2018—2022年太原市VCT门诊求询者HIV感染状况及影响因素分析

Analysis of HIV infection status and related risk factors among VCT outpatients in Taiyuan from 2018 to 2022

目的探讨太原市艾滋病自愿咨询检测(VCT)门诊求询者HIV感染状况及影响因素,为艾滋病防控工作提供科学依据。方法以2018—2022年在太原市疾病预防控制中心VCT门诊咨询检测并填写知情同意书的求询者作为调查对象,应用SPSS 22.0软件对数据进行统计分析,采用非条件二元logistic回归分析VCT门诊求询者HIV感染的影响因素。结果VCT门诊接受检测4951人,检出HIV抗体阳性者531人,总阳性率为10.73%;不同人口学特征的求询者HIV抗体阳性检出率差异有统计学意义(P<0.05)。男性、>50岁、小学文化、离异或丧偶、男男同性性行为史、梅毒阳性是VCT求询者发生HIV感染的危险因素(P<0.001)。结论男男同性性行为是太原市艾滋病传播的主要方式。应充分发挥VCT门诊的优势,加大宣传及高危干预力度,提高HIV的检测能力,有效防止HIV在人群中的传播。

Objective To explore HIV infection status and its related risk factors among HIV voluntary counseling and testing(VCT)outpatients in Taiyuan,and to provide scientific basis for HIV prevention and control in Taiyuan.Methods The data were analyzed by SPSS 22.0 software for the respondents who completed the consultation and testing and informed consent forms in the VCT Clinic of Taiyuan Center for Disease Control and prevention from 2018 to 2022,unconditional binary logistic regression was used to analyze the risk factors of HIV infection in VCT outpatients.Results From 2018 to 2022,4951 people were tested in VCT Clinic of Taiyuan Center for Disease Control and prevention,and 531 of them were found to be HIV antibody positive.The total positive rate was 10.73%.There was significant difference in the positive rate of HIV antibody among the callers with different characteristics(P<0.05).Male,age over 50 years,primary school education,divorced or widowed,men who have sex with men(MSM)history Syphilis patients were the risk factors of HIV infection in VCT clients(P<0.001).Conclusion MSM is the main mode of HIV transmission in Taiyuan.It is supposed to give full play to the advantages of VCT clinics,increase publicity and high-risk intervention,improve HIV testing,and effectively prevent HIV transmission in the population.