烟台市2009-2011年艾滋病自愿咨询检测人群现况

目的了解烟台市艾滋病自愿咨询检测（VCT）人群的现况,为有针对性地加强VCT工作提供科学依据。方法对2009-2011年烟台市各VCT门诊的主动求询者进行匿名问卷调查。结果共调查29 935人,男性18 209人（占60.83%）,女性11 726人（占39.17%）;以青壮年为主,21～40岁的23 891人（占79.81%）;已婚者和未婚者所占比例相当,分别为50.31%（15 060人）、45.21%（13 535人）。求询原因中,非婚异性性行为史的23 427人（占78.26%）。27 979人进行了HIV抗体检测,其中初次检测的25 329人（占90.53%）,HIV抗体阳性检出率为0.22%（61/27 979）。有注射毒品史者（IDU）检出率最高,为15.38%（4/26）,有男男性行为史者次之,为2.22%（44/1 984）。2010-2011年,梅毒血清抗体检测率为94.54%（21 293/22 523）,检测阳性率为1.37%（291/21 293）。结论 VCT是及时发现感染者的有效手段,有非婚异性性行为者、男男性行为者是VCT的重点人群。

Status of clients attending H1V voluntary counseling and testing clinics in Yantai, 2009 - 2011

Objective To investigate the characteristics of clients attending human immunodeficiency virus （HIV） voluntary counseling and testing （VCT） clinics, and provide a scientific basis for VCT strengthening. Meth- ods Clients attending VCT clinics from 2009 to 2011 in Yantai were investigated through questionnaires anonymously. Results Totally 29 935 persons were surveyed, of whom 18 209 were males （60.83%） and 11 726 were females （39.17%） ; young adults formed a major proportion, with 23 891 persons aged 21-40 （79.81%） ; the proportions of married and unmarried persons were 50.31% （15 060） and 45.21% （13 535） respectively; 23 472 persons attended VCT clinics due to their history of extramarital heterosexual behavior, which comprised the largest proportion （78.26 %） ; 27 979 persons received HIV antibody screening, and of them 25 329 persons were tested for the first time, accounting for 84.61%. The HIV positive rate was 0.22% （61/27 979）. The highest HIV positive rate was found among people who had the history of injecting drug use （IDU） （15.38%, 4/26）, and was followed by those with history of male homosexual behavior （2.22%, 44/1 984）. In 2010-2011, the rate of syphilis serum antibody detection was 94.54% （21 293/22 523）, and the positive rate was 1.37% （291/21 293）. Conclusion VCT is an effective way to identify HIV infectors timely. People who have the histories of extra-marital heterosexual behavior and male homosexual behavior are the key target populations in AIDS counseling and testing.