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目的分析元阳县HIV感染者配偶接受HIV检测及HIV阳性检出影响因素,为本地做好HIV阳性者配偶预防控制HIV提供依据。方法筛选出元阳县(2014~2015)年VCT服务人群中因配偶为HIV阳性感染者而求寻检测的个案信息及实验室检测结果进行统计学分析。结果元阳县(2014~2015)年有263名HIV阳性配偶求询者,HIV抗体阳性检出率达30.4%,其中既往接受过HIV抗体检测的131人中检出HIV阳性率为19.1%,低于未接受过HIV抗体检测的HIV阳性检出率(41.7%),差异具有统计学意义(χ~2=15.84,P<0.01)。多因素Logistic回归显示性别、年龄、既往检测3个因素与HIV阳性检出率有关。结论元阳县HIV感染者配偶HIV阳性检出率高,首证感染一方为男性、年龄≥50岁和既往未接受HIV检测是HIV阳性检出率的独立危险因素。
Objective To analyze the influencing factors of HIV testing and HIV positive detection in spouses of HIV-infected spouses in Yuanyang County, and to provide a basis for HIV prevention and control of HIV in local HIV-positive spouses. Methods Screening out the case information and laboratory test results from the VCT service population in Yuanyang County (2014-2015) seeking spouse HIV positive infection were statistically analyzed. Results A total of 263 HIV-positive spouses were interviewed in Yuanyang county from 2014 to 2015. The positive rate of HIV antibody was 30.4%. Of the 131 HIV-positive patients, HIV positive rate was 19.1% The difference was statistically significant (χ ~ 2 = 15.84, P <0.01), which was lower than that of HIV-positive people without HIV antibody test (41.7%). Multivariate Logistic regression showed that gender, age and previous detection of three factors were related to the positive detection rate of HIV. Conclusion The HIV positive rate of couples with HIV infection in Yuanyang County was high, and the first infection was male. The age≥50 years old and non-HIV infection were independent risk factors of HIV positive detection.