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目的了解凉山州艾滋病自愿咨询检测(VCT)门诊的工作情况,以及艾滋病阳性检出情况,提出针对性防控措施。方法利用2008-2012年凉山州VCT资料,比较不同年份、不同人群VCT情况和艾滋病病毒(HIV)阳性检出率。结果 2008-2012年,凉山州VCT门诊求询者34 579人,各年分别为:6860人、2816人、5228人、6914人、5847人。女性的VCT比例呈逐年上升的趋势,到2012年接近50%;全州VCT门诊求询人员接受HIV检测的比例各年均超过了90%。各年HIV阳性检出率分别为10.1%、8.5%、8.0%、6.3%、8.2%;高危性行为人群HIV检出率分别为3.9%、4.3%、4.4%、3.6%、7.5%,注射吸毒人群HIV检出率分别为57.4%、32.8%、37.1%、25.6%、26.9%。结论凉山州VCT门诊长期保持较高的人群覆盖和HIV阳性发现率,艾滋病疫情防控形势严峻。
Objective To understand the work of HIV / AIDS voluntary counseling and testing (VCT) clinics in Liangshan Prefecture and the detection of HIV positive and put forward targeted prevention and control measures. Methods According to the VCT data of Liangshan Prefecture from 2008 to 2012, the detection rates of VCT and HIV in different years and different populations were compared. Results From 2008 to 2012, there were 34 579 VCT outpatients in Liangshan Prefecture, with 6860, 2816, 5228, 6914 and 5847 respectively in each year. The proportion of women with VCT has been increasing year by year, reaching nearly 50% by 2012; the proportion of VCT outpatient reception staff receiving HIV testing in each state exceeded 90% in each year. The positive rates of HIV infection in every year were 10.1%, 8.5%, 8.0%, 6.3% and 8.2%, respectively. The HIV prevalence in high-risk sexual groups was 3.9%, 4.3%, 4.4%, 3.6% and 7.5% The detection rate of HIV among drug users was 57.4%, 32.8%, 37.1%, 25.6% and 26.9% respectively. Conclusion The VCT clinic in Liangshan Prefecture maintained a relatively high population coverage and HIV-positive detection rate, and the situation of prevention and control of AIDS epidemic was severe.