荔湾区2010～2013年艾滋病自愿咨询检测结果及影响因素分析
|
摘要
目的探讨艾滋病自愿咨询人群血清学检测结果及其影响因素,为荔湾区今后更好的开展VCT服务提供依据。方法以2010~2013年在荔湾区各VCT门诊接受VCT服务并登记上报的求询者作为研究对象,按照《全国艾滋病检测技术规范(2009)》要求开展HIV抗体初筛检测,阳性标本合做梅毒、丙肝、乙肝检测。采用非条件Logistic回归分析影响艾滋病自愿咨询人群艾滋病感染的相关因素。结果共调查艾滋病自愿咨询检测者6 423人,其中男性2 787人,占43.4%,女性3 636人,占56.6%;年龄集中在(32.4±10.8)岁。HIV抗体阳性98例,占1.5%,其中1例同时呈HIV、梅毒、丙肝、乙肝阳性,合并四重感染率为1%;HIV、丙肝合并感染者有42例,双重感染率为42.9%;HIV、梅毒合并感染有20例,双重感染率为20.4%;HIV、乙肝合并感染有8例,双重感染率为8.16%。经Logistic回归分析显示:对艾滋病自愿咨询检测人群艾滋病感染的影响因素是年龄、职业和人群特征。年龄段在21~60岁,吸毒者、同性恋、阳性配偶者为艾滋病感染的风险人群。结论政府组织与各部门共同担责,改进并完善自愿咨询检测服务,加强对艾滋病感染风险人群检测,向"零"艾滋迈进。
Objective Methods The VCT for HIV was conducted based on National Guideline for Detection of HIV/AIDS in Liwan district from 2010 to 2013.The positive samples were tested for TP HCV HBV infection. The results were statistically analyzed. Results A total of6 423 persons including 2 787 males and 3 636 females aged( 32.4±10.8)years were tested. Ninety-eight were positive for HIV and 1 was also co-infected with TP, HCV and HBV, 42 were co-infected with HCV, 20 were co-infected with TP infection and8 were co-infected with HBV. Unconditional logistic regression analysis showed that the influencing factors of VCT for HIV were age, occupation and population characteristics. The age group of 21 to 60 years were the risk group. Drug users,homosexuals and positive spouses were high risk for HIV infection. Conclusion The governmental departments at various levels and other bodies should take responsibility together to improve and perfect VCT for HIV toward zero HIV infection by strengthening VCT activity.
Objective Methods The VCT for HIV was conducted based on National Guideline for Detection of HIV/AIDS in Liwan district from 2010 to 2013.The positive samples were tested for TP HCV HBV infection. The results were statistically analyzed. Results A total of6 423 persons including 2 787 males and 3 636 females aged( 32.4±10.8)years were tested. Ninety-eight were positive for HIV and 1 was also co-infected with TP, HCV and HBV, 42 were co-infected with HCV, 20 were co-infected with TP infection and8 were co-infected with HBV. Unconditional logistic regression analysis showed that the influencing factors of VCT for HIV were age, occupation and population characteristics. The age group of 21 to 60 years were the risk group. Drug users,homosexuals and positive spouses were high risk for HIV infection. Conclusion The governmental departments at various levels and other bodies should take responsibility together to improve and perfect VCT for HIV toward zero HIV infection by strengthening VCT activity.
引文
[1]蔡月仙,余大年,刘仲昌,等.台山市2010年艾滋病自愿咨询检测状况分析[J].华南预防医学,2012,38(4):37-39.
[2]高凯,王畅,陈磊,等.2011年广州市HIV感染者/AIDS患者梅毒感染情况分析[J].华南预防医学,2013,39(2):32-34.
[3]何波,农丽萍,李微伦,等.开展艾滋病自愿咨询检测效果分析[J].应用预防医学,2008,14(1):19-21.
