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目的分析2011-2014年云南省50岁以上人群艾滋病自愿咨询检测(VCT)情况,为云南省老年人群艾滋病防治工作提供科学依据。方法将2011-2014年云南省所有进入VCT门诊接受VCT服务并登记上报的50岁以上求询者作为调查对象,进行艾滋病病毒(HIV)和梅毒咨询检测。采用非条件Logistic回归分析影响艾滋病VCT人群艾滋病感染的相关因素。结果 2011-2014年,云南省共为26 807名50岁以上求询者提供了VCT服务,各年求询人数分别为5621人、6788人、7073人、7325人;共检出HIV抗体阳性者3856人,阳性率为14.38%。HIV抗体阳性检出率由2011年的17.79%下降到2014年的12.75%,男性求询者HIV阳性检出率高于女性。经Logistic回归分析结果显示:年龄大,未婚和离异丧偶者、配偶/固定性伴阳性和有商业异性性行为均为HIV阳性的影响因素。求询者梅毒抗体检测阳性率为1.38%~2.34%,无明显变化。结论老年人寻求HIV检测意识有所提高,VCT已成为发现老年人HIV感染病例的一个重要方式,需加强离异或丧偶、有商业异性性行为的男性老年人的干预工作。
Objective To analyze the status of voluntary counseling and testing (VCT) on HIV / AIDS among people over the age of 50 from 2011 to 2014 in Yunnan Province, and provide scientific evidences for HIV / AIDS prevention and treatment among the elderly in Yunnan Province. Methods All HIV / AIDS and syphilis counseling were conducted among all those over 50 in Yunnan Province who received VCT services and were enrolled in VCT in 2011-2014. Non-conditional Logistic regression analysis of AIDS-related factors affecting HIV infection in VCT population. Results From 2011 to 2014, Yunnan Province provided VCT services for 26 807 people over the age of 50. The number of inquiries in each year was 5621, 6788, 7073 and 7325 respectively. A total of HIV positive 3856 people, the positive rate was 14.38%. The positive rate of HIV antibody decreased from 17.79% in 2011 to 12.75% in 2014, and the male HIV positive rate was higher than that of female inquirers. Logistic regression analysis showed that: older, unmarried and divorced widowed, spouse / fixed sexual partners and commercial heterosexual behavior are HIV-positive factors. Inquire the positive rate of syphilis antibody detection 1.38% ~ 2.34%, no significant change. CONCLUSIONS: Older adults are seeking more awareness of HIV testing. VCT has become an important way to detect cases of HIV infection among the elderly. It is necessary to step up the intervention of male seniors who have divorced or widowed and have commercial heterosexual behaviors.