上海市徐汇区2010-2015年艾滋病自愿咨询检测及其阳性发现分析
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摘要
目的了解上海市徐汇区疾病预防控制中心艾滋病自愿咨询检测(VCT)门诊求询者的人口学特征、艾滋病病毒(HIV)感染状态及其确证的HIV感染者特征,为艾滋病防治工作和政策制定提供现实依据。方法对2010-2015年徐汇区VCT门诊求询者的调查数据用SPSS 16.0进行统计分析。结果2010-2015年,共有9 078人前来VCT门诊咨询检测,检测率96.96%(8 802人),HIV抗体阳性检出率3.35%(295/8 802);男性8 047人(88.64%),15~34岁青壮年占82.97%(7 532人),未婚者占64.64%(5 868人),大专及以上文化者占78.85%(7158人)。求询原因中,高危性行为史占88.64%(8 047人);HIV抗体阳性检出率前两位是男男性行为史(9.15%,200/2 186)和配偶/固定性伴阳性7.01%(11/157)。经VCT发现的HIV感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中,男男性行为感染的占67.80%(200/295),VCT新发现的HIV/AIDS病人占同时期全区新发现HIV/AIDS病人的25.03%(237/947),其CD4~+T淋巴细胞(简称CD4细胞)检测比例(97.47%,231/237)和CD4细胞值(Median=386个/μL)高于同时期医疗机构发现的HIV/AIDS病人(83.80%,595/710;Median=297个/μL),而发病和死亡比例低于后者,差异均有统计学意义。结论自愿咨询检测成为徐汇区HIV/AIDS病人的主要发现方式之一,通过VCT有利于病人的早发现和随访管理,改善预后,将更好助力遏制艾滋病。
Objective To understand social,and demographic characteristics and HIV infection status of clients who accepted voluntary counseling & testing(VCT) services in Xuihui CDC from 2010 to 2015,to provide practical evidence for AIDS prevention and treatment and policy recommendations.Methods The statistical analysis was conducted by SPSS 16.0 on the data collected from clients of VCT clinic.Results Among the total of 9078 clients,96.96%(8 802) received serum HIV testing with positive rate of 3.35%(295/8 802).88.64%(8 047)were male,and 82.97%(7 532) were between 15-34 years old.64.64%(5 868) were unmarried,and 78.85%(7 158) had educational level of college and above.88.64%(8 047) had high risk sexual behavior.MSM(9.15%,200/2 186) and HIV positive spouses/partners(5.17%,11/157) got the top two of HIV positive rates.67.80%(200/295) of all the HIV/AIDS detected among the VCT clients were infected via homosexual transmission.25.03%(237/947)newly Detected HIV/AIDS were from VCT clinic of Xuhui district.97.47%(231/237) had the first CD4 cell count test and the average first CD4 cell count(Median=386/μL) of the newly detected among the VCT clients was higher than those from medical nstitutions(83.80%,595/710;Median=297/μL),with lower morbidity and mortality too.The difference was statistically significant.Conclusion Voluntary counseling and testing clinic,one of the most effective way to discoverHIV/AIDS cases in Xuhui District,is conductive to HIV/AIDS early detection,follow-up,and case management,so as to better curb AIDS.
Objective To understand social,and demographic characteristics and HIV infection status of clients who accepted voluntary counseling & testing(VCT) services in Xuihui CDC from 2010 to 2015,to provide practical evidence for AIDS prevention and treatment and policy recommendations.Methods The statistical analysis was conducted by SPSS 16.0 on the data collected from clients of VCT clinic.Results Among the total of 9078 clients,96.96%(8 802) received serum HIV testing with positive rate of 3.35%(295/8 802).88.64%(8 047)were male,and 82.97%(7 532) were between 15-34 years old.64.64%(5 868) were unmarried,and 78.85%(7 158) had educational level of college and above.88.64%(8 047) had high risk sexual behavior.MSM(9.15%,200/2 186) and HIV positive spouses/partners(5.17%,11/157) got the top two of HIV positive rates.67.80%(200/295) of all the HIV/AIDS detected among the VCT clients were infected via homosexual transmission.25.03%(237/947)newly Detected HIV/AIDS were from VCT clinic of Xuhui district.97.47%(231/237) had the first CD4 cell count test and the average first CD4 cell count(Median=386/μL) of the newly detected among the VCT clients was higher than those from medical nstitutions(83.80%,595/710;Median=297/μL),with lower morbidity and mortality too.The difference was statistically significant.Conclusion Voluntary counseling and testing clinic,one of the most effective way to discoverHIV/AIDS cases in Xuhui District,is conductive to HIV/AIDS early detection,follow-up,and case management,so as to better curb AIDS.
