四川省艾滋病自愿咨询检测工作现状分析

Performance of Voluntary Counseling and Testing for HIV in Sichuan

目的了解四川省艾滋病自愿咨询检测(VCT)现状,为分析艾滋病流行现状和趋势、评估防治需求提供科学依据。方法以国家艾滋病综合防治数据信息管理系统导出的2007-2009年四川省自愿咨询检测数据为依据进行分析。结果截至2009年底,全省已建的558个VCT中,有近2/5没有上报数据,总的VCT点有效工作率为59.68%。15～44岁的青壮年咨询者3年的构成比分别为89.56%、77.07%和82.94%,求询者原因为非婚异性性行为史3年分别占34.07%、25.75%、30.48%,其次是有手术史者、有注射毒品史者、有性病史者,其他与不详者所占分别为31.07%、45.46%和39.85%。阳性检出率较高的求询者类型主要为配偶/固定性伴阳性、男男性行为史者、母亲阳性者、注射毒品史者、非婚异性性行为史等。结论四川省VCT点有效工作率低,咨询者以青壮年为主,求询原因以其他与不详所占比例最高,其次为非婚异性性行为史者。

Objective To evaluate the performance of voluntary counseling and testing （VCT） for HIV in Sichuan and provide evidence to analyze the epidemic trend of AIDS and assess the prevention and control needs. Methods The data about VCT for HIV in Sichuan from 2007 to 2009 obtained from national AIDS database were analyzed. Results By the end of 2009, among the 558 VCTcenters, almost 2/5 reported no data. The effective performance rate of VCT centers in Sichuan was 59.68%. The people receiving VCT were mainly aged 15-44 years, accounting for 89.56%, 77.07% and 82.94% respectively during this period. The people receiving VCT during this period were mainly those with non-married heterosexual contact, followed by people receiving surgical operation, IDUs, STD patients and others. The HIV positive people receiving VCT were mainly spouses/regular sex partners, MSM, those whose mother were HIV positive, IDUs and those with non married heterosexual contact. Conclusion It is necessary to strengthen the construction of VCT centers in Sichuan, increase the professional level of the doctors providing counseling and improve the quality of VCT. VCT should be conducted in qualified medical agencies in areas with severe AIDS epidemic.