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目的分析2009—2015年淅川县艾滋病自愿咨询检测(volunteer counseling testing,VCT)情况,为制定和完善VCT策略提供依据。方法利用国家艾滋病综合防治信息系统,下载2009—2015年淅川县VCT资料,分析相关数据。结果 2009—2015年共有3 984人接受咨询检测服务,以性行为者为主,占53.61%;非婚异性性行为、男男性行为者比例呈上升趋势(均P<0.05),采供血行为比例呈下降趋势(P<0.05)。HIV抗体阳性者中,以性行为为主,占53.61%;男男性行为者是HIV及梅毒感染率最高的人群,分别为14.02%和10.98%。不同性别、年龄、文化程度、求询原因的咨询者HIV、梅毒感染率均存在差异(P<0.05)。结论性行为者是淅川县VCT门诊主要咨询人群,也是HIV和梅毒感染的高危人群。应加强艾滋病、性病的宣传力度,促使更多的高危人群主动接受VCT服务。
Objective To analyze the situation of volunteer counseling testing (AIDS) in Xichuan County from 2009 to 2015, and provide a basis for the formulation and improvement of VCT strategy. Methods The National AIDS Integrated Prevention and Control Information System was used to download the VCT data of Xichuan County from 2009 to 2015 and analyze the relevant data. Results A total of 3 984 people received counseling and testing services from 2009 to 2015, accounting for 53.61% of all sex workers. The proportion of men who have sex with men (all P <0.05) Showing a downward trend (P <0.05). Among the HIV-positive people, 53.61% were sexually-related, while those who had the highest HIV and syphilis rates were 14.02% and 10.98% respectively. There was significant difference in HIV and syphilis infection rates between counselors who had different sex, age, education level and reason of asking (P <0.05). Conclusions Sexual workers are the primary consultant for VCT clinics in Xichuan County and are also at high risk of HIV and syphilis infection. HIV / AIDS and STIs should be strengthened so that more high-risk groups can take the initiative to accept VCT services.