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目的了解德宏州乡镇卫生院主动提供艾滋病咨询检测服务(PITC)的人群中,艾滋病病毒(HIV)感染率及其影响因素。方法在德宏州全部54个乡镇卫生院,由经培训的医生对就诊者PITC:根据其危险因素选择对象,主动提供免费的HIV快速检测服务。收集并分析此人群的人口学特征及感染情况。结果 2013年共对64 105名就诊者PITC,其中来自芒市的占36.6%,来自门诊病人占73.7%;男性占41.0%;汉族占51.1%,傣族占30.7%;年龄>50岁占30.3%;农民占76.3%;小学文化占43.6%。发现HIV感染者179例,HIV感染率为0.3%,其中76例为新发现的感染者。HIV感染率瑞丽高达4.0%,其他4县(市)在0.1%~0.4%之间。住院病人的HIV感染率为0.5%,门诊病人为0.2%。Logistic多因素回归分析显示:瑞丽市感染率高于其他县市;住院病人感染率高于门诊病人;男性感染率高于女性;景颇族和傣族感染率高于汉族;19~30岁及31~50岁组感染率高于50岁以上组;文盲组感染率高于初中文化组。结论德宏州乡镇卫生院免费PITC工作在发现HIV阳性方面起到了重要作用,疫情严重的乡镇应进一步加强免费PITC工作。
Objective To understand the prevalence of HIV infection and its influencing factors in the population of Dehong Prefecture Township Health Center who provide AIDS counseling and testing service (PITC) actively. Methods At all 54 township health centers in Dehong Prefecture, the trainee PITC was selected by the trained doctors to choose the target according to their risk factors and take the initiative to provide free HIV rapid testing services. Demographic characteristics and infections of this population were collected and analyzed. Results A total of 64 105 PITCs were enrolled in 2013, of which 36.6% were from Mangshi, 73.7% from outpatients, 41.0% were males, 51.1% were Han, 30.7% were Dai, and 30.3% ; Farmers accounted for 76.3%; primary culture accounted for 43.6%. 179 cases of HIV infection were found, the HIV infection rate was 0.3%, of which 76 cases were newly discovered infected. HIV infection rate Ruili up 4.0%, the other 4 counties (cities) between 0.1% to 0.4%. Inpatient HIV prevalence was 0.5% and outpatient was 0.2%. Logistic multivariate regression analysis showed that the infection rate of Ruili was higher than that of other counties; the infection rate of inpatients was higher than that of outpatients; the infection rate of men was higher than that of females; the infection rates of Jingpo and Dai were higher than Han; The infection rate of 50-year-old group was higher than that of 50-year-old group, and the infection rate of illiterate group was higher than that of junior middle school. Conclusions The free PITC work in Dehong Prefecture Township Health Center plays an important role in the detection of HIV positive. Towns in the serious epidemic should further strengthen the free PITC work.