2014-2016年四川省大竹县艾滋病自愿咨询检测结果分析

Results of HIV Voluntary Counseling and Testing in Dazhu County,2014-2016

目的了解2014-2016年四川省大竹县疾病预防控制中心(CDC)艾滋病自愿咨询检测(VCT)求询者人群特征及检测情况。方法收集2014-2016年到大竹县CDC接受VCT服务的人群咨询资料和检测结果进行分析。结果 2014-2016年大竹县CDC的VCT咨询室共接待了1 370名求询者。男性737人(53.80%);女性633人(46.20%)。已婚有配偶者占68.00%;小学文化程度者占35.62%;农民居民占57.88%;求询者年龄主要为41~70岁的中老年人(60.73%)。2014-2016年求询者中,新确证HIV抗体阳性病例共288例,VCT室新发现HIV抗体阳性率为21.0%。按求询者类型统计,新发现HIV抗体阳性率最高的为商业异性性行为史和非商业非固定异性性行为史者,分别为33.4%和32.6%。结论 2014-2016年的求询者中以农村老年男性为主,且文化程度偏低,对文化层次较低的人群应采用通俗易懂的方式进行针对性宣传教育。商业异性性行为史和配偶/固定性伴阳性史的新发现阳性率较高,应加强安全性行为的宣传教育,大力推广安全套使用,普及艾滋病防治知识,及配偶告知的责任和义务。

Objective To investigate the socio - demographic characteristics of persons seeking HIV voluntary counseling and testing （VCT） and HIV testing data in Dazhu from 2014 to 2016. Methods HIV - related consultation materials and test results were collected and analyzed by Dazhu County Center for Disease Control and Prevention （CDC） from 2014 to 2016. Results A total of 1 370 inquirers received VCT in Dazhu CDC from 2014 to 2016. 53.80% were male, 46.20% were female. The married accounted for 68.00%. 35.62% received primary school education. Farmers accounted for 57.88%. The main age group was 41 -70 years old, accounting for 60.73%. 288 of them were newly diagnosed from 2014 to 2016 , the proportion of HIV positive testing was 21.0%. Conclusion From 2014 to 2016, the primary inquirers were rural elderly men, and those received little education. Targeted publicity and education should be carried out in a simple and easily understandable manner to the population with low level education. The HIV positive rate was high among those who had commercial heterosexual behaviors and had HIV positive spouses or regular partners. Propaganda and education on safe behaviors should be strengthened, such as promoting condom use and popularizing AIDS prevention knowledge as well as responsibilities and obligations to notify spouses.