2017—2020年青海省西宁市某VCT门诊艾滋病自愿咨询检测结果分析

Analysis of the results of voluntary AIDS counseling and testing in a VCT clinic in Xining,Qinghai Province from 2017 to 2020

目的了解青海省西宁市艾滋病自愿咨询检测(voluntary counseling and testing,VCT)人群特征及艾滋病病毒(Human immunodeficiency virus,HIV)感染情况,为完善和提高自愿咨询检测服务工作及制定针对性干预措施提供科学依据。方法收集2017—2020年青海省西宁市某艾滋病自愿咨询检测门诊数据,分析求询者的基本情况和高危因素,了解HIV、梅毒检测情况。结果2017—2020年接受VCT服务4931人,以非婚异性性行为者为主,构成比为71.36%,HIV抗体、梅毒阳性检出率分别为8.48%、14.54%,HIV/梅毒合并感染阳性率为1.38%,其中男男性行为人群HIV阳性率高达39.60%,其次为配偶/固定性伴阳性人群(14.12%),2017—2020年男男性行为人群HIV阳性率分别为38.61%、36.45%、41.35%、42.39%(χ趋势2=2.184,P=0.139),配偶/固定性伴阳性人群HIV阳性率分别为13.11%、24.19%、5.63%、14.71%(χ趋势2=1.684,P=0.194),两者趋势差异无统计学意义。结论2017—2020年该门诊艾滋病VCT人群以男性、20~<50岁、离异或丧偶者、初中以下学历、男男性行为人群求询者HIV抗体阳性检出率较高(χ^(2)=66.765,P<0.001;χ^(2)=25.291,P<0.001;χ^(2)=85.437,P<0.001;χ^(2)=42.924,P<0.001;χ^(2)=511.100,P<0.001),艾滋病VCT是及时发现HIV感染的有效途径,今后应加强男男性行为以及配偶/固定性伴阳性人群的监测和干预。

Objective To understand characteristics of population with AIDS voluntary counseling and testing(VCT)and the HIV infection situations in Xining,Qinghai Province,so as to provide scientific basis for improving voluntary counseling and testing services,and formulating targeted intervention measures.Methods Clinical data from a voluntary AIDS of a clinic for VCT in Xining from 2017 to 2020 was collected,the basic information and risk factors of the consulting patients were analyzed,so as to understand HIV and syphilis testing status.Results A total of 4931 people received VCT services from 2017 to 2020,most of them were heterosexual out of marriage,accounting for 71.36%.The detection rates of population positive for HIV-antibody and syphilis were 8.48%and 14.54%,respectively,and incidence of both HIV and syphilis infection was 1.38%.Among these infected people,the HIV positive rate of homosexual men was as high as 39.60%,followed by men with spouse and regular sexual partners(14.12%).HIV positive rates of men with homosexual history were 38.61%in 2017,36.45%in 2018,41.35%in 2019and 42.39%in 2010(χtrend~2=2.184,P=0.139),and were 13.11%,24.19%,5.63%and 14.71%,respectively in people with spouse and regular sexual partners(χtrend~2=1.684,P=0.194),but there was no significant difference in HIV positive rate in the above people.Conclusion From 2017 to 2020,in the VCT clinic,the males,people aged 20 to<50 years,divorced or widowed people,those with educational background of below junior high school and MSM applicants have higher detection rate for positive-HIV antibody(χ^(2)=66.765,P<0.001;χ^(2)=25.291,P<0.001;χ^(2)=85.437,P<0.001;χ^(2)=42.924,P<0.001;χ^(2)=511.100,P<0.001,respectively).Therefore,VCT is an effective way to detect HIV infection in time,and it is proper to strengthen the monitoring and intervention of the homosexual men and people with spouse and regular sexual partner in the future.