艾滋病自愿咨询检测3470人次结果分析

Analysis on results in 3 470 person-times of voluntary AIDS counseling and testing

目的了解重庆市渝中区疾病预防控制中心2014-2016年3 470人次艾滋病自愿咨询检测(VCT)的求询者感染状况及分布特点,为更好地开展VCT工作、制定艾滋病防治对策提供科学依据。方法 2014-2016年采集VCT的求询者血液标本,按《全国艾滋病检测技术规范(2009年)》进行人类免疫缺陷病毒(HIV)抗体检测,收集就诊者基本信息,并进行数据的统计分析。结果 2014-2016年接受VCT的求询者3 470人次,HIV阳性850人,阳性率为24. 50%,3年阳性率比较,差异无统计学意义(P> 0. 05);求询者以男性为主[76. 92%(2 669/3 470)],HIV阳性率[26. 86%(717/2 669)]明显高于女性[16. 60%(133/801)],差异有统计学意义(P <0. 05); 20～50岁求询者(2 786人)明显多于小于20岁(195人)和大于50岁(489人)求询者,HIV阳性率以小于20岁[16. 41%(32/195)]、20～50岁[22. 76%(634/2 786)]、> 50岁[37. 63%(184/489)]的顺序依次升高,差异有统计学意义(P <0. 05);男性求询者中20～50岁者最多(2 231人),> 50岁求询者HIV阳性率[42. 72%(129/302)]明显高于小于20岁[18. 38%(25/136)]、20～50岁求询者[25. 24%(563/2 231)],差异有统计学意义(P <0. 05);人数最多的3种求询原因分别为男男性行为史(1 523人)、非商业非固定异性性行为史(670人)、商业异性性行为史(470人); HIV阳性率最高的3种求询原因分别为注射毒品史[45. 45%(50/110)]、男男性行为史[35. 46%(540/1 523)]、配偶/固定性伴阳性[25. 59%(76/297)]。结论重庆市渝中区VCT的求询人数较多、HIV阳性率较高,不同性别、年龄及不同原因求询者具有不同的流行形式,未来艾滋病防控面临巨大挑战。

Objective To understand the infection status and distribution characteristics in 3 470 person-times of AIDS voluntary counseling and testing(VCT)in Yuzhong District Center for Disease Control and Prevention(CDC)during 2014-2016 to provide the scientific evidence for better carrying out VCT work and formulating the AIDS prevention and treatment strategy.Methods The blood samples of VCT were collected during 2014-2016,and conducted the HIV antibody test according to the National AIDS/HIV Test Technology Regulation(2009).The basic information of the visitors were collected for conducting the data statistical analysis.Results A total of 3 470 person-times received VCT during 2014-2016,850 persons were HIV positive with a positive rate of 24.50%,the annual positive rate had no statistical difference among 3 years(P>0.05);the consultants were mainly males[76.92%(2 669/3 470),the HIV positive rate was 26.86%(717/2 699),which was significantly higher than that[16.60%(133/801)]in the females,and the difference was statistically significant(P<0.05).The consultants aged 20-50 years old(2 786 cases)were significantly more than those in aged<20 years old(195 cases)and>50 years old(489 cases);the HIV positive rate was in turn increased in the order of<20 years old[16.41%(32/195)],20-50 years old[22.76%(634/2 786)]and>50 years old[37.63%(184/489)],the difference was statistically significant(P<0.05);among the male consultants,20-50 years old was the maximal(2 231 cases),the HIV positive rate in the consultants aged>50 years old was 42.72%(129/302)was significantly higher than 18.38%(25/136)in the consultants aged<20 years old,the difference was statistically significant(P<0.05);the 3 kinds of counseling cause in maximal persons number were the MSM history(1 523 cases),non-commercial and non-partner heterosexuality history(670 cases)and commercial heterosexuality history(407 cases);the 3 kinds of counseling cause in the highest HIV positive rate were the drug injection history[45.45%(50/110)],MSM history[35.46%(540/1 523)]and spouse/steady partner positive[25.59%(76/297)].Conclusion There are more VCT consultants in Yuzhong Distric with higher HIV positive rate,the consultants with different sexes,difference ages and different causes have different prevalent modes.The prevention and control of AIDS in the future faces the enormous challenge.