密云区VCT门诊求询者HIV感染状况及其影响因素分析

Analysis of HIV prevalence among inquirers in VCT clinic in Miyun district and the influencing factors

目的分析北京市密云区疾控中心艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊求询者的HIV感染状况及其影响因素,为制定艾滋病防控策略提供科学依据。方法对2011—2020年密云区疾控中心VCT门诊求询者进行问卷调查和实验室检测结果进行统计分析。结果2011—2020年密云区疾控中心VCT门诊共接受咨询1088人,男女比例为1.15:1;求询者以20~39岁年龄组为主,所占比为72.9%;未婚者和初中及以下文化程度求询者比例较高,分别为45.8%、46.2%;求询原因主要以商业异性性行为(43.1%)和MSM性行为(23.4%)为主;HIV-1抗体阳性检出人群中,男性、离异或丧偶、大专及以上学历、MSM性行为以及梅毒阳性者是HIV感染的相关因素,同时MSM性行为也是梅毒感染的相关因素。HIV-1抗体阳性检出76份,阳性率为6.98%。76份HIV-1抗体阳性样本WB带型59份出现8条带以上,单条带反应率p66和gp160无缺失,条带p55缺失率最高。结论VCT门诊是发现HIV感染者的重要途径,应在HIV高风险人群,特别是高学历男性,离异或丧偶人群要重点关注,尤其是MSM性行为人群进行艾滋病性病知识扩大宣传教育及合理化干预,不断加强体系建设,优化VCT服务策略,提高防范意识。

Objective To analyze the prevalence and influencing factors of HIV infection persons visiting HIV voluntary counseling and testing(VCT)clinic in Miyun District Center for Disease Control and Prevention(Miyun CDC)of Beijing,so as to provide scientific evidence for formulating AIDS prevention and control strategies.Methods Questionnaire survey and laboratory test results of inquirers in VCT clinic in Miyun CDC from 2011 to 2020 were statistically analyzed.Results From 2011 to 2020,1088 people were consulted in Miyun CDC VCT clinic and the male-to-female ratio was 1.15:1.The majority of the inquirers were in the age group of 20-39 years old,accounting for 72.9%.The proportion of unmarried persons and those with education level of junior high school or below accounted for 45.8% and 46.2%,respectively.The main reasons for inquiry were commercial heterosexual sexual behavior(43.1%)and MSM behavior.(23.4%).Among the HIV-1 antibody positive patients,males,divorced or widowed,college degree or above,MSM behavior and syphilis positive were the related factors of HIV infection.MSM behavior was also the related factor of syphilis infection.Seventy-six HIV-1 antibody positive samples were detected,and the positive rate was 6.98%.Among the positive samples,eight or more WB bands were observed in 59 samples There was no deletion of single band reactivity in p66 and gp160.The deletion rate of band p55 was the highest.Conclusions VCT clinic is an important way to find HIV-infected persons.More attention should be paid to the high-risk groups of HIV,especially highly educated males and divorced or widowed persons.The publicity and education of AIDS and STD knowledge and rationalize intervention should be expanded,especially for MSM.Constantly strengthened system construction and optimization of VCT service strategies as well as improving awareness of prevention should continue.