上海市静安区2009—2014年艾滋病自愿咨询检测情况分析

Analysis on AIDS Voluntary Counseling Testing in Jing'an District of Shanghai from 2009 to 2014

目的分析上海市静安区2009—2014年艾滋病自愿咨询检测（VCT）的基本情况,为制定静安区艾滋病防治措施及预防艾滋病传播提供科学依据。方法对2009—2014年主动到静安区VCT点进行艾滋病咨询、检测的求询者的咨询个案表以及人类免疫缺陷病毒（HIV）抗体初筛结果进行汇总统计分析,仅咨询未进行初筛检测的排除在外。结果 9 633名求询者接受了艾滋病咨询服务及血清HIV抗体初筛,求询者以20~39岁青壮年为主;男女性别比为4.6∶1;求询原因以非婚异性性行为史和男男性行为史为主,分别占34.72%和24.29%。母亲阳性史者、输血/血制品史者、男男性行为史者和配偶/固定性伴阳性史者的初筛阳性率分别为33.33%、9.52%、7.86%和7.81%,四者的阳性率高于有非婚异性性行为史者的阳性率（P〈0.01）。结论MSM人群中检出率较高,应进一步加强对男男性接触者等高危人群的教育和干预。同时要警惕艾滋病的家庭传播,减少家庭内感染。

OBJECTIVE To investigate the basic condition of voluntary counselin（VCT） on AIDS in Jing＇an District of Shanghai and facilitate the development of local AIDS health education and risk intervention strategy.METHODS Data were collected from the clinic from January 2009 to December 2014 were analyzed.RESULTS Totally 9 633 counselors who visited the clinic during that period were interviewed.Most of them were aged from 20 to 39.The male was more than the female.Main reason for their counseling was non-marittal hetero-sexual and men who had sex with men（MSM）.A total of 9 633 counselors received HIV antibody tests.The positive detection rates of those whose mother were positive.The history of blood transfusion and adjuvant therapies,spouse/regular sex partners and（MSM） were 33.33%,9.52%,7.86%,and 7.81%,which were higher than those of non-marittal heterosexual（P〈0.05）.CONCLUSIONS The MSM populations was in higher detection rate.It was necessary to strengthen the intervention and detection such as MSM.AIDS transmission among families should be alerted.It was important to decrease family infection.