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目的了解上林县艾滋病咨询检测者的社会人口学特征及艾滋病病毒感染情况,为今后更好地开展VCT服务,制定艾滋病防治对策提供科学依据。方法采用描述性流行病学方法,对2008~2013年到上林县各VCT门诊求询者的资料和HIV抗体检测结果进行统计分析。结果 2008~2013年上林县接受VCT服务的总人数为2 817人,其中男性1 818人,占64.54%;女性999人,占35.46%,男女之比为1.82∶1。20~49岁的青壮年占82.61%,已婚者占81.19%,初中文化占71.67%;求询者类型以有商业、非商业非固定异性性行为(即多性伴)史者为主,分别占58.64%、22.93%;2 817名求询者全部自愿接受HIV抗体检测,共检出HIV抗体阳性者101例,检出率为3.59%,其中有商业异性性行为史检出率最高占61.39%、有非商业非固定异性性行为史者占11.88%、配偶/固定性伴阳性占14.85%。结论通过艾滋病自愿咨询检测,能够及时发现艾滋病病毒感染者及病人,进而实施高危人群的艾滋病健康教育和行为干预、推广使用安全套,能有效降低艾滋病传播。
Objective To understand the socio-demographic characteristics and HIV infection of AIDS counselors in Shanglin County and provide a scientific basis for further developing VCT services and formulating AIDS prevention and control measures in the future. Methods A descriptive epidemiological method was used to analyze the data of all the VCT outpatients from 2008 to 2013 and the HIV antibody test results. Results The total number of VCT services in Shanglin County from 2008 to 2013 was 2 817, of which 1818 were male, accounting for 64.54%; 999 were female, accounting for 35.46%, the ratio of male to female was 1.82: 1.20 to 49 82.61% of them are young adults, 81.19% are married, and 71.67% are from junior middle school. The type of inquirers is mainly based on the history of commercial and non-commercial non-fixed heterosexual behaviors (ie, multiple sex partners), accounting for 58.64% 22.93%; 2,817 interviewees voluntarily received HIV antibody test, of which 101 cases were positive for HIV antibody, the detection rate was 3.59%. Among them, the highest rate of commercial heterosexual behavior was 61.39% Commercial non-fixed heterosexual behavior history accounted for 11.88%, spouse / fixed sex with positive accounted for 14.85%. Conclusions Voluntary counseling and testing of AIDS can promptly identify people living with HIV and patients, further implement AIDS health education and behavioral intervention in high-risk groups, promote condom use, and effectively reduce the spread of AIDS.