新疆开展伴侣艾滋病咨询检测的接受状况及影响因素分析

An analysis of the acceptance and related factors of couples HIV counseling and testing (CHCT) in Xinjiang

目的了解新疆开展伴侣艾滋病咨询检测(CHCT)试点的接受程度,分析其影响因素。方法开展宣传动员及转介,针对求询者及其伴侣需求,提供相应的艾滋病病毒(HIV)咨询检测服务,并将求询者及其伴侣的信息进行统一个案记录。结果 2012年,共有1511名求询者及其伴侣接受HIV咨询检测服务,其中,HIV感染者/AIDS病人(简称HIV/AIDS病人)及其伴侣977对,高危行为者及其伴侣534对。求询者以汉族及维吾尔族为主,分别占15.8%(238人)和81.8%(1236人),伴侣民族构成与求询者基本一致。求询者平均年龄为(34±9.5)岁,伴侣平均年龄为(33±8.867)岁。求询者及其伴侣的性别为:男-男113对(7.5%),男-女1034对(68.43%),女-男364对(24.1%)。HIV感染状况为:双阳67对,双阴466对,单阳962对。求询者接受CHCT的比率为66.38%(1003对);汉族、年龄较轻、尚未共同生活以及HIV检测为阴性的求询者更容易接受CHCT。接受CHCT后性病抗结核转介、社会关爱救助转介的比率分别是7.9%和14.9%,高于未接受CHCT者。结论 CHCT可以被HIV/AIDS病人、高危人群及其性伴侣所接受。通过CHCT,可以为性伴侣双方提供更多的治疗和关怀服务。

Objective To carry out a pilot project of couples HIV counseling and testing （CHCT） and evaluate factors associated with acceptance of CHCT among consulters seeking HIV counseling and testing. Methods Pub licity, mobilization and referral were conducted in the pilot areas, followed by provision of CHCT services according to the needs of the consulters and their partners. Individual information of all consulters and their partners were recorded. Results Of 1511 couples of consulters and their partners accepting HIV counseling and testing in 2012, 977 were HIV/AIDS patients and their partners, and 534 were high-risk persons and their partners. Majority of the consulters were Hans （238, 15.8%） and Uighurs （1236, 81.8%）, and the ethnic composition of the partners was similar. The average age of the consulters was 34≤9.5 years, and that of their partners was 33_＋8.8 years. The sexual relationship was as follows： M-M 113 couples, M F 1034 couples and F M 364 couples. Of these consulters and their partners, 962 were HIV discordant, 466 concordant negative, and 67 were concordant positive. There were 66.38% consulters accepting CHCT. Han, youngster, not living together, and HIV negative high-risk per- sons were more likely to accept CHCT. Uptake of referrals for STD, TB treatment, and social care ＆ support was higher among those who received CHCT than those who did not. Conclusions Most consulters and their partners were willing to accept CHCT, and more care and treatment services were provided to them through CHCT.