荔湾区2010～2013年艾滋病自愿咨询检测结果及影响因素分析

Results and influencing factors of HIV voluntary consulting and testing in Liwan district in Guanghzou from 2010 to 2013

目的 探讨艾滋病自愿咨询人群血清学检测结果及其影响因素,为荔湾区今后更好的开展VCT服务提供依据。方法 以2010～2013年在荔湾区各VCT门诊接受VCT服务并登记上报的求询者作为研究对象,按照《全国艾滋病检测技术规范（2009）》要求开展HIV抗体初筛检测,阳性标本合做梅毒、丙肝、乙肝检测。采用非条件Logistic回归分析影响艾滋病自愿咨询人群艾滋病感染的相关因素。结果 共调查艾滋病自愿咨询检测者6 423人,其中男性2 787人,占43.4%,女性3 636人,占56.6%;年龄集中在（32.4±10.8）岁。HIV抗体阳性98例,占1.5%,其中1例同时呈HIV、梅毒、丙肝、乙肝阳性,合并四重感染率为1%;HIV、丙肝合并感染者有42例,双重感染率为42.9%;HIV、梅毒合并感染有20例,双重感染率为20.4%;HIV、乙肝合并感染有8例,双重感染率为8.16%。经Logistic回归分析显示：对艾滋病自愿咨询检测人群艾滋病感染的影响因素是年龄、职业和人群特征。年龄段在21～60岁,吸毒者、同性恋、阳性配偶者为艾滋病感染的风险人群。结论 政府组织与各部门共同担责,改进并完善自愿咨询检测服务,加强对艾滋病感染风险人群检测,向“零”艾滋迈进。

Objective To investigate influencing factors of voluntary consulting and testing（VCT） for HIV. Methods The VCT for HIV was conducted based on National Guideline for Detection of HIV/AIDS in Liwan district from 2010 to 2013. The positive samples were tested for TP HCV HBV infection. The results were statistically analyzed. Results A total of 6 423 persons including 2 787 males and 3 636 females aged（ 32.4±10.8 ）years were tested. Ninety-eight were positive for HIV and 1 was also co-infected with TP, HCV and HBV, 42 were co-infected with HCV, 20 were co-infected with TP infection and 8 were co-infected with HBV. Unconditional logistic regression analysis showed that the influencing factors of VCT for HIV were age, occupation and population characteristics. The age group of 21 to 60 years were the risk group. Drug users, homosexuals and positive spouses were high risk for HIV infection. Conclusion The governmental departments at various levels and other bodies should take responsibility together to improve and perfect VCT for HIV toward zero HIV infection by strengthening VCT activity.