2005-2018年扬州市江都区人群HIV抗体监测分析

Analysis of HIV antibody detection in population in Jiangdu district of Yangzhou from 2005 to 2018

目的了解扬州市江都区人群HIV抗体检测现状,发现问题并为今后工作提出针对性建议。方法在国家艾滋病综合防治信息系统中收集整理江都区2005-2018年HIV抗体检测数据并进行统计分析。结果2005-2018年江都区累计检测487384人次,检测量逐年增长;发现阳性198例,阳性比例4.06/万。实施扩大检测后检测量与阳性发现分别是扩大检测前的4.08倍和3.71倍,扩大检测前后阳性比例分别为4.38/万、3.99/万,差异无统计学意义(P>0.05)。检测量与阳性发现以筛查实验室为主,分别占总数的85.21%、94.44%;以被动检测为主,分别占总数的89.16%、54.04%。筛查实验室与基层检测点的阳性比例分别为4.50/万、1.53/万,差异有统计学意义(P<0.05);主动检测与被动检测的阳性比例分别为17.22/万、2.46/万,差异有统计学意义(P<0.05)。阳性者配偶/性伴人群的阳性比例最高,达247.52/万,其次为自愿咨询检测人群(72.40/万)。结论江都区需提高人群HIV抗体检测的针对性,在继续推行PITC服务的同时,要加强VCT等主动检测工作,提高重点人群和重点科室门诊病人的检测比例,并且要充分发挥基层检测点的作用,从而进一步提高检测效能。

Objective To understand the current situation of HIV antibody detection in population in Jiangdu district of Yangzhou city,find out the problems and put forward some suggestions for future work.Methods HIV antibody test data of Jiangdu district from 2005 to 2018 were collected through the national information system for integrated prevention and treatment of AIDS,and statistical analysis was conducted.Results From 2005 to 2018,a total of 487384 person times were detected in Jiangdu district,and the numbers of the detection increased year by year;198 positive cases were found,with a positive rate of 4.06/10000.After the implementation of extended detection,the detection quantity and positive cases were 4.08 times and 3.71 times of those before the extended detection,and the positive rates before and after the extended detection were 4.38/10000 and 3.99/10000,respectively.The difference between them was not statistically significant(P>0.05).Numbers of the detection and positive cases mainly based on screening laboratories accounted for 85.21%and 94.44%of the total,respectively;the numbers of the detection and positive cases mainly were based on passive detection,accounting for89.16%and 54.04%of the total,respectively.The positive rates based on screening laboratories and primary testing sites were 4.50/10000 and 1.53/10000,respectively,and the difference was statistically significant(P<0.05);the positive rates based on active testing and passive testing were 17.22/10000 and 2.46/10000,respectively,and the difference was statistically significant(P<0.05).The positive rate in people whose spouses/sexual partners had a positive test for HIV was the highest(247.52/10000),followed by the group with voluntary counseling and testing(72.40/10000).Conclusion Jiangdu district needs to improve the pertinence of HIV antibody detection.While continuing to implement Provider-initiated HIV testing and counselling(PITC)service,it is necessary to strengthen voluntary counselling and testing(VCT)and other active detection work,improve the detection proportion of key population and outpatient in key departments,and give full play to the role of primary testing sites,so as to further improve the detection efficiency.