2018年成都市某艾滋病自愿咨询检测门诊求询者HIV感染状况及原因分析

目的 分析我院2018年艾滋病自愿咨询检测（VCT）门诊求询者的流行病学资料及人类免疫缺陷病毒（HIV）感染情况，为艾滋病防治工作提供参考依据。方法 对2018年我院VCT门诊求询者的性别、年龄、文化程度、婚姻状况、男男性行为、使用安全套等流行病学情况以及HIV抗体检测结果进行回顾性分析。结果 2018年VCT门诊求询者有858人，其中男822人（占95.8%），女36人（占4.2%），年龄以20～39岁为主（740人，占86.25%）。HIV抗体检测阳性者71例，阳性率为8.28%（71/858），其中男70例，女1例，年龄仍以20～39岁为主（51例，占71.83%）。多因素logistic回归分析显示，年龄大于50岁、男男性行为、未使用安全套及文化程度低是本组求询者发生HIV感染的易感因素。年龄为20～39岁的人群发生HIV感染的风险较年龄大于50岁人群者更低（OR=0.419），有男男性行为者（MSM）发生HIV感染的风险是没有男男性行为者的20.606倍，未使用安全套者发生HIV感染的风险是使用安全套者的7.058倍，而文化程度初中及以下者发生HIV感染的风险是大专及以上者的2.547倍。结论 艾滋病VCT门诊是控制艾滋病传播的重要途径之一，门诊医师需重视对低文化程度者、发生男男性行为者、中老年男性进行健康教育和行为干预。

Analysis on HIV infection status and influencing factors in voluntary counseling and testing (VCT) clinic clients of Chengdu in 2018

To analyze the epidemiological data and HIV infection status of the informants in the acquired immune deficiency syndrome(AIDS) VCT clinic of our hospital in 2018, and thus to provide references for the prevention and treatment of AIDS. Methods The epidemiological information including sex, age, education level, marital status, male behavior, condom use and HIV antibody test of the voluntary consulters in the AIDS VCT clinic of our hospital in 2018 was retrospectively analyzed. Results In 2018, there were 858 consulters in the VCT clinic, among which 822 were male(95.8%)and 36 were female(4.2%), mainly aged from 20 to 39(740, 86.25%). There were 71 HIV antibody positive cases, with a positive rate of 8.28%(71/858), including 70 males and 1 female. The age was still mainly 20-39 years old(51 cases, accounting for 71.83%). Multivariate logistic regression analysis showed that, age over 50, male behavior, lack of condom use and low educational level were the risk factors for HIV infection among the consulters. The risk of HIV infection in people aged 20 ～39 was lower than whose age over 50(OR=0.419), the risk of HIV infection in men who have sex with men(MSM) was 20.606 times of those without MSM, the risk of HIV infection in people who did not use condoms was 7.058 times of those with condoms, and the risk of HIV infection in poor educational background people was 2.547 times of those college or above.Conclusion AIDS VCT clinic is one of the important ways to control the spread of AIDS, and physicians need to strengthen the health education and behavioral intervention on the patients with low education level, the patients with male behavior,and the middle-aged and elderly men.