艾滋病高流行地区恢复强制婚检的必要性探讨

Necessity of resuming compulsory premarital medical examination in high prevalence region of HIV

目的通过分析艾滋病高流行地区婚检人群的艾滋病病毒感染状况，探讨恢复强制婚检的必要性。方法收集婚检登记表及艾滋病病毒感染者个案调查表等相关信息，分析不同年份、不同人口学特征婚检人群的艾滋病病毒抗体检测阳性率。结果①2005—2007年间伊宁市对20418人进行婚前医学检查，检出确诊艾滋病病毒感染者503人；3年来婚检人群中艾滋病病毒抗体阳性率依次为2．98％、2．12％和2．51％；②2007年婚检人群艾滋病病毒抗体阳性率男性为3．13％，女性为1．89％；婚检人群中维吾尔族人艾滋病病毒抗体阳性率最高，为3．09％；婚检人群中发现的艾滋病病毒感染者受教育程度普遍较低，大部分属于城市无业人员。结论2005—2007年伊宁市婚检人群艾滋病病毒抗体阳性率较前升高，提示伊宁市艾滋病疫情较为严重，有必要恢复强制婚检。

Objective To investigate infection status of HIV in the population who received premarital medical examination in high prevalence region of HIV and to study necessity of resuming compulsory premarital medical examination in the region. Methods The related information from premarital check-up registration form and case investigation form of HIV-infected people were collected, and HIV antibody positive rates among those population who received premarital medical examination in different demographic characteristics and different years were analyzed and compared. Results ① There were 503 HIV-infected people found among 20 418 people who received premarital medical examination in 2005 -2007 and HIV antibody positive rate was,2. 98% in 2005, 2. 12% in 2006 and 2. 51% in 2007, respectively; ② In 2007, the HIV antibody positive rate was 3.13% in the males and 1.89% in the females among these people and the rate was the highest （3.09%） in Uygur nationality. These HIV-infected people were generally in low educational level and most of them were unemployed. Conclusion The total HIV antibody positive rate reaches 2.46% in the population who received premarital medical examination in 2005 -2007 in Yining city, and the epidemic situation of AIDS was very serious, so it is necessary to resume compulsory premarital medical examination in the region.