7省(自治区)性病门诊首诊性病患者中HIV检测和感染状况分析

目的 分析性病门诊首诊性病患者中HIV检测、感染状况及其影响因素,为推进HIV检测咨询服务提供科学依据。方法 2013年1月至2014年12月,对辽宁等7省份9个哨点性病门诊首诊和报告的性病患者填写专门设计的性病报告附卡,记录相关信息,并鼓励患者进行HIV咨询和检测。采用logistic回归模型分析调查对象接受HIV检测的影响因素。结果 在报告的5 063例性病患者中,2 668人(52.7%)进行了HIV检测,其中63人HIV抗体阳性,抗体阳性率为2.4%(63/2 668)。多因素logistic回归分析结果显示,性病门诊所在地、户籍、婚姻状况、所患性病种类和就诊原因与接受HIV检测有关联。结论 性病患者对HIV咨询和检测服务的接受性较好,HIV抗体阳性率也较高,需进一步探讨该人群不接受HIV检测服务的影响因素。

HIV detection and prevalence among sexullay transmitted diseases clinic patients in seven provinces (Autonomous Region)

Objective To understand the performance of HIV detection, prevalence and related factors in sexually transmitted diseases (STD) clinics and provide evidence for the improvement of HIV test and counsel services. Methods From January 2013 to December 2014, a survey was conducted in 9 sentinel STD clinics in Laoning province and other 6 provinces. Newly diagnosed STD patients were asked to fill out in STD reporting cards and encouraged to receive HIV test and counsel. Univariate and multivariate logistic regression analyses were conducted to identify the factors associated with the acceptance of HIV test. Results Of the 5 063 STD cases reported, 2 668(52.7%) received the HIV screening test, in which, 63(2.4%) were positive for HIV. Multivariate logistic regression analysis indicated that the acceptance of HIV test was associated with the location of STD clinic, patients'' original living place, patient''s marital status, type of STD, and reasons for seeking medical care in STD clinic. Conclusion HIV counsel and test were well accepted by STD patients, and the HIV positive rate was high. More studies are needed to further explore factors that impede the acceptance of HIV counsel and test services in STD clinics.