2004-2013年上海口岸出入境人群HIV抗体检测结果分析

HIV antibody test results among international travelers at Shanghai Port in 2004-2013

目的分析上海口岸出入境人群艾滋病病毒(HIV)抗体检测情况和艾滋病流行趋势,为指导口岸艾滋病防控提供科学依据。方法对2004-2013年上海口岸入境的外籍人员和出境的中国人,进行HIV抗体的实验室检测,并对检测结果进行统计分析。结果 2004-2013年,于上海国际旅行保健中心完成HIV检测的出入境人员共计640 925人,检出HIV感染者191例,检出率为2.98/万。出境人数共计191 061人,检出HIV感染者33例,检出率为1.73/万;入境人数共计449 864人,检出HIV感染者158例,检出率为3.51/万;HIV检出率入境人员明显高于出境人员(χ2=17.23,P<0.0001)。出境人员检出率趋势变化无统计学意义(Z=-1.86,P=0.062),入境人员检出率有增加的趋势(Z=-6.96,P<0.001)。结论应加强出入境人员HIV检测工作,防止艾滋病从入境口岸传入中国。

Objective To analyze the HIV detective rate of foreigners and Chinese from 2004 to 2013at Shanghai Port,and to provide the scientific basis for AIDS control and prevention among entry-exit population.Method HIV serological detection was conducted in entry foreigners and exit Chinese,the test results were analyzed.Results In640 925entry-exit population,191 positive results were found,the positive rate was 2.98 per 10000.Of exit Chinese,there were 33 HIV infection,the positive rate was 1.73 per 10 000.For entry foreigners,158 were found HIV positive,the positive rate was 3.51 per 10 000.HIV positive rates of foreigners was significantly higher than Chinese（χ^2=17.23,P〈0.0001）with growth trends yearly（Cochran-Armitage Z=-6.96,P〈0.001）.The trend of HIV positive rate of the Chinese has no statistic significance（Cochran-Armitage Z =-1.86,P=0.062）.Conclusion The work of entry-exit personnel HIV testing should be emphasized in order to prevent imported AIDS through Port.