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目的了解三亚市艾滋病自愿咨询检测(VCT)门诊求询者特征,检测情况以及各类门诊工作状况,为推进下一步工作提供参考。方法收集三亚市2009-2011年2 374例咨询检测数据,采用SPSS统计软件进行描述性分析。结果求询者以男性、已婚者占绝大多数,文化层次以高中或中专为主,大专以上层次的求询者逐年明显增加。求询者高危行为类型以非婚异性性行为多见(占43.13%),占有比例逐年显著增加,注射吸毒、男男性行为、配偶/固定性伴阳性史的求询者较少。共50例HIV筛查阳性者中,以有高危行为史者居多,共33例,其次为配偶/固定性伴阳性史者11例。筛阳者接受确认实验的比例低,仅78%(39/50)。综合性医院咨询检测数量少,仅占全市的12.68%。综合性医院、妇幼保健院检测后咨询比例相对较低。不同机构,求询者类型有明显差别,疾控中心求询者类型多样,各类高危人群和重点人群都有。综合性医院、慢病院以非婚异性性行为者和有性病史者多见,妇幼保健院主要是孕妇。结论加强对高危人群和重点人群的宣传和干预、充分挖掘医疗机构开展VCT服务的潜力、采取多种检测咨询方式才能更好地推动VCT工作深入开展。
Objective To understand the features of VCT counselors in Sanya, the detection situation and the status of various outpatient clinics so as to provide reference for further work. Methods A total of 2 374 cases of counseling and testing data from 2009 to 2011 in Sanya City were collected and analyzed by SPSS statistical software. As a result, most of the inquiries were made by men and married persons. The main cultural level was high school or secondary school, and the number of inquires from college or above increased significantly year by year. The type of high-risk behavior of consultants is more common in non-marital heterosexual behavior (accounting for 43.13%), the proportion of possession increases significantly year by year, and there is less inquired about the history of injecting drug users, men who have sex with men, and those who have sex with partners. A total of 50 cases of HIV-positive screening, with a high risk behavior history of the majority, a total of 33 cases, followed by spouses / fixed with positive history in 11 cases. The percentage of positive subjects who received confirmation tests was low, only 78% (39/50). Comprehensive hospital counseling and testing a small number, accounting for only 12.68% of the city. Comprehensive hospitals, maternal and child health centers after the test a relatively low percentage of consulting. Different agencies, there are significant differences in the type of inquirers, CDC inquiries diversified types, all types of high-risk groups and key groups have. Comprehensive hospitals, chronic hospital with non-marital heterosexual and sexual history more common, MCH mainly pregnant women. Conclusion To strengthen the publicity and intervention of high-risk groups and key populations, to fully tap the potential of VCT services in medical institutions and to adopt a variety of testing and consulting methods to better promote VCT work in depth.