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目的了解荆州市接受艾滋病自愿咨询检测(VCT)服务人群的现状,为探寻HIV感染重点人群、为制定艾滋病防治措施提供科学依据。方法对荆州市2012-2013年接受VCT服务的人员的人口学状况、求询原因、危险行为等进行统计学分析。结果 10 701名求询者中男性5 751人,女性4 950人,男女性别比为1.16∶1。年龄主要集中在20~49岁,占92.17%;已婚有配偶的7 678人(71.75%);求询者中有非商业非固定异性性行为史的占45.41%;有商业异性性行为史的占35.49%;10 701名求询者接受了HIV抗体检测,检出阳性72例,HIV检出率为0.67%。配偶/固定性伴阳性史的咨询者HIV抗体检出率最高,为8.72%(13/149),有男男性行为者次之。结论VCT是及时发现HIV感染者的有效手段,有非婚非固定异性性行为、商业性性行为及男男性行为者是感染HIV的重点人群。
Objective To understand the status quo of Jingzhou receiving voluntary counseling and testing (VCT) service crowd and provide a scientific basis for AIDS prevention and control measures in order to find out the key HIV-infected population. Methods Statistical analysis was made on the demographic status, reasons for asking, dangerous behaviors and so on of the staff who received VCT service from 2012 to 2013 in Jingzhou City. Results Among the 10 701 inquires, 5 751 were males and 4 950 were females, with a male / female ratio of 1.16: 1. The age was mainly from 20 to 49 years old, accounting for 92.17% of the total; 7 678 (71.75%) married couples had spouses; 45.41% of those seeking non-commercial non-fixed heterosexual sex history had business heterosexual sex history Accounted for 35.49% of the total; 10 701 patients were tested for HIV antibody, 72 cases were positive, the detection rate of HIV was 0.67%. The highest HIV antibody detection rate was found in consultants who had a spouse / gender with a positive history of fixation (8.72%, 13/149), followed by those with MSM. Conclusion VCT is an effective means to detect HIV infection in time. Non-marital non-fixed heterosexual behavior, commercial sexual behavior and men who have sex with men are the key HIV-infected people.