[4]国务院防治艾滋病工作委员会办公室联合国艾滋病中国专题组.中国艾滋病防治联合评估报告(2007)[EB/OL].[2007-12-01].http://www.chinaids.org.cn/n435777/n443716/6399.html.
[5]郑优荣,李仲平,梁浩坚,等.广州市地区1226507例无偿献血者梅毒筛查结果分析[J].热带医学杂志,2010,10(4):469-470,476.
[6]何波,农丽萍,赵兆基,等.2009年凭祥市吸毒人群艾滋病行为学和血清学监测结果分析[J].华南预防医学,2010,36(6):48-50.
[7]刘克勤,肖爱莲,陈淑君.112例海洛因依赖者吸毒方式与HBVHCV及HIV感染关系[J].中国艾滋病性病,2007,13(6):80.
[8]张曼,芮宝玲,陈阳贵.乌鲁木齐市吸毒人群HIVHBVHCV梅毒感染状况调查[J].中国艾滋病性病,2004,10(5):350-351.
[9]王曼,林鹏,王晔,等.广东省网络直报数据库中老年人特征分析[J].疾病监测,2010,25(7):557-559.
[10]黑发欣,王璐,秦倩倩,等.中国50岁以上人群艾滋病疫情特点及流行因素分析[J].中华流行病学杂志,2010,25(7):526-527.
[11]杨旭,易东.丁贤彬.中山市1000名男男性接触者艾滋病高危行为及影响因素分析[J].第二军医大学学报,2007,28(11):1223-1228.
[12]李东亮,高彦杰,于明润,等.北京市男男性行为者HIV新发感染率及影响因素研究[J].中华流行病学杂志,2012,33(7):663-666.
[13]王勇,唐振柱,朱秋映,等.广西2009-2011年艾滋病流行特征分析[J].华南预防医学,2013,39(1):6-11.
[2]高凯,王畅,陈磊,等.2011年广州市HIV感染者/AIDS患者梅毒感染情况分析[J].华南预防医学,2013,39(2):32-34.
[3]何波,农丽萍,李微伦,等.开展艾滋病自愿咨询检测效果分析[J].应用预防医学,2008,14(1):19-21.
[4]国务院防治艾滋病工作委员会办公室联合国艾滋病中国专题组.中国艾滋病防治联合评估报告(2007)[EB/OL].[2007-12-01].http://www.chinaids.org.cn/n435777/n443716/6399.html.
[5]郑优荣,李仲平,梁浩坚,等.广州市地区1226507例无偿献血者梅毒筛查结果分析[J].热带医学杂志,2010,10(4):469-470,476.
[6]何波,农丽萍,赵兆基,等.2009年凭祥市吸毒人群艾滋病行为学和血清学监测结果分析[J].华南预防医学,2010,36(6):48-50.
[7]刘克勤,肖爱莲,陈淑君.112例海洛因依赖者吸毒方式与HBVHCV及HIV感染关系[J].中国艾滋病性病,2007,13(6):80.
[8]张曼,芮宝玲,陈阳贵.乌鲁木齐市吸毒人群HIVHBVHCV梅毒感染状况调查[J].中国艾滋病性病,2004,10(5):350-351.
[9]王曼,林鹏,王晔,等.广东省网络直报数据库中老年人特征分析[J].疾病监测,2010,25(7):557-559.
[10]黑发欣,王璐,秦倩倩,等.中国50岁以上人群艾滋病疫情特点及流行因素分析[J].中华流行病学杂志,2010,25(7):526-527.
[11]杨旭,易东.丁贤彬.中山市1000名男男性接触者艾滋病高危行为及影响因素分析[J].第二军医大学学报,2007,28(11):1223-1228.
[12]李东亮,高彦杰,于明润,等.北京市男男性行为者HIV新发感染率及影响因素研究[J].中华流行病学杂志,2012,33(7):663-666.
[13]王勇,唐振柱,朱秋映,等.广西2009-2011年艾滋病流行特征分析[J].华南预防医学,2013,39(1):6-11.