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目的了解秦皇岛地区艾滋病自愿咨询检测(VCT)工作状况,为进一步提高VCT工作质量提供依据。方法通过网络直报信息系统下载秦皇岛地区2009—2011年所有咨询检测点上报的咨询个案及人类免疫缺陷病毒(HIV)抗体初筛结果,并进行统计分析。结果男性求询者所占比例大于女性求询者,年龄以20～39岁为主,婚姻状况以已婚有配偶居多。2009年以有非婚异性性行为史求询者比例最大,2010—2011年以商业异性性行为史居多。男性求询者中有男男性行为史者比例逐年上升,分别为8.90%、15.08%、16.00%。3年抗体检测率分别为0.16%、0.13%、0.31%,求询者类型中检出率前3位的是配偶/固定性伴阳性史(4.55%)、男男性行为史(2.17%)、注射毒品史(2.02%),在所有HIV抗体阳性者构成比中,有男男性行为史者最高,占75.00%。结论秦皇岛地区VCT工作中HIV抗体阳性检测率较高,男男性接触者人群阳性病例逐年增多,VCT咨询宜加强此类人群的宣传工作。
Objective To understand the status of voluntary counseling and testing (VCT) in HIV / AIDS in Qinhuangdao and provide the basis for further improving the quality of VCT. Methods Download the consultation report of all consultation checkpoints and the preliminary screening results of human immunodeficiency virus (HIV) antibodies from 2009 to 2011 in Qinhuangdao through the network direct reporting information system, and conduct statistical analysis. Results Male inquires accounted for a larger proportion than female inquires, with the age of 20-39 years old and the marital status of most married couples. In 2009, there was the largest proportion of people seeking inquires with non-marital sex and most of them were business heterosexual behaviors in 2010-2011. Male inquirers have a rise in the proportion of men who have sex with men over the years, accounting for 8.90%, 15.08% and 16.00% respectively. The detection rate of 3 years antibody was 0.16%, 0.13% and 0.31% respectively. The top 3 detection rate in the type of inquirers was spouse / fixed sex with positive (4.55%), male with male history (2.17% The history of injecting drugs (2.02%) was the highest among all HIV-positive people, accounting for 75.00% of the total. Conclusion The positive detection rate of HIV antibody in VCT work in Qinhuangdao is higher, and the positive cases of MSM are increasing year by year. VCT counseling should strengthen the propaganda work of such people.