摘要
目的 分析自愿咨询检测门诊求询者的人口行为学特征及人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染情况和危险因素,为该市调整艾滋病干预策略提供依据。方法 收集2016—2021年荆州市疾病预防控制中心艾滋病自愿咨询检测(voluntary counseling and testing,VCT)门诊求询者资料,采用χ^(2)检验、多因素logistic回归分析HIV感染的危险因素。结果 共调查VCT求询者1 368人,HIV感染率为15.79%,呈上升趋势。年龄以50岁以下为主,占82.02%;文化程度以大专及以上为主,占42.84%;求询原因以非商业非固定异性性行为为主,占40.50%;男男性行为史占比呈上升趋势(χ^(2)_(趋势)=109.52,P<0.05),63.38%的求询者从未做过HIV抗体检测,占比呈下降趋势(χ^(2)_(趋势)=3.98,P<0.05)。多因素logistic回归分析显示,离异或丧偶者HIV感染风险高于已婚有配偶者(OR=3.230,95%CI:1.731~6.026);初中、小学及以下学历者HIV感染风险高于大专及以上学历者(OR=1.752,95%CI:1.016~3.021;OR=5.325,95%CI:2.686~10.555);配偶/固定性伴阳性、男男性行为史者HIV感染风险高于商业异性性行为史者(OR=2.438,95%CI:1.138~5.223;OR=6.788,95%CI:3.937~11.704)。HIV感染者晚发现率为24.15%,呈下降趋势(χ^(2)_(趋势=4.61,P<0.05)。结论 荆州市疾病预防控制中心某VCT门诊求询者HIV感染率较高,应加强对男性性接触人群(men who have sex with men,MSM)、50岁及以上老年人等重点人群的艾滋病(acquired immune deficiency syndrome,AIDS)宣传干预工作,探索针对MSM的新型干预策略,创新告知求询者配偶/固定性伴HIV阳性的方法。
Objective To analyze the population behavior characteristics and HIV infection status and risk factors of counselees in a voluntary counseling and testing clinic,and to provide a basis for adjusting AIDS intervention strategies in that city.Methods The data of VCT clinic counselees in Jingzhou Municipal Center for Disease Control and Prevention from 2016 to 2021 were collected.The chi-square test and multiple logistic regression were used to analyze the risk factors of HIV infection.ResultsA total of 1368 VCT counselees were investigated,and the HIV infection rate was 15.79%,showing an increasing trend.The age of counselees was mainly under 50 years old,accounting for 82.02%;the education level was mainly college or above,accounting for 42.84%;non-commercial and non-fixed heterosexual sexual behavior were the main reasons for counseling,accounting for 40.50%.The ratio of men have sex with men history showed an increasing trend(χ^(2)_(trend=)109.52,P<0.05),and 63.38%of the counseles had never been tested for HIV antibody,the ratio showed a decreasing trend(χ^(2)_(trend=)=3.98,P<0.05).Multivariant logistic regression analysis indicated that the risk of HIV infection in divorced or widowed people was higher than in married people with spouses(OR=3.230,95%CI:1.731-6.026).The risk of HIV infection in people with junior middle school,primary school,and below was higher than that in college and above(OR=1.752,95%CI:1.016-3.021;OR=5.325,95%CI:2.686-10.555);the risk of HIV infection was higher among those with positive spouses/regular partners and a history of men who had sex with men than among those with a history of commercial heterosexual sex(OR=2.438,95%CI:1.138-5.223;OR=6.788,95%CI:3.937-11.704);the late detection rate of HIV infected persons was 24.15%,showing a decreasing trend(Xrend=4.61,P<0.05).Conclusion The HIV infection rate of a VCT counselees in Jingzhou Municipal Center for Disease Control and Prevention is relatively high.In the future,AIDS publicity and intervention should be further strengthened for key groups of men who have sex with men(MSM)patients and the elderly over 50 years old.New intervention strategies should be explored for MSM groups.Innovate ways to inform counselees spouses/sexual permanent partners HIV positive.
作者
蔺茂文
刘锐
孙春
张凡
黄丽
李舒超
李佳玲
LIN Maowen;LIU Rui;SUN Chun;ZHANG Fan;HUANG Li;LI Shuchao;LI Jialing(Jingzhou Municipal Center for Disease Control and Prevention,Hubei 434000,China;不详)
出处
《医学动物防制》
2023年第7期658-662,667,共6页
Journal of Medical Pest Control
基金
中国现场流行病学培训项目(131031001000200011)。
