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目的:了解男男同性恋人群中HIV感染状况,为目标人群的艾滋病防治工作提供依据。方法:根据《全国艾滋病检验技术规范》(2004年版),对通过外展服务、同伴教育和互联网招募的男男同性恋人群以及自愿来CDC检测(VCT)的男男同性恋人群进行ELISA初筛检测,初筛阳性者进行WB确认检测。结果:2008年通过外展招募的59名同性恋人群中,检出HIV抗体阳性者6例,感染率为10.17%,38名VCT中HIV抗体阳性者5例,感染率为13.15%;2009年通过外展招募的73名同性恋人群中,检出HIV抗体阳性者3例,感染率为4.11%,35名VCT中HIV抗体阳性者2例,感染率为5.71%。结论:2009年比2008年男男同性恋人群HIV感染率并无显著下降趋势,而且同性恋人群的检测咨询人数没有增加,通过外展招募的目标人群有重复性,没有真正做到主动检测,说明男男同性恋人群的艾滋病宣传力度有待加强,提示今后应加强高危场所的艾滋病宣传,提高人们的健康意识。
OBJECTIVE: To understand the status of HIV infection in gay men and to provide basis for AIDS prevention and treatment of target groups. Methods: According to the “National AIDS Testing Technical Specification” (2004 Edition), ELISA screening tests were conducted on gay male and gay men volunteered for CDC testing (VCT) through outreaching services, peer education and the Internet, Screening positive for WB confirmation test. Results: Out of 59 homosexuals recruited through outreach in 2008, 6 were HIV positive and the infection rate was 10.17%. Among 38 VCT patients, 5 were HIV positive and the infection rate was 13.15%. In 2009, Out of the 73 gay patients recruited, 3 HIV-positive patients were detected and the infection rate was 4.11%. Among the 35 VCT HIV-positive patients, 2 were HIV-positive and the infection rate was 5.71%. Conclusion: There is no significant decrease in the HIV infection rate among men who have sex with men in 2009 compared with that in 2008, and there is no increase in the number of counseling and testing counselors for homosexuals. The target population recruited through outreach is repetitive and has not really taken the initiative to test, indicating that men HIV / AIDS publicity needs to be strengthened for gay men, suggesting that in the future, HIV / AIDS awareness should be strengthened in high-risk places to raise people’s awareness of health.