2006年杭州市艾滋病自愿咨询检测状况分析

目的 调查杭州市接受艾滋病自愿咨询检测(VCT)人群的社会人口学特征和艾滋病病毒(HIV)感染状况,有针对性地制定杭州市艾滋病健康教育和高危干预计划.方法 对2006年1-12月第一次到杭州市疾病预防控制中心(CDC)艾滋病VCT 门诊求询的887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、危险行为等资料.由求询者自己决定是否接受HIV抗体检测.结果 887名求询者以20～39岁男性青壮年为主,占82.64%;男女比例7.82:1;66.52%未婚;56.82%大专以上学历;42.16%为男男性接触者;求询原因以发生危险性行为为主(88.16%);35.40%性行为中从未使用过安全套.98.08%的求询者接受HIV抗体检测,其中阳性7例,检出率0.80%,均为男性,6人通过男男性接触感染,1人通过异性性接触感染.结论 求询者以年轻未婚高学历男性为主,HIV感染者以男男性接触者为主.应广泛开展针对文化程度比较低的暗娼、吸毒人员、外来务工人员、家庭妇女等人群的艾滋病健康教育,加强针对男男性接触者的行为干预.

Analysis of the conditions of AIDS voluntary counseling and testing in Hangzhou, 2006

Objective The study was conducted to investigate the socio-demographic characteristics of AIDS counseling and testing volunteers and the condition of HIV infection in Hangzhou in order to facilitate the development of AIDS health education and risk intervention plans in a targeted population in Hangzhou. Methods Anonymous surveys were delivered to 887 people who visited for the first time the AIDS voluntary counseling and testing clinic of the center for disease prevention and control in Hangzhou during January to December, 2006 to collect data on their socio-demographic characteristics, reasons for counseling and risk behaviors. The HIV antibody test was conducted based on their own decision. Results The 887 counseling people consisted mainly of 20 to 39-year-old male adults that accounted for 82.64%. The male to female ratio was 7.82：1, and 66.52% of them were unmarried; 56.82% of them had a college or higher degree; 42.16% of them were MSM. The main reason for counseling was high-risk sexual behaviors （88.16%）. 35.40% never used condoms in sexual activities. A total of 98.08% of the counseling people received the HIV antibody test. As a result, seven cases were positive with the detection rate of 0.80%. All positive cases were male; six of them were infected through homosexual intercourse, whereas the other through heterosexual intercourse. Conclusion Highly educated young unmarried men predominated in the counseling people. High HIV infection rates were found among the MSM group. Under the circumstances, AIDS health education for Commercial sex workers who had relatively low education level, drug addicts, migrant workers and housewives should be promoted, and measures to intervene MSM behaviors should be intensified.