2009年桂西山区规范化性病门诊艾滋病VCT求询及HIV感染状况分析

目的：了解桂西山区规范化性病门诊开展艾滋病自愿咨询检测（VCT）求询类与HIV感染之间的关系，探讨高效VCT以及改变求询者高危行为的方法。方法：根据卫生部《艾滋病免费自愿咨询检测管理办法》的要求，在规范化性病门诊中由接受过VCT专职培训的医生与求询者进行“一对一”HIV抗体初筛检测前后咨询，填写（STL／AIDS知识认知情况和行为调查表》，进行性病专项检查，并与每月10日前上报CDC；对检测者解释检测结果，强化HIV传播信息及降低高危行为的方法，建立完善的转介网络，阳性者提供支持性咨询，转介CDC并跟踪随访，及时记录。结果：2009年1月1日～12月31日桂西山区规范化性病门诊共接待求询者338人，其中196人为男性、142人为女性；20～50岁占81．46％；因高危性行为咨询者占90．16％；检出HIV抗体阳性12例，感染率为1．96％。结论：在桂西山区规范化性病门诊开展高质量的VCT，让高危人群主动接受完善的HIV／AIDS自愿检测服务，是主动预防和发现艾滋病和性病的重要措施。

AIDS VCT and HIV infection in the mountain areas of west Guangxi in 2009

Objectives： To explore the.relationship between the implementation of AIDS voluntary counseling and testing （VCT） and HIV infection in the mountain areas of west Guangxi. This paper also disensses how to enhance the eltieieney of VCT and avoid high - risk behaviors. Methods： According to regulations and requirements of Ministry of Health, patients receive VCT from well - trained doctors. They fill in forms about STL and AIDs, and receive medical examinations. The doctors should explain the exanimation results to the patients, emphasize the dangers of HIV, and follow up patients. Results： From January 1 to Decem- ber 21,2012, 338 people received VCT in the mountain areas of west Guangxi, of which 196 were men and 142 women. 81.46% of them aged between 20 and 50. 90.16% received VCT due to high - rick sex. Twelve of 338 people were HIV - positive, the infection rate being 1.96%. Conclusion： Quality VCT in normative outpatient service should be carried out in the mountain areas of west Guangxi. Those with high risks should take VCT. By doing these can we detect HIV early and intervene early.