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目的分析2012—2016年甘肃省张掖市艾滋病病毒(HIV)检测情况和艾滋病流行情况,为制订防控策略提供科学依据。方法依照《全国艾滋病检测技术规范》(2009年版和2015年版)对送检样品进行检验,统计分析实验室确证数据。结果 2012—2016年全市HIV初筛593 188人,筛出阳性233份,经确证实验室确证为阳性150份、阴性70份、不确定13份;监测人群HIV平均阳性率0.025%,以2016年阳性率最高(0.049%,77/155 971),各年度筛查确证阳性率差异有统计学意义(χ~2=55.24,P<0.01);150份HIV阳性标本中,男性138份(92%)、女性12份(8%),男女性别比例为11.5∶1,主要集中在31~55岁(占51.33%,77/150)。结论张掖市HIV感染者中男性多于女性,以青壮年及中年居多;自愿咨询检测和医疗机构常规检测是发现HIV感染的重要方式。
Objective To analyze HIV status and HIV prevalence in Zhangye City of Gansu Province from 2012 to 2016 and provide a scientific basis for making prevention and control strategies. Methods According to the “National AIDS Testing Technical Specifications” (2009 and 2015 editions) to test samples for inspection, statistical analysis of laboratory confirmation data. Results From 2012 to 2016, a total of 593 188 HIV positive patients were screened out in the city. 233 positive samples were screened out, of which 150 were positive, 70 negative and 13 were undetermined. Of the monitored population, the average positive rate of HIV was 0.025% The positive rate was the highest (0.049%, 77/155 971), and the positive rate of screening confirmations was statistically significant (χ ~ 2 = 55.24, P <0.01). Among the HIV positive samples, 138 (92% ), And 12 females (8%). The male / female sex ratio was 11.5: 1, mainly ranging from 31 to 55 years old (51.33%, 77/150). Conclusion There were more males than females in HIV-infected persons in Zhangye city, mostly in middle-aged and young adults. Voluntary counseling and testing and routine tests in medical institutions are important ways to find HIV infection.