2008-2010年云南省红河州艾滋病自愿咨询检测情况分析

Performance of voluntary counseling and testing for HIV in Honghe,Yunnan,2008-2010

目的了解2008-2010年云南省红河哈尼族彝族自治州艾滋病自愿咨询检测(VCT)工作开展情况,分析参VCT者基本特征及艾滋病病毒(HIV)感染情况,为进一步开展工作提供依据。方法收集2008-2010年红河州各艾滋病VCT门诊按规范要求完成的所有咨询个案表及其HIV抗体检测结果进行分析。结果 2008-2010年红河州VCT门诊求询人数为21 635人,其中参加HIV检测人数为20 799人,检出阳性数2551例,阳性率12.27%;参加VCT者人口构成比较复杂,初中以下文化程度、青壮年占较大比例,有非婚异性性行为史的求询者所占比例较高,超过50%,阳性检出比例为9.23%,注射毒品史者阳性检出比例最高,为39.16%。结论结果表明,非婚异性性行为、注射吸毒和婚内/固定性伴传播是红河州VCT门诊求询者HIV传播最主要的三种方式。

Objective To evaluate the performance of voluntary counseling and testing （VCT） for HIV in Honghe, understand the characteristics and HIV infection statuses of the people receiving counseling and testing and provide evidence for the improvement of VCT. Methods The analysis was conducted on the related data collected from VCT clinics in Honghe from 2008 to 2010. Results A total of 21 635 persons received counseling during this period, in which 20 799 received HIV testing, and 2551 were HIV positive （ 12.27% ）. The majority of the people visiting VCT were young adults with low education level. More than 50% of the people receiving counseling had history of sex out of wedlock, and the HIV positive rate among them was 9.23%. The highest HIV positive rate was detected in injection drug users （39.16%）. Conclusion Heterosexual sex out of marital, IDU, high risk sexual behavior between wife and husband or fixed sex partners were the three main modes of HIV transmission in VCT clinics＇ visitors, Honghe. It need focus to strengthen the VCT clinics＇ capacities from these aspects.