陕西省咸阳市艾滋病自愿咨询检测结果分析

Analysis of HIV voluntary counseling and testing results in Xianyang City,Shaanxi Province

目的了解2011-2015年咸阳市自愿咨询检测(VCT)门诊求询者艾滋病病毒(Human Immunodeficiency Virus,HIV)感染情况,探讨其相关影响因素。方法将2011-2015年咸阳市VCT门诊开展HIV检测的求询者纳入研究,对其开展问卷调查,最后对调查结果采用卡方检验和多因素Logistic回归对数据进行统计分析。结果此次研究共有35190人参与,男女性别比为0. 73∶1;平均年龄(32. 38±10. 82)岁,求询者来源以主动求询者为主(75. 40%);求询原因以具有输/献血史人员为主(32. 90%); HIV抗体阳性率0. 30%。较近的求询年份、男性、35岁以上、高危人群、发生高危性行为(非商业异性性行为、商业异性性行为、男男性行为)及配偶/固定性伴阳性是感染HIV的危险因素。结论咸阳市VCT求询者HIV阳性率逐年升高,而高危性行为是HIV感染的主要危险因素。今后应大力采取针对高危性行为的防控措施,阻断HIV在普通人群中的传播。

Objective To understand the Human Immunodeficiency Virus( HIV) infection in the Xianyang City Voluntary Counseling and Testing( VCT) outpatient clinic from 2011 to 2015,and explore the related influencing factors. Methods The consultants of HIV testing in VCT clinic in Xianyang City from 2011 to 2015 were included in the study,and questionnaires were conducted before the testing. Finally,the data were analyzed by χ2 test and logistic regression. Results A total of 35 190 people participated in this study,with a male-female ratio of 0. 73∶ 1. The average age was( 32. 38 ± 10. 82) years old. The source of the respondents was mainly active inquiries( 75. 40%). The reason for the inquiry is mainly for those who have a history of transmission/blood donation( 32. 90%). The HIV antibody positive rate was 0. 30%. Risk factors for HIV infection included closer year of inquiry,male,over 35 years of age,high-risk groups,high-risk sexual behavior( non-commercial heterosexual behavior,commercial heterosexual behavior,men who have sex with men) and spouse/fixed partner positive. Conclusion The positive rate of HIV in VCT consultants in Xianyang City increass year by year,while the high-risk sexual behaviors are the main risk factors of HIV infection. In the future,the prevention and control measures should be vigorously carried out to prevent the spread of HIV in the general population.