浙江省艾滋病自愿咨询检测求询者的动态变化分析

Dynamic changes in clients of HIV voluntary counseling and testing(VCT) services in 2008-2009

目的对比2008年和2009年浙江省艾滋病自愿咨询检测(VCT)数据,探索今后VCT工作的方向。方法通过下载艾滋病综合防治数据信息管理系统中,检测咨询信息管理定时统计的数据、2008年和2009年不同类型的求询者的数量和艾滋病病毒(HIV)阳性者的数量,利用卡方检验进行统计学分析。结果 2008年共完成咨询检测73 918人次,2009年共完成咨询检测81 386人次。求询者中有非婚异性性行为史者有上升趋势,2008年占46.98%(34 730/73 918),2009年占49.12%(39 977/81 386),两年对比差异有统计学意义(P<0.05)。2008年和2009年分别经VCT发现HIV感染者255人和331人,感染者中以男男性行为者、非婚异性性行为者、配偶/固定性伴HIV阳性者为主,注射吸毒史(P<0.05)、有非婚异性性行为史者(P<0.05)和有男男性行为史者对比,差异有统计学意义(P<0.05)。结论要对大众进行宣传艾滋病VCT服务,特别是针对具有男男性行为、非婚异性性行为、配偶/固定性伴HIV阳性的人群要加强宣传。

Objective To compare the VCT data collected in 2008 and 2009 in Zhejiang province in order to find the trend of VCT and to explore the direction of future VCT services. Methods The time-lapsed statistical data were downloaded through national HIV VCT database, the number of different kinds of VCT clients including HIV positive ones were analyzed by Chi-square. Results The number of VCT clients in 2008 and 2009 were 73 918 and 81 386 persons ,respectively. Among the clients with extra marital heterosexual experience in the past two years increased with statistical significance （P〈0.05）, accounting for 46.98% （34 730/73 918） in 2008 and 49.12% （39 977/81 386） in 2009; 255 and 331 persons were tested HIV positive in 2008 and 2009 ,respectively , of whom the majority were MSM, or those having extramarital hetero-sex partners or regular sex partners. Conclusion The number of VCT clients with extra-marital sex experience were the highest among all the clients, which was on an ascending trend. And the important groups of HIV infected clients were MSM, and those with extra-marital sex experience, and having sex with regular sex partners. These groups of population should be considered as targets of health education and VCT services.