2008-2012年重庆市九龙坡区艾滋病自愿咨询检测分析

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目的了解并掌握重庆市九龙坡区艾滋病自愿咨询检测(Voluntary Counseling and Testing,VCT)人群的基本情况和感染状况,为今后艾滋病防治干预工作的重点和方向提供科学依据。方法收集重庆市九龙坡区2008-2012年艾滋病自愿咨询检测点上报的《检测咨询个案登记表》,网络下载后建立Microsoft Excel数据库,采用SAS8.2软件对数据进行Chi-Square分析。结果 2008-2012年重庆市九龙坡区各VCT点求询者共计44 821人,男女之比为0.88∶1,女性多于男性,年龄以20~40岁为主,婚姻状况以未婚为主,学历以初中为主;求询者最多的是有非婚异性性行为史者,为29 244人,占总的求询者的65.25%,其次为有注射吸毒史者占14.59%;HIV阳性数为438人,总的检出阳性率为0.98%,各年间差异有统计学意义,检出阳性率最高的是配偶/固定性伴阳性者,达11.64%,各年间比较差异无统计学意义,其次为有男男性行为史者,阳性检出率为9.53%,各年间差异有统计学意义,有注射吸毒史者阳性检出率为1.71%,各年间差异有统计学意义;从一般情况与检出阳性率看,30~40岁阳性检出率最高,为1.36%,其次为60岁以上人群检出率1.13%;从婚姻状况来看,离异或丧偶的检出率最高,为1.50%;从学历来看,大专以上学历检出率最高,为1.75%。结论以非婚性行为后前来求询的咨询者占有相当大的比例,包括非婚异性性接触和男男性行为,占67.92%。配偶/固定性伴阳性者、男男性行为人群等人群HIV阳性检出率较高,下一步将进一步加大该人群的检测和干预,控制艾滋病经性途径的传播。 Objective To understand and grasp the basic situation and infection status of Voluntary Counseling and Testing (VCT) population in Jiulongpo District of Chongqing, and provide a scientific basis for the focus and direction of future AIDS prevention and intervention work. Methods A questionnaire was collected from HIV / AIDS voluntary counseling and testing sites in Jiulongpo District of Chongqing Municipality from 2008 to 2012. After the internet was downloaded, a Microsoft Excel database was established and the data was analyzed by Chi-Square using SAS8.2 software. Results A total of 44 821 VCT candidates were interviewed in Jiulongpo District of Chongqing from 2008 to 2012, with a ratio of men to women of 0.88:1. There were more women than men and their ages were 20 to 40 years old. Their marital status was mostly unmarried, The majority of those who sought the most were those who had a history of non-marital sexuality of 29,244, accounting for 65.25% of the total inquired persons, followed by those who had a history of injecting drug use, accounting for 14.59%. The number of HIV-positive For 438 people, the total positive rate was 0.98%, the difference was statistically significant in all years, the highest positive rate was detected spouses / fixed sex with positive, up to 11.64%, the difference was not statistically significant in all years, Followed by a history of men who have sex with a positive detection rate of 9.53%, the difference was statistically significant in all years, with a history of injection drug abusers positive rate was 1.71%, the difference was statistically significant in all years; from the general situation and The detection rate of positive, 30 to 40 years old positive detection rate was the highest, 1.36%, followed by people over the age of 60 detection rate of 1.13%; from the marital status, divorced or widowed the highest detection rate of 1.50% ; From the academic point of view, the highest detection rate of college education, 1.75%. Conclusions Counselors who come to consult after non-marital sex occupy a considerable proportion, including non-marital sexual contact and men who have sex with men, accounting for 67.92%. The positive rate of HIV positive is higher in spouses / fixed sex partners and men who have sex with men, and the next step will be to further increase the detection and intervention of this population and to control the transmission of AIDS through the sexual route.
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