了解平顶山市湛河区艾滋病自愿咨询检测(voluntary counseling and testing, VCT)的人类免疫缺陷病毒(human immunodeficiency virus, HIV)抗体情况,为全区科学防治艾滋病工作提供理论依据。方法通过湛河区疾病预防控制中心2014—2018年3 205例VCT HIV抗体分析,研究同期报告的艾滋病病例的感染状况和人群分布特征。结果 2014—2018年湛河区疾病预防控制中心对3 205人次VCT并进行HIV抗体筛查,阳性21例,阳性率0.66%。VCT HIV抗体阳性和阳性率最高的年份是2016和2017年,各年份间无明显趋势变化,各年份差异无统计学意义;男女性别比为1.60∶1,男性VCT HIV抗体阳性和阳性率高于女性,性别差异无统计学意义;年龄分布以青壮年为主,年龄集中在>20~40岁组,占64.93%;文化程度分布,以初中及以下人群的构成比最高;婚姻状况分布发现,已婚VCT HIV抗体阳性和阳性率最多;不同高危人群HIV抗体检测,男男性行为抗体阳性率是异性性行为的23.24倍。结论疾病预防控制中心VCT是HIV阳性发现的主要部门,需进一步重视和扩大VCT门诊;加强人们艾滋病预防知识的普及工作,特别针对外来务工人员、高危行为者中男男性行为者的健康教育和行为干预;同时对婚检人群抗体阳性的出现引起足够的重视。

Objective To understand situation of HIV antibody of persons voluntarily consulted for testing(VCT) in Zhanhe District,so as to provide a scientific evidence for AIDS prevention and control. Methods Through the analysis of HIV antibodies in 3 205 cases VCT in zhanhe CDC from 2014 to 2018, the infection status and population distribution characteristics of AIDS cases reported in the same period were investigated. Results There were 21 cases were positive for HIV antibody, and the positive rate was 0.66% among 3205 cases tested from 2014 to 2018 in Zhanhe District. The years with the highest positive numbers and positive rates were 2016 and 2017, and the difference betwen years was not statistically significant. The sex ratio of tested cases was 1.60 to 1, positive number and positive rate of HIV antibody in male were much higher than female, but were not statistically significant. The age distribution was mainly in young adults(20 to 40 years age), accounting for 64.93% in all age groups. The distribution of educational level was highest in the proportion of junior high school level and below. HIV antibody positive number and positive rate of married VCT were the most. The antibody positive rate of MSM was 23.24 times higher than that of heterosexual sex. Conclusion VCT was the primary agency for HIV positive detection, and VCT clinic should be further strengthened and expanded. AIDS prevention knowledge should be popularized, and health education and behavior intervention should be strengthened among migrant workers and men with high-risk behaviors. Attention should be paid to the emergence of positive antibody in pre-marital check-up population.