性病门诊就诊者艾滋病自愿咨询检测情况分析

ANALYSIS ON THE SITUATION OF VOLUNTARY COUNSELLILNG & TESTING(VCT)FOR AIDS AMONG STD OUTPATIENTS

[目的]分析性病门诊就诊者艾滋病自愿咨询检测资料。[方法]对到性病门诊求诊性病者提供免费艾滋病自愿咨询检测服务。[结果]有422名就诊者接受了检测前咨询,就诊的主要原因是有性病症状和性接触。417人接受了检测,HIV抗体阳性4例,阳性率0.96%,男、女阳性率分别为0.96%、0.97%,差异无统计学意义;男性梅毒抗体阳性率(5.41%)低于女性(11.65%)(P﹤0.05);接受检测后咨询比率男女分别为68.79%和75.73%(P﹥0.05);患有性病者的检测后咨询率(77.83%)高于未患性病者64.66%(P﹤0.05)。[结论]在性病门诊就诊者中开展VCT服务,对于提高HIV感染的发现率,增强干预效果,节约资源有重要意义。

[Objective] To analysis the situation of VCT for AIDS among STD outpatients. [ Methods] The free VCT service for AIDS was provided to patients who arrived STD outpatient service to ask for STD examination. [ Results] A total of 422 STD outpatients accepted counselling before the examination, the main causes of asking for medical examination were with symptoms of STD and sexual contact. 417 STD outpatients received STD examination. Among them, 4 cases were contirmed to be anti-HIV positive and the positive rate was 0.96% ; the anti-HIV positive rate of male and female respectively was 0,96% and 0.97%, and there was no significant difference; the positive rate of Anti-syphilis of male was obviously lower （5.41%） than that of female （ 11.65% ） （P 〈 0.05 ） ; the proportion of accepting VCT selviee after STD exanlination for men and women was 68.79% and 75.73%, respectively; and the rate of accepting VCT service after STD exantination for was higher for STD patients （77.83%） than that for non-STD patients （64.66%）（P 〈 0.05）. [ Conclusions ] Providing VCT service for AIDS among STD outpatients is of important significance to improve the discovery rate of HIV infection, strengthen intervention effect, and save medical resources.