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目的了解天津市河东区2013年自愿咨询检测(VCT)人类免疫缺陷病毒(HIV)感染情况,为该区艾滋病防治提供科学依据。方法收集河东区2013年VCT点求询者的个案信息及HIV感染者/艾滋病(AIDS)患者的个案信息,进行统计分析。结果 2013年共有766人接受咨询,实际检测762人,HIV阳性率为3.28%(25/162)。梅毒检测376人,梅毒阳性率为4.79%(18/376)。求询者中男性多于女性(6.47∶1),年龄以20~29岁居多;文化程度以大专及以上者居多,占51.70%(396/766);婚姻状况以未婚居多,占45.69%(350/766)。25例确证阳性求询者中,只有1例女性。阳性检出者大多有高危行为,尤其是男男性行为者,其阳性率为15.38%。离异或丧偶人群HIV检出率为12.50%,小学文化程度的人群阳性率为11.11%。结论河东区VCT人群AIDS感染率很高,应在男男性行为人群、离异或丧偶史人群和文化程度低的人群中加强VCT的宣传工作,让更多的人接受VCT服务。
Objective To understand the status of human immunodeficiency virus (HIV) infection in voluntary counseling and testing (VCT) in Hedong District of Tianjin in 2013 and provide a scientific basis for AIDS prevention and control in this area. Methods The case information of VCT candidates and the case information of HIV / AIDS patients in Hedong District in 2013 were collected for statistical analysis. Results A total of 766 people received counseling in 2013, with 762 people actually tested. The HIV positive rate was 3.28% (25/162). Syphilis was detected in 376 people, the positive rate of syphilis was 4.79% (18/376). The number of males was higher than that of females (6.47: 1), and the age was mostly between 20 and 29 years old. The majority were college graduates and above, accounting for 51.70% (396/766) of them. The marital status was mostly unmarried, accounting for 45.69% 350/766). Of the 25 confirmed positive inquiries, only 1 female. Positive detection of mostly high-risk behavior, especially men who have sex with men, the positive rate of 15.38%. The detection rate of HIV in divorced or widowed people was 12.50%, and the positive rate in primary school education was 11.11%. Conclusion The prevalence of AIDS in Hetong VCT population is very high. The publicity of VCT should be strengthened among MSM, divorced or widowed people and those with low educational level so that more people can receive VCT services.