临沧市2010—2013年艾滋病咨询检测情况分析

Analysis on basic information of HIV voluntary counseling and testing in Lincang during 2010 to 2013

目的了解2010—2013年临沧市艾滋病自愿咨询检测（VCT）求询者人群特征及检测情况。方法从艾滋病综合防治信息系统中,导出临沧市2010—2013年VCT求询者的数据资料,使用Excel整理资料,SPSS 15.0进行统计分析。结果 2010—2013年临沧市共有14 384名求询者接受VCT,女性7 454人占52.5%,20~49岁占82.0%,已婚有配偶者占63.2%。2010—2013年求询原因中,各年度非婚异性性行为所占比例分别为15.5%、25.5%、28.6%和30.4%。14 384名求询者中有14 339名进行了HIV抗体检测,检测率为99.7%,检出HIV抗体阳性1 070名,阳性率为7.5%;1 070名HIV阳性者的求询原因主要是非婚异性性行为（占61.8%）,其次是有注射毒品史的（占17.5%）和配偶/固定性伴阳性者（占17.1%）。结论临沧市VCT求询者人数每年均在3 000~4 000名之间、HIV抗体检测率为99.7%、阳性检出率均在5.0%以上,处于较高水平。阳性检出者以已婚男性青壮年为主,求询原因以非婚异性性行为居多,且非婚异性性行为所占比例逐年上升。注射吸毒者、配偶/固定性伴阳性者和有非婚异性性行为史者是临沧市艾滋病感染风险最高的人群,需要重点关注。

Objective To investigate the population characteristics and examination data of inquirers in HIV voluntarycounseling and testing（VCT） in Lincang during 2010 to 2013. Methods Data from the information system for the preventionand control of AIDS were obtained, and information of inquirers in HIV VCT were collected in Lincang during 2010 to 2013.Software Excel and SPSS 15.0 were used for data processing and analysis. Results During 2010 to 2013,there were a total of14 384 inquirers received VCT, women accounted for 52.5%, and people aged from 20 to 49 years old accounted for 82.0%.People married accounted for 63.2%. The results of reasons for seeking consultation during 2010 to 2013, showed that ratios ofnon-spouse sex behavior were 15.5%, 25.5%, 28.6% and 30.4% for each year. There were 14 339 inquirers received HIVantibody detection from all inquirers（14 384）, with the detection rate of 99.7%, and people with positive result for detection ofHIV antibody were 1 070, with the positive rate of 7.5%. The first reason of seeking consultation for these 1 070 people werenon-spouse sex behavior and accounted for 61.8%, the second reason was the history of injection drug use and accounted for17.5%, and the third reason was spouse/fixed sexual partner with positive result（17.1%）. Conclusion There were nearly3 000 to 4 000 VCT inquirers for each year in Lincang, the rate of HIV antibody detection was 99.7% and the rate of positiverate were more than 5.0%,which was in a higher level. Most part of people with positive result were young married men.Moreover, the main reason for seeking consultation was unmarried opposite-sex and the proportion of it was rising year by year.The highest risks of people, from Lincang, were injection drug use, spouse/fixed sexual partner with positive result andunmarried opposite-sex,and it should be payed more attention on these people.