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目的对比2008年和2009年浙江省艾滋病自愿咨询检测(VCT)数据,探索今后VCT工作的方向。方法通过下载艾滋病综合防治数据信息管理系统中,检测咨询信息管理定时统计的数据、2008年和2009年不同类型的求询者的数量和艾滋病病毒(HIV)阳性者的数量,利用卡方检验进行统计学分析。结果 2008年共完成咨询检测73 918人次,2009年共完成咨询检测81 386人次。求询者中有非婚异性性行为史者有上升趋势,2008年占46.98%(34 730/73 918),2009年占49.12%(39 977/81 386),两年对比差异有统计学意义(P<0.05)。2008年和2009年分别经VCT发现HIV感染者255人和331人,感染者中以男男性行为者、非婚异性性行为者、配偶/固定性伴HIV阳性者为主,注射吸毒史(P<0.05)、有非婚异性性行为史者(P<0.05)和有男男性行为史者对比,差异有统计学意义(P<0.05)。结论要对大众进行宣传艾滋病VCT服务,特别是针对具有男男性行为、非婚异性性行为、配偶/固定性伴HIV阳性的人群要加强宣传。
Objective To compare the data of voluntary counseling and testing (VCT) on HIV / AIDS in Zhejiang Province in 2008 and 2009 and explore the direction of future VCT work. Methods By downloading data on the timing information of consulting information management in the integrated data management system of AIDS prevention and control, the number of different types of consultants and the number of HIV-positive persons in 2008 and 2009 were determined by the chi-square test Statistical analysis. Results In 2008, a total of 73,918 counseling and testing sessions were completed. In 2009, a total of 81,386 counseling and testing sessions were completed. There was an upward trend among those seeking inquiries in the history of non-marital sexual behavior, accounting for 46.98% (34 730/73 918) in 2008 and 49.12% (39 977/81 386) in 2009, with significant differences between the two years (P <0.05). In 2008 and 2009, respectively, 255 and 331 HIV-infected persons were found by VCT. Among the infected persons, there were mainly male MSM, non-MSM and spouse / HIV-positive couples with HIV / <0.05). There was significant difference (P <0.05) between those with history of non-marital sexual behavior (P <0.05) and those with history of male sexual behavior. CONCLUSIONS To promote public awareness of HIV / AIDS VCT services to the general public, we must step up publicity especially for those with HIV / AIDS status who have MSM, non-MSW, and spouse / MPH.