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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。
Objective To analyze the prevalence of HIV / AIDS voluntary counseling and testing (VCT) in Changning District of Shanghai and the results of HIV antibody testing and syphilis testing in some populations so as to provide a scientific basis for future HIV / AIDS STD intervention. Methods The basic information of VCT outpatients from 2008 to 2011 in Changning District Center for Disease Control and Prevention from 2008 to 2011 were collected, and the results of HIV antibody and syphilis test in some patients were collected for statistical analysis. Results From 2008 to 2011, a total of 3 382 counseling and testing services were provided to VCT clinics in Changning District Center for Disease Control and Prevention, and the sex ratio of interrogators was 11.6:1. Inquirers were mainly young and middle-aged adults aged 25 to 44, accounting for 66.74% (2 257/3 382). Inquiries were history of sexual contact (non-marital heterosexual men and women, spouses / sex partners with positive), and the proportion of men who have sex with men showed a rising trend year by year. The proportion of those who had been tested for HIV antibody had an overall upward trend (z = 18.854, P <0.0001); from 2008 to 2011, 96.24% (3 255/3 382) Test, and the positive rate showed a trend of increasing year by year (z = 5.680 5, P <0.000 1). Among the HIV-positive people, the positive rates of spouse / fixed sex partner and MSM were 10.53% (8/76) and 7.45% (89/1 195), respectively. The positive rate of HIV antibody in MSM population was generally higher trend. Among 1 713 inpatients receiving simultaneous HIV and syphilis antibody tests, the positive rate of HIV was 24.62% (16/65) in syphilis-positive patients and 4.49% in syphilis-negative patients (74/1 648) ), The difference between the two was statistically significant (χ2 = 50.88, P <0.0001). Conclusion The focus of future work is to strengthen the knowledge and behavioral interventions for spouse / positive partner, find the infected person as soon as possible and reduce the second generation transmission. MSM population intervention and positive infection get good follow-up service and management, It is also an important part of future interventions.