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目的了解沈阳市2014年AIDS自愿咨询检测(VCT)者HIV感染情况,为制定AIDS防控措施提供依据。方法对VCT门诊主动求询者,经知情同意进行HIV抗体筛查,并对阳性者资料进行分析。结果沈阳市2014年VCT门诊共计咨询1 659人次,主动咨询并接受HIV检测963人,确认HIV阳性104人(10.8%),其中75人(72.1%)为HIV感染,29人(27.9%)为AIDS病人;性别比12∶1,21~40岁占74.1%,未婚占78.8%,≥大专文化者占60.6%。有90.3%经性接触传播,其中81.7%有同性性行为。结论 VCT服务是发现HIV感染和AIDS病人的重要窗口,性传播尤其是同性传播是为沈阳市HIV感染的重要途径,文化程度较高的未婚男性青壮年为高危人群。应加大健康宣传力度,加快VCT门诊建设,发挥VCT咨询检测作用。
Objective To understand the status of HIV infection among AIDS voluntary counseling and testing (VCT) in Shenyang in 2014, and to provide basis for developing AIDS prevention and control measures. Methods VCT outpatient active inquiries, informed consent of HIV antibody screening, and analysis of positive data. Results In 2014, a total of 1 659 VCT clinics were counseled in Shenyang. 963 HIV-positive patients were interviewed and HIV-positive, 104 (10.8%) were HIV-positive. Among them, 75 (72.1%) were HIV-infected and 29 AIDS patients; sex ratio 12: 1, 21 ~ 40 years old accounted for 74.1%, unmarried accounted for 78.8%, ≥ tertiary education accounted for 60.6%. 90.3% were sexually transmitted, of which 81.7% had same-sex behavior. Conclusions VCT service is an important window to find HIV infection and AIDS patients. Sexual transmission, especially homosexual transmission, is an important way of HIV infection in Shenyang City. The unmarried male with high education level is at high risk. Health promotion efforts should be stepped up to speed up construction of VCT clinics and give full play to VCT consulting and testing.