2010年~2013年珠海市艾滋病自愿咨询检测人群HIV感染率及的影响因素分析.docVIP

2010年~2013年珠海市艾滋病自愿咨询检测人群HIV感染率及的影响因素分析 　　摘要：目的 了解珠海市艾滋病自愿咨询检测（VCT）人群中HIV感染状况及其影响因素。方法 收集2010年~2013年在珠海市VCT门诊接受咨询检测的求询者信息，对于需要接受HIV抗体检测的求询者抽血进行抗体检测，并分析其影响因素。结果 4年共接受咨询检测7690人次，总的HIV阳性检出率为1.46%。多因素Logistic回归分析显示:年龄（OR=1.055,P0.05），婚姻状况（离异OR=2.926,P0.05），文化程度（初中及以下学历OR=1.730,P0.05)以及求询者类型中男性同性传播（OR=11.816，P0.05)是感染HIV的主要影响因素。结论 珠海市VCT求询者HIV感染率高于国家平均水平，应针对男性同性性行为人群、离异人群、初中及以下低学历人群进一步加强艾滋病干预工作，以有效控制艾滋病疫情蔓延。 　　关键词：艾滋病；自愿咨询检测；感染率；影响因素 　　Prevalence and Influencing Factors of HIV Infection Among Participants in Voluntary Counseling and 　　Testing from 2010~2013in Zhuhai 　　ZHOU Yi, LIU Ya-wei, GONG Jian 　　(Zhuhai Center for Disease Control and Prevention,Zhuhai 519000,Guangdong,China) 　　Abstract：Objective To determine prevalence and influencing factors of HIV infection among participants in voluntary counseling and testing (VCT) in Zhuhai. Methods Information on the participants having asked for HIV testing at Zhuhais VCT department during 2010 and 2013 was collected, and antibody test was carried out for those participants who needed for HIV antibody testing. To analyze the prevalence and influencing factors of HIV infection. ResultsThe total number of accepting consulting and testing was 7690 in 4 years, and the total HIV positive rate was 1.46%. Multiple logistic regression analysis indicated that age (OR=1.055,P0.05), people who were divorced (OR=2.926,P0.05), people who were lower education level(OR=1.730,P0.05), and man who have sex with man(OR=11.816,P0.05), are the main influencing factors for people who infecting HIV. ConclusionThe HIV prevalence among VCT participants in Zhuhai was higher than the HIV prevalence level of State. VCT promotion should he strengthened among man who have sex with man, people who were getting divorced and people who were lower education level. 　　Key words：AIDS；Voluntary counseling and testing；Prevalence；Influencing factor艾滋病自愿咨询检测是发现艾滋病病例，阻断艾滋病病毒二代传播，给予艾滋病病例心理支持和医学关怀的重要措施，也是改变求询者高危行为，提高艾滋病认知，消除歧视的重要策略[1-3]。随着艾滋病知识宣传的普及，越来越多的人寻求VC