摘要
目的了解河南省2009年艾滋病自愿咨询检测(VCT)工作开展情况。方法采用横断面研究方法,收集、整理和分析2009年到VCT门诊求询者的一般人口学特征、求询原因和艾滋病(HIV)抗体检测情况。结果 2009年河南省VCT门诊求询者共113567人次,其中男性占52.56%,已婚有配偶者占65.28%,15～29岁者占40.87%,HIV抗体检测率为89.73%,检测阳性率为2.65%。女性HIV抗体检测率高于男性(χ2=36.52,P<0.001),检测阳性率低于男性(χ2=53.37,P<0.001);已婚有配偶者HIV抗体检测率低于未婚和其他婚姻状况者(χ2=467.58,P<0.001),检测阳性率高(χ2=139.86,P<0.001);≥50岁组求询者HIV抗体检测率低(χ2=155.32,P<0.001),检测阳性率高(χ2=1238.65,P<0.001);求询原因构成中有非婚异性性行为史者占20.82%,其中已婚有配偶求询者和≥50岁组求询者,HIV检测率均低(P<0.001),检测阳性率均高(P<0.001);有配偶/固定性伴阳性的求询者中,HIV检测阳性率,未婚者高于已婚有配偶者(χ2=26.51,P<0.001),15～29岁者高于其他年龄组者(χ2=30.41,P<0.001)。结论应规范VCT门诊,扩大宣传,鼓励男性、已婚有配偶者和50岁及以上人员主动接受VCT服务,加强求询者HIV抗体检测力度,开展咨询员培训,提高咨询技能,推动VCT门诊普及和发展。
Objective To investigate the status of HIV voluntary counseling and testing (VCT) in 2009 in Henan province.Methods Using the method of cross-sectional study,to collect and analyse the demographic characteristics and reasons for seeking consultation and the HIV antibody testing results of counselees in VCT clinic in 2009.Results In 2009,113 567 counselees received VCT serves in Henan province,men accounted for 52.56%,married persons accounted for 65.28%,40.87% counselees was 15-29 years old,HIV antibody detection rate was 89.73%,positive rate was 2.65%.HIV antibody testing of women was higher than males (χ2=36.52,P<0.001),positive rate of testing was lower than males (χ2=53.37,P<0.001);testing rate of HIV antibody for married persons was lower than unmarried and other marital status persons (χ2=467.58,P<0.001) and positive rate was higher than others (χ2=139.86,P<0.001);testing rate of HIV antibody for '≥50'group was lower (χ2=155.32,P<0.001) then other aged and positive rate was higher than others (χ2=1238.65,P<0.001);among the composition of the reasons for seeking consultation,Persons who had a history of non-marital heterosexual sex accounted for 20.84%,among them,testing rate for married persons and '≥50'group was lower (P<0.001),and positive rates of detected was higher (P<0.001);the counselees who had spouse/regular sexual partners,HIV positive rate of unmarried was higher than that of married with spouse (χ2=26.51,P<0.001),HIV positive rate of 15-29 years of age were higher than other age groups (χ2=30.41,P<0.001).Conclusions To standardize VCT clinics,expand the publicity,encourage males,married persons with spouse and persons aged over 50 years take the initiative to accept VCT services.To enhance the testing rate of HIV antibody for counselees,to train the consultants of VCT to improve counseling skills,promote the popularization and Development of VCT clinic.
出处
《中华临床医师杂志（电子版）》
CAS
2011年第6期1611-1615,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
中国艾滋病预防多学科培训项目-China-ICOHRTA(1U2RTW006918-02)
关键词
获得性免疫缺陷综合征
自愿咨询检测
求询者
Acquired immunodeficiency syndrome
Voluntary counseling & testing
Seeking consultation
