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目的对2008-2014年自愿咨询检测(VCT)门诊的数据进行分析,了解求询者人群特征构成比的变化情况,为完善艾滋病预防控制策略提供依据。方法收集2008-2014年德州市疾病预防控制中心VCT门诊所有求询者的检测咨询个案登记表,按不同年份建立数据库,采用相关性检验,计算各种人群特征的构成比随年份变化而变化的相关系数(r),并进行统计学显著性检验。结果 1553名求询者男女之比为2.83∶1,男性构成比呈上升趋势(r=0.953,P<0.01)。男性求询者中,25~岁年龄组所占构成比逐渐增加(r=0.869,P<0.05),40~岁和60~岁年龄组逐渐减少(r=-0.839,P<0.05;r=-0.841,P<0.05);未婚者越来越多(r=0.836,P<0.05);大专及以上文化程度增长显著(r=0.976,P<0.01);求询者类型中有男男性行为史者增长明显(r=0.949,P<0.05),其他类型求询者无显著变化。女性求询者中仅离异和丧偶者构成比有增长趋势(r=0.903,P<0.01),其他特征的变化均无统计学意义。接受检测的1538人中,HIV抗体确证结果阳性30人,确诊阳性率为1.95%,男男性行为占66.67%(20/30),异性性行为占26.67%(8/30),母婴传播占3.33%(1/30),注射吸毒占3.33%(1/30)。结论男男性行为者是VCT门诊求询者中增长最快的人群,HIV感染率也最高,应制定更有针对性的措施控制该人群HIV感染率不断上升的趋势。
Objective To analyze the data of voluntary counseling and testing (VCT) clinics in 2008-2014 so as to understand the change of the feature composition ratio of those seeking inquires and provide basis for improving AIDS prevention and control strategies. Methods A questionnaire was collected from all VCT clinics in 2008-2014 in Detroit Center for Disease Control and Prevention to establish a database according to different years. The correlation test was used to calculate the compositional ratio of various population characteristics with the change of years Correlation coefficient (r), and statistical significance test. Results The ratio of male to female in 1553 inquiries was 2.83: 1, and the ratio of male to male was increased (r = 0.953, P <0.01). Male inquirers, 25 ~ age group accounted for the proportion of gradually increased (r = 0.869, P <0.05), 40 ~ 60 and age groups gradually decreased (r = -0.839, P < -0.841, P <0.05); the number of unmarried persons was more and more (r = 0.836, P <0.05); the educational level of college and above increased significantly (r = 0.976, The history increased significantly (r = 0.949, P <0.05), other types of inquiries no significant change. There was an increasing trend in the proportion of divorced women and widowed women (r = 0.903, P <0.01), but no significant changes were found in other characteristics. Of the 1538 people tested, the positive result of HIV antibody was 30, the positive rate was 1.95%, the percentage of male and female was 66.67% (20/30) and that of heterosexual sex was 26.67% (8/30) 3.33% (1/30), injection drug use accounted for 3.33% (1/30). Conclusions Men who have sex with men (MSM) are the fastest growing group of VCT outpatients with the highest rate of HIV infection. More targeted measures should be taken to control the HIV infection rate in this population.