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目的了解四川省艾滋病自愿咨询检测(VCT)现状,为分析艾滋病流行现状和趋势、评估防治需求提供科学依据。方法以国家艾滋病综合防治数据信息管理系统导出的2007-2009年四川省自愿咨询检测数据为依据进行分析。结果截至2009年底,全省已建的558个VCT中,有近2/5没有上报数据,总的VCT点有效工作率为59.68%。15～44岁的青壮年咨询者3年的构成比分别为89.56%、77.07%和82.94%,求询者原因为非婚异性性行为史3年分别占34.07%、25.75%、30.48%,其次是有手术史者、有注射毒品史者、有性病史者,其他与不详者所占分别为31.07%、45.46%和39.85%。阳性检出率较高的求询者类型主要为配偶/固定性伴阳性、男男性行为史者、母亲阳性者、注射毒品史者、非婚异性性行为史等。结论四川省VCT点有效工作率低,咨询者以青壮年为主,求询原因以其他与不详所占比例最高,其次为非婚异性性行为史者。
Objective To understand the current status of voluntary counseling and testing (VCT) in AIDS in Sichuan Province and provide a scientific basis for analyzing the current situation and trend of AIDS epidemic and assessing prevention and control needs. Methods Based on the voluntary counseling and testing data of Sichuan Province from 2007 to 2009, which was derived from the national integrated AIDS prevention and control data information management system, the method was analyzed. Results As of the end of 2009, nearly two-fifths of 558 VCTs built in the province did not report data, and the total effective working rate of VCTs was 59.68%. The proportions of three-year adolescents who aged 15-44 years were 89.56%, 77.07% and 82.94%, respectively. The reason for asking for information was 34.07%, 25.75% and 30.48%, respectively, of the history of non-marital sexual intercourse for 3 years, followed by There is a history of surgery, there is a history of drug injections, history of sexual history, other and unknown accounted for 31.07%, 45.46% and 39.85% respectively. The main types of persons with higher positive detection rate were males with positive spouse / fixed sex, history of men who had sex with men, positive mothers, history of drug injections and history of non-marital sexual behavior. Conclusions The effective working rate of VCT in Sichuan Province is low, the consultants are mainly young and middle-aged, the reason for asking is the highest among other and unknown, and the second is the history of non-marital sexual behavior.