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目的了解新会区2008-2013年艾滋病自愿咨询检测(voluntary counseling and testing,VCT)工作开展情况,为下一步开展VCT工作提供策略和依据。方法对新会区2008-2013年自愿咨询检测者的人口学资料、求询者原因和检测结果进行分析。结果共有1 479人接受咨询检测服务,男女性别比为1.66:1,以25~44岁青壮年为主(占68.49%);求询原因以其他原因占34.14%,其次有注射毒品史21.23%,有非婚异性性行为史11.36%,有配偶/固定性伴阳性史11.02%。接受HIV检测1 479人,检出阳性53例,检出阳性率为3.58%。配偶/固定性伴阳性者的阳性率最高为11.04%,其次有商业异性性行为史者为9.32%,有非商业非固定异性性行为史者为7.13%,有注射毒品史者为5.10%,有男男性行为史者为2.94%,有母亲阳性史者为3.13%。结论 VCT是发现HIV感染者的有效途径,开展干预的重要窗口,应针对不同人群进一步规范VCT服务,预防和减少艾滋病在社会上的传播。
Objective To understand the status of voluntary counseling and testing (VCT) in Xinhui District from 2008 to 2013 and provide strategies and basis for further VCT work. Methods The demographic data, the reasons for the inquiry and the test results of volunteer counselors in Xinhui District from 2008 to 2013 were analyzed. Results A total of 1 479 people received counseling and testing services, with a male / female ratio of 1.66: 1, mainly young adults aged 25-44 (accounting for 68.49%); other causes accounted for 34.14%, followed by 21.23% , History of non-marital sex 11.36%, history of spouses / fixed sex with 11.02%. A total of 1 479 HIV-positive individuals were detected, of which 53 were positive. The positive rate was 3.58%. The positive rate of spouse / fixed partner with positive was 11.04%, followed by 9.32% with commercial heterosexual behavior, 7.13% with non-commercial non-fixed heterosexual behavior, 5.10% with drug injection history, 2.94% had a history of MSM, and 3.13% had a positive mother history. Conclusions VCT is an effective way to detect HIV infection and an important window for intervention. VCT services should be further regulated for different populations to prevent and reduce the spread of AIDS in the society.