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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 demographic characteristics, HIV status and confirmed HIV-infected persons in VCT clinic in Xuhui District Center for Disease Control and Prevention in Shanghai and provide information on AIDS prevention and treatment work and policy making Realistic basis. Methods The survey data of VCT outpatients from 2010 to 2015 in Xuhui District were analyzed by SPSS 16.0. Results A total of 9 078 people came to the VCT clinics for counseling and testing in 2010-2015, with a detection rate of 96.96% (8 802), HIV antibody positive rate of 3.35% (295/8 802), males of 8 047 (88.64%), Young adults aged 15-34 accounted for 82.97% (7,532), unmarried persons accounted for 64.64% (5,868), and college graduates and above accounted for 78.85% (7,158). Among the reasons for the inquiry, 88.64% (8 047) had high-risk sexual behaviors; the first two positive rates of HIV antibody were male and female sexual history (9.15% and 200/2186); the positive rate of HIV / AIDS was 7.01% (11/157). Among the HIV / AIDS patients (referred to as HIV / AIDS patients) found by VCT, 67.80% (200/295) of MSM infections accounted for 67.80% of new HIV / AIDS patients in VCT in the same period The detection rate of CD4 + T lymphocyte (CD4) was higher (97.47%, 231/237) and CD4 cell (Median = 386 / μL) in 25.03% (237/947) In the same period, HIV / AIDS patients (83.80%, 595/710; Median = 297 / μL) were found in medical institutions, but the incidence and death rate were lower than the latter, the difference was statistically significant. Conclusions Voluntary counseling and testing have become one of the main ways to find out HIV / AIDS patients in Xuhui District. VCT can help early detection and follow-up of patients and improve prognosis, which will help curb AIDS.