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目的了解贵港市接受艾滋病自愿咨询检测(VCT)服务人群的感染状况及相关因素,为艾滋病防治措施的制定提供科学依据。方法收集2011-2013年VCT门诊求询者的基本信息和检测结果,并进行统计学分析。结果 2011-2013年检测人数分别是2 268例、2 399例、3 492例,检出阳性743例,HIV平均阳性率为9.11%,每年检测阳性率分别是8.43%(191/2 268)、7.76%(186/2 399)、10.49%(366/3 492),差异有统计学意义(χ2=14.57,P=0.001)。求询者男女比例为1.16:1;年龄以20~39岁年龄段为主,占52.32%(4 269/8 159)。男性阳性检出率12.03%(526/4 373),60岁以上人群为24.17%(293/1 212),初中以下12.91%(420/3 254),离异或丧偶者的为12.71%(69/543),有男男性行为史、配偶/固定性伴阳性史、注射吸毒史、异性性行为史的人群HIV抗体阳性率分别为35.48%、30.55%、4.08%、8.31%。多因素Logistic回归分析结果显示,与HIV感染率相关的因素有性别、年龄、婚姻状况、文化程度、求询者来源类型、主要求询原因、梅毒检测情况。结论贵港市疾病预防控制中心VCT门诊求询者HIV阳性率较高,与HIV感染率相关的因素有性别、年龄、婚姻状况、文化程度、求询者来源类型、主要求询原因、梅毒检测情况。
Objective To understand the infection status and related factors in Guigang City for receiving HIV / AIDS voluntary counseling and testing (VCT) service population and provide a scientific basis for the development of AIDS prevention and control measures. Methods The basic information and test results of VCT outpatients from 2011 to 2013 were collected and analyzed statistically. Results The number of tests in 2011-2013 was 2 268 cases, 2 399 cases and 3 492 cases respectively. A total of 743 cases were positive, with an average HIV positive rate of 9.11% and an annual positive rate of 8.43% (191/2 268) 7.76% (186/2 399) and 10.49% (366/3 492), respectively. The difference was statistically significant (χ2 = 14.57, P = 0.001). The ratio of male to female was 1.16: 1. The age ranged from 20 to 39, accounting for 52.32% (4 269/8 159). The positive rate of male was 12.03% (526/4 373), that of over 60 years old was 24.17% (293/1 212), that of junior high school was 12.91% (420/3 254) and that of divorced or widowed was 12.71% (69 / 543). The positive rates of HIV antibody in men with a history of MSM, spouse / fixed sex partner’s history, drug abuse history and heterosexual sex history were 35.48%, 30.55%, 4.08%, 8.31% respectively. Multivariate Logistic regression analysis showed that the factors related to HIV infection rate were gender, age, marital status, educational level, source of inquiry, main reason for inquiry and detection of syphilis. Conclusions The HIV positive rate of VCT outpatients in Guigang CDC is high, and the factors related to HIV infection rate are gender, age, marital status, educational level, source of origin, main reason for asking, syphilis detection .