2010年-2016年深圳市福田区艾滋病自愿咨询人群HIV、梅毒检测结果分析

Analysis of the detection results of HIV and syphilis in HIV voluntary counseling in Futian district of Shenzhen from 2010 to 2016

目的了解深圳市福田区艾滋病自愿咨询检测(VCT)人群的社会人口学特征和艾滋病毒(HIV)、梅毒抗体检出情况,为制定艾滋病防治策略提供科学依据。方法对2010年-2016年在福田区疾病预防控制中心VCT门诊求询者进行HIV抗体、梅毒抗体检测。结果 2010年-2016年共检测6 399人,HIV抗体、梅毒抗体、HIV和梅毒抗体合并感染阳性率分别为6.27%、4.24%、1.44%,总体均呈明显上升趋势,差异有统计学意义(χ~2值分别为56.633、85.685、29.013,P<0.01)。男男性行为的阳性率(21.06%)和阳性所占百分比(53.62%)明显高于其他求询原因,梅毒抗体阳性率随着年龄的增加而增加,≥50岁人群阳性率为14.55%。结论应加强对男男性行为者和老年男性的宣传教育和干预力度,提升艾滋病防治意识,改变高危性行为,促使该人群主动参与艾滋病的咨询检测。

Objective To investigate the socio-demographic characteristics of HIV voluntary counseling detection in Futian district of Shenzhen and the detection of HIV and syphilis antibody,so as to provide scientific basis for the prevention and treatment of AIDS. Methods The HIV antibody and syphilis antibody were detected in VCT clinic of Futian District Center for Disease Control and Prevention from 2010 to 2016. Results During 2010-2016,6 399 cases were detected,and the infection rate of HIV antibody,syphilis antibody,and the combined positive rate of both of them was 6. 27%,4. 24% and 1. 44%,showing an increase trend,with the differences statistically significant（ χ^2= 56. 633,85. 685,29. 013,P〈0. 01）. The positive rate of men who have sex with men（ 21. 06%） and positive percentage（ 53. 62%） were higher than that of other counseling patients,the positive rate of syphilis antibody increased with age,and the positive rate of people ≥50 years old was 14. 55%.Conclusion The propaganda and intervention on men who have sex with men and elderly men should be strengthened,improving the awareness of AIDS prevention and control,changing the sexual behavior,promoting the people to participate in HIV counseling and testing.