2008-2011年上海市长宁区VCT情况分析

目的分析上海市长宁区艾滋病自愿咨询检测（VCT）人群相关情况,以及艾滋病病毒（HIV）抗体检测和部分人群梅毒检测结果,为今后艾滋病性病防治干预工作提供科学的依据。方法搜集2008-2011年上海市长宁区疾病预防控制中心VCT门诊求询者的基本信息,以及HIV抗体及部分求询者梅毒检测结果等资料进行统计学分析。结果 2008-2011年,长宁区疾病预防控制中心VCT门诊接受咨询检测服务共计3 382人,求询者男女性别比为11.6∶1;求询者以25～44岁的青壮年人群为主,占66.74%（2 257/3 382）。求询者均有性接触史（非婚异性性行为、男男性行为、配偶/固定性伴阳性）,且男男性行为人群（MSM）比例呈逐年上升趋势。求询者中曾经接受过HIV抗体检测所占比例总体呈上升趋势（z=18.854,P〈0.000 1）;2008-2011年,96.24%（3 255/3 382）的求询者接受了HIV抗体检测,且阳性率呈逐年升高的趋势（z=5.680 5,P〈0.000 1）。HIV抗体阳性人群中,配偶/固定性伴阳性者及MSM人群阳性率较高,分别为10.53%（8/76）、7.45%（89/1 195）,其中MSM人群HIV抗体阳性率总体呈上升趋势。同时接受HIV和梅毒抗体检测的1 713名求询者中,梅毒抗体阳性人群的HIV阳性率为24.62%（16/65）,梅毒抗体阴性人群的HIV抗体阳性率为4.49%（74/1 648）,两者之间的差异有统计学意义（χ2=50.88,P〈0.000 1）。结论今后的工作重点在于加强对配偶/固定性伴阳性者的知识宣传和行为干预,尽早发现感染者,减少二代传播;MSM人群的干预以及其阳性感染者获得很好的后续服务及管理,也是今后干预工作的一项重要内容。

Analysis of HIV VCT performance in Changning District, Shanghai from 2008 to 2011

Objective To analyze the general information on the people who received human immunodeficiency virus（HIV） voluntary counseling and testing （VCT） in Changning District, Shanghai and their HIV and syphilis test results and to make scientific suggestions for further improvement of HIV/sexually transmitted diseases（STD） prevention and control. Methods The general information on the people who came for VCT in Changning District Center for Disease Prevention and Control （CDC） was collected, and their HIV and syphilis test results were analyzed by statistical methods. Results From 2008 to 2011 ,Changning District CDC VCT clinic provided VCT services for 3 382 people in total, and the malef/emale ratio was 11.6 ： 1. Clients seeking VCT were mainly young people aged 25-44 years, accounting for 66.74%（2 257/3 382）. Most of the VCT visitors had sexual contact history including extramarital heterosexual behaviors, male homosexuals （MSM）, HIV positive spouse/fixed sexual partner, and the percentage of MSM was increasing. Furthermore, the percentage of VCT visitors who used to receive HIV test before was increasing （z=18. 854,P〈0. 000 1）. Of them 96. 24%（3 255/3 382） had HIV test during 2008-2011. The HIV positive rate tended to increase in these years（z= 5. 680 5, P〈0. 000 1）. Among HIV positive people those with HIV positive spouse/fixed partners and MSM had higher HIV positive rate, which accounted for 10. 53% （8/76） and 7.45% （89/1 195）, respectively. The HIV positive rate among MSM was increasing in general. Among 1 713 VCT visitors who received both HIV and syphilis testing, 24. 62%（16/65） was HIV positive in syphilis positive persons,and 4.49% （74/1 648） was HIV positive in syphilis negative persons, and the difference between these two results had statistical significance （χ^2 = 50. 88, P〈0. 000 1）. Conclusion Health education and behavioral interventions should be focused on the people who have should be essential for HIV prevention and control.