2008年北京市石景山区艾滋病自愿咨询检测状况

目的调查北京市石景山区艾滋病自愿咨询检测（VCT）门诊现状,及时了解VCT门诊存在的问题,便于针对性地制定艾滋病健康教育和高危行为干预计划,使VCT门诊更多更及时地发现HIV感染者。方法对2008年1～12月到北京市石景山区疾病预防控制中心（CDC）艾滋病VCT门诊求询的580名求询者进行匿名问卷调查,收集社会人口学特征、求询原因、危险行为等信息,由求询者决定是否接受HIV抗体检测。结果580名求询者以20～40岁青壮年为主,占80.5%;男女比例为1.4∶1;41.6%未婚,52.9%已婚;初中及以下文化占51.0%;求询原因以非婚异性性行为为主,占54.3%;92.4%接受HIV抗体检测,其中阳性3例,HIV抗体检出率为0.6%;3例阳性者均为通过男男性接触感染,男男性接触人群HIV抗体检出率为8.3%。结论求询者以20～40岁青壮年为主,求询原因多样,以非婚异性性行为为主,HIV抗体感染者以男男性接触人群为主。VCT能有效发现HIV抗体阳性者,应广泛开展VCT工作,加强对男男性接触者的行为干预。

Current status of voluntary counseling and testing for HIV infection in Shijingshan district,Beijing,2008

Objective To investigate current status of clinics for HIV voluntary counseling and testing（VCT）in Shijingshan,Beijing and existed issues there in order to facilitate development of HIV/AIDS health education and high-risk behavior intervention plans in targeted population and detect those infected with HIV more and better.Methods Anonymous questionnaire survey was delivered to 580 counselees who visited for HIV/AIDS VCT clinics in Shijingshan District Center for Disease Prevention and Control during January to December 2008 to collect information about their socio-demographic characteristics,reasons for counseling,high-risk behavior,and so on.HIV antibody test was conducted based on their own decision.Results Totally,580 counselees visited the clinics during that period were interviewed,80.5 percent of them at 20 to 40 years of age,with a sex ratio（men to women）of 1.4,41.6 percent of them unmarried and 52.9 percent married,and 51.0 percent with educational level of junior high schools or lower.Main reason for their counseling was non-marital heterosexual（54.3%）behavior and 92.4 of them received HIV antibody tests.Three cases were HIV positive,with a positive detection rate of 0.6 percent overall,and all of the three were men who have sex with men（MSM）,with a MSM-specific positive detection rate of 8.33 percent.Conclusion Counselees who visited HIV VCT clinics are adults aged 20 to 40-years predominately in Shijingshan,with variety of reasons mainly due to non-marital heterosexual behavior.Serum positive HIV antibody was mainly detected among MSM group,so VCT should be extensively carried out to effectively detect people living with HIV and behavior intervention among MSM should be strengthened.