摘要
目的分析2020年石家庄市自愿咨询检测(voluntary counseling and testing,VCT)门诊求询者HIV感染相关状况,为制定防艾工作规划提供依据。方法对2020年石家庄市疾病预防控制中心VCT门诊求询者人口学资料、高危行为情况、HIV及梅毒抗体检测情况进行回顾性调查,用SPSS 22.0软件通过建立多因素logistic回归模型对影响因素进行筛选和风险估计。结果2020年石家庄市VCT门诊共有求询者929人,其中男性构成比为95.69%,>20~40岁组构成比为71.58%,未婚者构成比为61.14%,大专以上学历构成比为62.76%。71.58%的求询者与同性发生过性行为,HIV抗体阳性率为12.92%,梅毒阳性率为9.58%;2.58%的求询者有HIV和梅毒双重感染。多因素logistic回归分析结果显示,男男性行为(men who have sex with men,MSM)史、未婚或离异、文化程度低、梅毒抗体阳性为HIV感染的危险因素。有MSM史的HIV阳性风险是商业异性性行为史的25倍,梅毒抗体阳性者HIV阳性风险是梅毒抗体阴性者的2.158倍。结论MSM人群为艾滋病防治工作的重点干预人群,VCT门诊是发现HIV感染者的重要途径。应有针对性地加大宣传教育及干预检测力度,及早发现感染者。
Objective To provide reference for developing AIDS prevention work plan by analyzing the infection-related conditions of HIV of voluntary counseling and testing(VCT)outpatients in Shijiazhuang in 2020.Methods The demographic data,conditions of high-risk behaviors,HIV and syphilis antibody tests of VCT outpatient,Shijiazhuang Center for Disease Control and Prevention in 2020 were retrospectively analyzed.The screening and risk estimation were implemented based on the logistic regression model by SPSS 22.0 software.Results There were 929 consulters in VCT outpatients of Shijiazhuang in 2020,95.69%were male,the population at>20-40 years old accounted for 71.58%,unmarried people accounted for 61.14%,the population with the education level at junior college degree or above accounted for 62.76%,and 71.58%consulters had sexual behaviors with people with the same sex.The positive rate of HIV anti bodies and syphilis were 12.92%and 9.58%respectively;2.58%consulters had double infections of HIV and syphilis.Multivariate logistic regression analysis showed that the history of men who have sex with men(MSM),unmarried and divorced,low educational level,positive syphilis antibodies were risk factors for HIV infection.The positive risk of HIV of population with the history of MSM was 25 times of those with commercial heterosexual behaviors.The positive HIV risk of population with positive syphilis antibodies was 2.158 times of that with negative syphilis.Conclusion MSM population is focused and intervened population for AIDS prevention and control.VCT outpatient is an important way for detection on HIV-infected people.The publicity,education and intervention and detection intensity of AIDS should be targeted and tightened to detect infected people to the earliest convenience.
作者
王莹莹
葛鑫
邱延超
董晓平
刘丽花
刘淑君
WANG Ying-ying;GE Xin;QIU Yan-chao;DONG Xiao-ping;LIU Li-hua;LIU Shu-jun(Shijiazhuang Center for AIDS/STD Control and Prevention,Hebei O5001l,China;不详)
出处
《医学动物防制》
2022年第11期1068-1071,共4页
Journal of Medical Pest Control
基金
河北省医学科学研究重点课题计划(20191489)
关键词
人类免疫缺陷病毒
艾滋病
自愿咨询检测
男男性行为
危险因素
影响因素
分析
Human immunodeficiency virus(HIV)
Acquired immunodeficiency syndrome(AIDS)
Voluntary counseling and testing(VCT)
Men who have sex with men(MSM)
Risk factors
Influencing factor
Analysis