引文
[1]吴尊友.艾滋病检测咨询实用手册[M].北京:人民卫生出版社,2013.
[2]丁海峰,杨烨,于淼,等.北京市朝阳区疾病预防控制中心2004-2013年艾滋病自愿咨询检测情况分析[J].中国预防医学杂志,2016,17(3):221-224.
[3]赵丽英,张海艳,周艳丽,等.北京市东城区1 135名艾滋病自愿咨询检测情况调查[J].首都公共卫生,2012,6(2):87-89.
[4]晏征,孙晓云,周新,等.2008-2010年北京市西城区艾滋病自愿咨询检测人群情况分析[J].职业与健康,2012,28(20):2500-2502.
[s]谭唯,陈琳,刘少础,等.深圳市2011-2013年艾滋病自愿咨询检测情况分析[J].中国热带医学,20i4,14(6):689-691.
[6]陈润莉,曾华书,莫浩联,等.2010-2013年深圳市福田区艾滋病自愿咨询检测人群梅毒和艾滋病病毒检测分析[J].预防医学情报杂志,2016,32(2):138-141.
[7]汤后林,毛字嵘,肖瑶,等.2010年全国新发现HIV/AIDS病例首次CD4检测现状分析[J].中国艾滋病性病,2012,18(4):218-221,233.
[8]严亚军,桂希恩,荣玉萍,等.湖北地区新发现HIV-Ab阳性者CD4~+T淋巴细胞检测[J].中国病原生物学杂志,2012,7(1):8-9.
[9]李洋,曾吉,叶景荣,等.2013年北京市新发现HIV/AIDS病人首次CD4~+T淋巴细胞检测状况及影响因素[J].中国艾滋病性病,2015,21(2):103-106,116.
[10]马吉辉,陈卫武,蔡丽,等.2009-2013年云南省弥勒市HIV/AIDS病例首次CD4~+T淋巴细胞检测结果[J].职业与健康,2015,31(1):35-37,40.
[11]范炜,燕清丽.2014年淮安市新发现HIV/AIDS病例首次CD4~+T淋巴细胞结果分析[J].浙江预防医学,2016,28(6):607-609.
[12]马宁,康续,赵砚,等.辽宁省2013年新报告HIV/AIDS病人首次CD4~+T淋巴细胞检测状况分析[J].中国艾滋病性病,2016,22(5):328-330.
[13]World Health Organization(WHO).Global update on the health sector response to HIV[R].WHO,2014.
[2]丁海峰,杨烨,于淼,等.北京市朝阳区疾病预防控制中心2004-2013年艾滋病自愿咨询检测情况分析[J].中国预防医学杂志,2016,17(3):221-224.
[3]赵丽英,张海艳,周艳丽,等.北京市东城区1 135名艾滋病自愿咨询检测情况调查[J].首都公共卫生,2012,6(2):87-89.
[4]晏征,孙晓云,周新,等.2008-2010年北京市西城区艾滋病自愿咨询检测人群情况分析[J].职业与健康,2012,28(20):2500-2502.
[s]谭唯,陈琳,刘少础,等.深圳市2011-2013年艾滋病自愿咨询检测情况分析[J].中国热带医学,20i4,14(6):689-691.
[6]陈润莉,曾华书,莫浩联,等.2010-2013年深圳市福田区艾滋病自愿咨询检测人群梅毒和艾滋病病毒检测分析[J].预防医学情报杂志,2016,32(2):138-141.
[7]汤后林,毛字嵘,肖瑶,等.2010年全国新发现HIV/AIDS病例首次CD4检测现状分析[J].中国艾滋病性病,2012,18(4):218-221,233.
[8]严亚军,桂希恩,荣玉萍,等.湖北地区新发现HIV-Ab阳性者CD4~+T淋巴细胞检测[J].中国病原生物学杂志,2012,7(1):8-9.
[9]李洋,曾吉,叶景荣,等.2013年北京市新发现HIV/AIDS病人首次CD4~+T淋巴细胞检测状况及影响因素[J].中国艾滋病性病,2015,21(2):103-106,116.
[10]马吉辉,陈卫武,蔡丽,等.2009-2013年云南省弥勒市HIV/AIDS病例首次CD4~+T淋巴细胞检测结果[J].职业与健康,2015,31(1):35-37,40.
[11]范炜,燕清丽.2014年淮安市新发现HIV/AIDS病例首次CD4~+T淋巴细胞结果分析[J].浙江预防医学,2016,28(6):607-609.
[12]马宁,康续,赵砚,等.辽宁省2013年新报告HIV/AIDS病人首次CD4~+T淋巴细胞检测状况分析[J].中国艾滋病性病,2016,22(5):328-330.
[13]World Health Organization(WHO).Global update on the health sector response to HIV[R].WHO,2014.
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