武汉市汉阳区2013—2015年艾滋病自愿咨询检测分析

Analysis of AIDS Voluntary Counseling and Testing in Hanyang District,Wuhan between 2013 to 2015

目的分析艾滋病自愿咨询检测(HIV voluntary counseling testing,VCT)服务开展情况,为今后艾滋病防治工作提供科学依据。方法采用描述流行病学方法,对2013—2015年VCT门诊自愿咨询检测者资料进行分析。结果咨询检测者男性(1 161人,63.83%)多于女性(658人,36.17%);咨询者年龄以20~49岁为主;检出HIV阳性39人,阳性率2.14%,且不同原因求询者间阳性率差异有统计学意义(χ2=7.61,P=0.02);求询原因为性接触史者共1 693人,占93.07%。结论男性青壮年高危性行为逐渐成为HIV传播的主要因素,有针对性地开展该类人群性健康知识宣传,提高VCT服务能力,是今后VCT服务外展工作重点。

Objectives By analysis on the service of HIV voluntary counseling and testing（VCT）,this article means to provide scientific basis for the prevention of AIDS in the future.Methods Descriptive epidemiological methods were applied to analyze the data of people receiving service at VCT clinics between 2013 and 2015.ResultsAmong the subjects,1161 were male（63.83%）and 658 female（36.17%）.Most aged between 20～49 people were detected as HIV positive（2.14%）.The difference in the positive rates for subjects with different causes of seeking counseling were statistically significant（χ2=7.61,P=0.02）.1 693 came to the clinics for a history of sexual contact,accounting for 93.07%.Conclusions High risk sexual behavior among male youths is becoming the main factors for HIV transmission.Heath knowledge propaganda targeting this population and enhance the ability of providing VCT service should be the focus of VCT in the future.