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目的了解医疗机构开展HIV检测情况,进一步提高检测覆盖率,为艾滋病防治提供技术指导。方法系统收集2009-2013年4家县直医疗机构HIV初筛阳性的418名,采用统一的调查表逐一开展流行病学调查。结果 HIV阳性符合率94.74%,各医疗机构间HIV确认符合率存在差别;在确认阳性人员中已婚占75.25%;文化程度以初中为主,占78.54%;年龄21~60岁占87.12%;职业分布以农民为主,占96.46%;传播途径以经性途径感染为主,占76.01%。结论个别医疗机构阳性符合率偏低,感染人员以中青壮年为主,以农民为主,主要经性途径传播。因此,在今后艾滋病防治工作中,提高并规范艾滋病检测水平,积极开展PITC及时发现艾滋病病人及感染者,并实行分类指导,进一步普及艾滋病防治知识,加大高危人群干预力度,提高人群防病意识及自我保健水平,以减少艾滋病的传播。
Objective To understand the medical institutions to carry out HIV testing to further improve the detection coverage and provide technical guidance for AIDS prevention and control. METHODS: A total of 418 positive HIV positive individuals from 4 direct medical institutions in 2009 and 2013 were collected. Epidemiological surveys were conducted one by one using a unified questionnaire. Results The positive coincidence rate of HIV was 94.74%. There was a difference in the coincidence rate of HIV between medical institutions. 75.25% of the confirmed positive persons were married. The main education level was middle school, accounting for 78.54%, and the age of 21-60 years was 87.12%. The occupational distribution is dominated by peasants, accounting for 96.46%. The main route of transmission is sexual infection, accounting for 76.01%. Conclusions The positive coincidence rate of individual medical institutions is low, mainly middle-aged and young adults are infected, mainly peasants, and mainly spread by sexual means. Therefore, in the future AIDS prevention and control work, we should raise and standardize the level of AIDS testing, actively carry out PITC to find out AIDS patients and infected people in time, and implement classified guidance to further popularize knowledge on AIDS prevention and control, intensify the intervention of high-risk groups and raise people’s awareness of disease prevention And self-care level to reduce the spread of AIDS.