湖北省2013年VCT人群HIV抗体筛查阳性率及影响因素

Status and impact factors of HIV voluntary counseling and testing(VCT)and HIV positive rate among VCT attendees in Hubei province,2013

目的了解湖北省2013年艾滋病自愿咨询检测(VCT)情况,并探讨其影响因素,为调整VCT策略提供依据。方法对2013年湖北省333个VCT门诊求询者的人口学信息、求询者类型和主要求询原因以及艾滋病病毒(HIV)抗体检测情况进行统计分析。结果共有57 378人接受了自愿咨询检测,其中56 654人接受了HIV抗体筛查,筛查率为98.74%(56 654/57 378),查出HIV抗体阳性442人,阳性率为0.78%(442/56 654)。求询者类型以主动求询为主,占91.96%(52 099/56 654)。求询原因以非商业非固定异性性行为和商业异性性行为为主,分别占34.23%(19 390/56 654)、30.87%(17 489/56 654)。HIV抗体阳性率最高的是男男性行为者,达6.88%(145/2 109),其次是配偶/固定性伴阳性者,为5.47%(61/1 116)。多因素logistic分析显示,年龄、求询者类型、咨询单位以及既往检测情况等4个因素与求询者HIV抗体阳性率有关。结论将VCT与医疗机构开展医务人员主动提供HIV检测咨询相结合,要加强男男性行为者和老年人检测后咨询及干预力度。

Objective To examine the situation and influencing factors of human immunodeficiency virus （HIV） voluntary counseling and testing（VCT） in Hubei province in 2013 ,and to provide evidences for adjusting VCT strategy. Methods Data on demographic information, the reasons for seeking VCT, and the result of HIV antibody screening among VCT attendees were collected form 333 VCT clinics in Hubei province in 2013. Results Totally 57 378 people received VCT services ,of which 56 654 undertook HIV antibody screening,with a screening rate of 98.74%. Among the attendees having HIV antibody screening,442 were positive to HIV and the positive rate was 0. 78%. Of all the VCT attendees ,91.96% took the VCT actively;34. 23% had non-commercial extramarital heterosexual behavior and 30.87% had commercial heterosexual behavior. The HIV positive rate was the highest（6. 88% ） among the attendees being men who have sex with men（ MSM）, followed by the rate （5.47 % ） among those with a HIV positive spouse or regular sexual partner. Multivariate logistic analyses showed that age, reason for seeking VCT, medical institutions selected for VCT, and history of HIV test were associated with HIV positive results among the attendees. Conclusion VCT should be combined with provider-initiated HIV testing and counseling and post-test counseling and intervention should be strengthened.