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目的了解鞍山市艾滋病自愿咨询检测(VCT)人群艾滋病病毒(HIV)感染率及其影响因素,为完善艾滋病防制策略提供依据。方法对2011—2013年鞍山市24个VCT门诊求询者的资料进行统计分析。结果 25 564名求询者中,女性多于男性,以25~50岁青壮年为主,主动求询者9 779人,占38.25%,商业异性性行为史14 926人占58.39%;2011、2012和2013年,VCT人群HIV抗体阳性检出率分别为0.27%,0.56%和0.86%;性别、年龄、文化程度,主动求询原因与HIV感染率有关联(P<0.05),多因素Logistic回归分析显示,求询者的文化程度越高,感染HIV的危险性越大(OR=1.235,P<0.05)。结论自愿咨询检测在鞍山市艾滋病防制工作中起到了重要作用,现已成为早期发现潜在HIV感染者和病人的重要途径,同时为及时调整艾滋病的防制策略提供了科学依据。
Objective To understand the prevalence of HIV infection in HIV / AIDS voluntary counseling and testing (VCT) population in Anshan and its influencing factors, so as to provide basis for improving HIV / AIDS prevention and control strategies. Methods The data of 24 VCT outpatients from 2011 to 2013 in Anshan were analyzed statistically. Results Of the 25 564 inquires, more women than men were mainly young and middle-aged people aged 25 to 50, 9 779 were active inquiries, accounting for 38.25%, and 14 926 were heterosexual sexual behaviors accounting for 58.39%. In 2011, In 2012 and 2013, the positive rate of HIV antibody in VCT was 0.27%, 0.56% and 0.86% respectively. The gender, age, education level and reason of active inquiry were associated with HIV infection rate (P <0.05) Regression analysis showed that the higher the educational level of the inquirers, the greater the risk of HIV infection (OR = 1.235, P <0.05). Conclusion Voluntary counseling and testing play an important role in HIV / AIDS prevention and treatment in Anshan City. It has become an important way to detect potential HIV infected persons and patients in the early stage and provide a scientific basis for timely adjustment of AIDS prevention and control strategies.