在社区开展自愿咨询检测提高HIV检测和随访的可及性分析

The potentiality of improving the coverage of HIV test and follow-up by providing voluntary counseling testing(VCT) services in communities

目的通过对娱乐场所和社区男男性行为人群(MSM)的比较,探讨提高对MSM检测干预的有效措施。方法对2009年采用两种模式发现的HIV阳性者进行流行病学调查、初筛阳性告知率和随访率、CD4细胞均值情况比较,分析在社区开展自愿咨询检测(VCT)服务,加强干预和随访的可及性。采用软件进行统计学处理,率的比较采用χ2检验,P<0.01为差异有统计学意义。结果在社区动员检测发现的HIV阳性者比在娱乐场所发现的覆盖范围扩大,并且初筛阳性告知率(95.40%)和随访率(56.32%)也高于在娱乐场所中发现的HIV阳性者(P<0.01)。结论深入社区开展VCT服务,可以更有效地满足有自主检测需求的MSM人群的资源需求。

Objective To investigate the potentiality of improving coverage of HIV test and intervention by providing voluntary counseling testing（VCT）services in MSM entertainment activities and communities.Methods VCT services were provided in the places of MSM entertainment activities and also for general communities.The proportions of result notification for primary HIV-1 antibody screening,follow-up and CD4 cell counts were compared for the two situations.Results There were more HIV-1 carriers confirmed in communities than in the places of MSM entertainment.95.40% of the participants were notified for the positive result of primary HIV-1 antibody screening and 56.32% of them had follow-up correspondence in communities,while 73.68% were notified for the positive result and 15.79% had follow-up in the places of MSM entertainment activities（P0.01） .Conclusion VCT services in communities met the resource requirements of MSM population effectirely.