2016—2019年上海市松江区社区卫生服务中心艾滋病自愿咨询检测情况分析

Analysis on the Results of HIV Voluntary Counseling and Testing in Songjiang Community Health Service Center of Shanghai from 2016 to 2019

目的分析上海市松江区社区卫生服务中心艾滋病自愿咨询检测(VCT)情况,为更好地开展VCT工作提供指导。方法分析2016—2019年在松江区社区卫生服务中心VCT门诊接受艾滋病自愿咨询检测服务人群的人口学特征及艾滋病感染情况。结果2016—2019年松江区社区卫生服务中心VCT门诊共接待求询者881人次,占松江区VCT总体的比例由2016年的23.2%上升至2019年的56.0%(χ^2=326.179,P<0.001)。社区VCT人群在性别、年龄、婚姻状况、学历等人口学特征方面与疾控中心差异有统计学意义(P<0.001)。社区≤19岁、≥50岁年龄组分别占4.7%(41例)、18.8%(166例);已婚有配偶者占63.1%(556例);初中及以上学历者占85.0%(749例)。社区VCT人群求询原因以非商业非固定异性性行为史为主(40.6%),与疾控中心VCT人群差异有统计学意义(χ^2=365.245,P<0.001)。社区HIV抗体阳性检出率为2.3%(20/881)。男性HIV阳性检出率(2.92%)高于女性(0.76%)(χ^2=3.887,P=0.049);不同年龄组中,≤19岁年龄组HIV阳性检出率最高,为4.88%(χ^2=10.777,P=0.018)。结论社区卫生服务中心VCT门诊的设立可以弥补既往疾控中心VCT服务覆盖人群有限的不足,有利于促进病例发现,同时为艾滋病防治措施的制定提供依据。

OBJECTIVE To analyze the results of HIV voluntary counseling and testing in Shanghai Songjiang Community Health Service Center,to better guide the development of VCT work.METHODS The demographic characteristics and HIV test results of VCT clinics in Songjiang Community Health Service Center from 2016 to 2019 were analyzed.RESULTS From 2016 to 2019,881 people were provided with HIV voluntary counseling and testing services in Songjiang Community Health Service C.enter.The proportion of VCT clinics in the community health service center increased from 23.2%in 2016 to 56.0%in 2019(χ^2=326.179.P<0.001).There were significant differences in demographic characteristics of VCT clinics between community and CDC(P<0.001).41 cases(4.7%)were aged under 19 and 18.8%(166 cases)were above 50 years old;63.1%(556 cases)were married with spouse;85.0%(749 cases)had junior high school education and above.The history of non-commercial non fixed heterosexual behavior was 40.6%,there was significant difference between community and CDC(χ^2=365.245,P<0.001).The positive rate of HIV antibody test was 2.3%(20/881).The positive rate of HIV in male(2.92%)was higher than female(0.76%)(χ^2=3.887,P=0.049).Among the different age groups,the HIV positive rate was the highest in the age group≤19 years old,which was 4.88%(χ^2=10.777,P=0.018).CONCLUSION The establishment of VCT clinic in community health service center could expand the coverage of service population,so as to promote the detection of AIDS cases and provide scientific basis for HIV control and prevention.