北京市医疗机构艾滋病咨询检测现状及影响因素分析

Analysis on Status and Influencing Factors of HIV/AIDS Counseling and Testing in Beijing Medical Institutions

目的:分析北京市医疗机构主动提供艾滋病检测咨询(PITC)的情况及影响因素,为制定北京市艾滋病防治提供科学依据。方法:对2016年收集的医疗机构艾滋病检测咨询季度报表进行整理分析,总结艾滋病咨询检测工作的特点,并设计问卷对艾滋病检测咨询工作中遇到的问题加以分析,找出影响因素。结果:151家二级及以上医疗机构年检测HIV抗体4 052 235人份,发现阳性2 942例,阳性率0.73‰。医疗机构中HIV检测比例较高的科室是性病门诊、住院部和男科,分别是71.17%(139541/196071)、50.06%(1554142/3104776)和28.23%(3047/134793),HIV检测阳性率较高的科室是性病门诊和感染科,阳性率分别是9.75‰(1360/139541)和6.52‰(247/37875)。医疗机构开展PITC的主要影响因素为就诊者不配合占84.77%(128/151)、检测费用高占40.40%(61/151)、宣传不到位占38.41%(58/151)等。结论:进一步加大宣传,使人们了解艾滋病检测的重要意义,针对重点科室的医务人员加强艾滋病培训,以推进PITC工作。

Objective： To provide scientific evidence for the establishment of AIDS prevention and control through analyzing the situation and influencing factors of HIV / AIDS counseling and testing in medical institutions in Beijing. Methods：According to HIV testing and counseling quarterly tables in 2016,We summarized and analyzed the datas of AIDS counseling and testing work. At the same time, We analyzed the influencing factors by questionnaire in PITC work. Results：4 052 235 HIV antibody were detected by 151 medical institutions.2 942 positive HIV-infected were found and positive rate was 0.73‰. The detection of HIV in medical institutions of higher proportion of the department were venereal outpatient department and inpatient department and andrology, respectively the detecting rate was 71.17%, 50.06% and 28.23%.The higher positive rate of HIV detection were STD clinic and department of infection, respectively the positive rate were 9.75‰ and 6.52‰. The main influencing factors of PITC in medical institutions were that cases unable to cooperate, high charge and lack of publicity,Respectively accounting for 84.77%, 40.40% and 38.41%. Conclusion：By further publicity, so that people understood the importance of AIDS testing. AIDS training should be strengthened for medical staff in key departments to promote PITC work.