新疆维吾尔自治区人民医院VCT检测服务情况分析

HIV voluntary counseling and testing service in a large general hospital in Xinjiang

目的在新疆维吾尔自治区人民医院,通过开设艾滋病自愿咨询检测(Voluntary counseling and testing,VCT)门诊,向求询者提供艾滋病相关咨询检测服务,并及时发现艾滋病病毒(Human immunodeficiency virus,HIV)感染者和艾滋病病人。方法在VCT门诊对求询者免费进行HIV咨询和抗体检测,对咨询情况和检测结果进行描述和统计分析。结果自2007年开设VCT门诊至2010年底,共向2 546名求询者提供了免费艾滋病咨询,其中接受HIV检测者有1 865人,占73.2%,检测出HIV抗体阳性者160人,阳性率为8.6%。求询原因,男性以吸毒为主,女性则以高危性接触为主。结论新疆维吾尔自治区人民医院VCT门诊求询者HIV感染率较高,有必要在新疆地区充分利用VCT平台,特别是利用大型综合性医院的优势,开展艾滋病相关健康教育、行为干预和HIV检测监测工作。

Objective To provide HIV voluntary counseling and testing （VCT） service and to timely identify HIV/AiDS patients in Regional People＇s Hospital of Xinjiang Uygur Autonomous Region. Methods Data about free HIV counseling and testing in the VCT clinic of the People＇s Hospital were collected and anaiyzed. Results From the initiation of the VCT clinic in 2007 through the end of 2010, a total of 2 546 people attended the VCT clinic and received free HIV counseling. Of them, 1 865 （73.2%） received HIV testing and 160 （8.6%） were tested positive. The major reason for males to attend the VCT clinic was drug use and for females was risky sexual contarts. Conclusions VCT attendants in the People＇s Hospital of Xinjiang Uygur Autonomous Region had high prev- alence of HIV, which was transmitted primarily through drug use among males and heterosexual contacts among females. It is necessary to take advantage of the VCT clinic platforms and unique resources of large general hospitals in Xinjiang to provide AIDS education, behavioral interventions and HIV testing.