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目的了解河南省结核病人中HIV筛查状况,为改进结核菌并HIV/AIDS双重感染防治措施提供依据。方法应用《中国疾病预防控制信息系统》中《结核病管理信息系统》2014-2016年河南省报告的结核病人中HIV筛查数据资料,导出Excel数据库,应用χ2检验的方法进行统计学分析。结果 2014-2016年河南省重点县结核病人中HIV筛查率分别为92.90%、94.00%、69.50%,三年间差异有统计学意义(χ2=357.94,P=0.000);HIV新发现率分别为0.04%、0.09%、0.10%,三年间差异不明显(χ2=2.36,P=0.31)。河南省非重点县结核病人中HIV筛查率分别为23.00%、27.20%、28.50%,三年间差异有统计学意义(χ2=426.93,P=0.000);HIV新发现率分别为0.14%、0.28%、0.33%,三年间差异有统计学意义(χ2=9.85,P=0.007)。结论河南省非重点县结核病人中HIV筛查工作逐年提升,但仍处于较低水平,且重点县结核病人中HIV筛查工作在2016年明显下降;重点县HIV在人群中传播控制效果较显著,而非重点县HIV在人群中传播增速较快,控制效果较差。应提高全省在结核病人中HIV筛查率,在加强重点县HIV/AIDS防治工作的同时,加大对非重点县HIV/AIDS防治工作的重视,减少HIV在人群中传播。
Objective To understand the status of HIV screening among tuberculosis patients in Henan Province, and to provide basis for improving the control measures of TB infection and HIV / AIDS double infection. Methods The data of HIV screening among tuberculosis patients reported in Henan Province from 2014 to 2016 in TB Control Information System of China Disease Prevention and Control Information System were used to derive the Excel database and the statistical analysis was carried out using χ2 test. Results The HIV screening rates among TB patients from key counties of Henan Province during 2014-2016 were 92.90%, 94.00% and 69.50%, respectively, with significant difference in three years (χ2 = 357.94, P = 0.000). The new HIV prevalence rates were 0.04%, 0.09% and 0.10% respectively. There was no significant difference in three years (χ2 = 2.36, P = 0.31). HIV screening rates among TB patients in non-key counties in Henan Province were 23.00%, 27.20% and 28.50%, respectively, with significant difference in three years (χ2 = 426.93, P = 0.000); new HIV prevalence rates were 0.14% and 0.28 %, 0.33% respectively. There was significant difference in three years (χ2 = 9.85, P = 0.007). Conclusions HIV screening among non-key county TB patients in Henan Province has been increasing year by year, but it is still at a low level. HIV screening among TB counties in key counties dropped significantly in 2016. HIV in the key counties is more effective in controlling spread of HIV in the population , While non-key counties HIV transmission in the population faster growth, poor control. HIV screening rate among TB patients in the province should be raised. While HIV / AIDS prevention and control work in key counties should be strengthened, HIV / AIDS prevention and control work in non-key counties should be given more attention to reduce HIV transmission among the population.