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目的分析2016年甘肃省张掖市艾滋病自愿咨询检测(VCT)数据,为制定张掖市艾滋病防治措施提供科学依据。方法收集2016年张掖市艾滋病自愿咨询检测门诊自愿咨询检测者的人口学、行为学等信息,采用描述流行病学方法分析数据。结果共有1 360人进行咨询检测,HIV阳性检出率为2.65%;36人确诊阳性的求询者,年龄最小18岁、最大54岁,平均年龄(32.97±10.68)岁,以青壮年为主;求询原因以不安全性行为为主,男男性行为史阳性率最高(50.00%),不同求询原因阳性率差异有统计学意义(χ~2=487.02,P<0.01);男女检测比例为1∶2.04,且男性阳性检出率(7.61%)高于女性(0.22%),差异有统计学意义(χ~2=63.55,P<0.01);离异或丧偶人群阳性率最高(7.41%),其次为未婚(4.50%)和已婚有配偶(1.81%),不同婚姻状况阳性率差异有统计学意义(χ~2=11.61,P<0.01)。结论张掖市艾滋病的传播方式以性传播途径为主,青壮年及男男性行为人群是艾滋病的易感人群,应加强青壮年及男男性行为人群防控艾滋病的干预力度。
Objective To analyze the data of voluntary counseling and testing (VCT) on AIDS in Zhangye City of Gansu Province in 2016 to provide a scientific basis for the development of AIDS prevention and control measures in Zhangye City. Methods The demographic and behavioral information of voluntary counseling and testing volunteers in AIDS voluntary counseling and testing clinic in Zhangye was collected in 2016, and the descriptive epidemiological method was used to analyze the data. Results A total of 1 360 people were tested for counseling and testing. The positive rate of HIV was 2.65%. Among the 36 people who were diagnosed as positive, the youngest was 18 years old and the oldest was 54 years old, with an average age of 32.97 ± 10.68 years old. (50.00%) had the highest positive rate of male sexual intercourse and the difference was statistically significant (χ ~ 2 = 487.02, P <0.01). The proportion of men and women (Χ ~ 2 = 63.55, P <0.01). The positive rate of divorced or widowed people was the highest (7.41%), the positive rate of males (7.61%) was higher than that of females ), Followed by unmarried (4.50%) and married spouse (1.81%). The positive rates of different marital status were significantly different (χ ~ 2 = 11.61, P <0.01). Conclusions The transmission of AIDS in Zhangye City is mainly sexual transmission. Young adults and MSM are susceptible to AIDS. Interventions should be strengthened to prevent and control AIDS among young adults and men who have sex with men.