2013～2016年天津市河东区艾滋病自愿咨询检测分析

Analysis on HIV VCT performance,Hedong district,Tianjin city,2013-2016

目的了解天津市河东区自愿咨询检测(Voluntary counseling and testing,VCT)人群的人类免疫缺陷病毒(HIV)感染情况,为预防和控制艾滋病提供依据。方法收集2013~2016年天津市河东区VCT门诊上报的HIV感染者和梅毒抗体阳性信息,进行统计分析。结果 2013~2016年共计2 596人次接受了VCT自愿咨询检测,HIV抗体总阳性率为2.85%,21~40岁阳性人数占总阳性人数的72.97%。初中及以下文化程度人群HIV阳性率最高(7.18%),不同文化程度阳性率差异有统计学意义(P<0.01)。感染途径以不安全性行为为主(93.24%),其中男男性行为阳性人数占总阳性人数的75.68%。结论天津市河东区应加强对男男性行为、文化程度较低人群的宣传干预、早期检测与早期发现,减少艾滋病的传播。

Objective To understand the current status of human immunodeficiency virus （HIV） infection of the visitors attending a VCT site in Hedong district,Tianjin city so as to provide basis for the prevention and control of HIV/AIDS. Methods Demographic information and the results of HIV antibody and TP antibody detection were collected from individuals who volunteered for counseling and testing at a VCT site in Hedong distriet,Tianjin city,2013-2016. Results A total of 2 596 subjects received consulting and were detected. The total HIV positive rate was 2.85%. The age distribution was mainly in 21-40 years old. The number of positive in this age group accounted for 72.97% of the total number of positive. The HIV positive rate was high in the population with the education level at junior middle school level and below （ P 〈0.01）. Unsafe sex behavior was the most important reason of transmission,of which men who have sex with men （MSM） accounted for 75.68%. Conclusion Intervention publicity, early detection should be strengthened among the MSM and the population with the low education level in Hedong district,Tianjin city,so as to reduce the spread of HIV/ AIDS.