北京市丰台区艾滋病自愿咨询检测人群梅毒和艾滋病病毒感染率及其影响因素分析

目的了解北京市丰台区艾滋病自愿咨询检测(VCT)人群的梅毒和艾滋病病毒(HIV)感染率及其影响因素。方法根据《试点城市检测咨询个案登记表》,2010-2012年对主动来丰台区VCT门诊的就诊人群进行HIV抗体检测、梅毒快速血浆反应素试验(RPR)检测和问卷调查。结果 2010、2011和2012年,VCT就诊人群HIV抗体阳性检出率分别为2.1%、1.5%和5.3%,梅毒RPR阳性率分别为3.9%、2.2%和8.1%。logistic回归显示影响VCT人群HIV阳性率的因素有性别、梅毒感染情况、输血/血制品史、注射毒品史、配偶/固定性伴阳性史及男男同性性行为史。结论配偶/固定性伴阳性史及男男同性性行为史是丰台区VCT门诊求询者HIV传播最主要的传播方式,应进一步做好该人群艾滋病预防宣传干预检测工作。

Prevalence of HIV infection and syphilis and associated risk factors among people receiving voluntary counsel and test for HIV in Fengtai,Beijing,2010- 2012

Objective To learn about the prevalence of HIV infection and syphilis as well as associated risk factors among the people receiving voluntary counsel and test（ VCT） for HIV in Beijing. Methods HIV test,rapid plasma reagin test（RPR） and questionnaire survey were conducted among the people receiving VCT for HIV in Fengtai district,Beijing from 2010 to 2012. Results The infection rate of HIV was 2. 1%,1. 5% and 5. 3% and the prevalence of syphilis was 3. 9%,2. 2% and 8. 1%,respectively,in 2010,2011 and 2012. Multivariate logistic regression analysis showed that male,syphilis infection,blood transfusion /blood product use,injecting drug use,sex with HIV positive spouse /sex partner and sex between men were the major risk factors for HIV infection. Conclusion Sex with HIV positive spouse or sex partner and sex between men were the main transmission routes for HIV in people receiving VCT in Fengtai. It is necessary to strengthen the health education and HIV surveillance among them.