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目的分析甘肃省庆阳市疾病预防控制中心性病门诊艾滋病自愿咨询检测(VCT)数据,掌握VCT求询者基本特征及艾滋病病毒(HIV)和梅毒感染情况,为制定防治措施提供依据。方法收集2011─2013年庆阳市疾病预防控制中心艾滋病VCT门诊980名就诊者的人口学、行为学等信息,采用描述流行病学方法进行分析。结果求询者980人,男性占57.86%、女性占42.14%,男女性别比1.37∶1,20~49岁为主要人群占82.43%,初中文化程度占46.94%,以高危行为外展干预为主、占55.00%;求询原因以性行为为主、占88.57%,男男同性行为史占40.71%;求询者因性别、年龄、婚姻状况、文化程度、求询原因不同,梅毒感染率均有差异(P<0.05),异性性行为者梅毒感染率高于同性性行为者(χ2=14.65,P<0.05);不同年份求询者HIV感染率为0.92%、差异无统计学意义(χ2=0.46,P>0.05),梅毒感染率为9.18%、差异有统计学意义(χ2=8.83,P<0.05)。结论甘肃省庆阳市VCT人群呈现年轻化、文化程度偏低、主动求询比例低、男男同性性行为为主要求询者的特征,艾滋病、梅毒感染率未出现上升趋势,应有针对性地开展高危人群干预,依托VCT是提高艾滋病/性病发现率的重要途径。
Objective To analyze the VCT data of STD clinics in Qingyang City Center for Disease Control and Prevention in Gansu Province and to find out the basic features of VCT inpatients and the status of HIV and syphilis infection in order to provide basis for prevention and control measures. Methods Demographic, behavioral and other information of 980 HIV / AIDS clinic patients in Qingyang Center for Disease Control and Prevention from 2011 to 2013 were collected and analyzed by descriptive epidemiological method. The results of inquiries were 980 people, accounting for 57.86% of men, women accounted for 42.14%, male to female ratio of 1.37:1, 20 to 49 years old as the major population accounted for 82.43%, junior high school education accounted for 46.94%, high-risk behavior outreach intervention , Accounting for 55.00%. The reason for asking for sexual intercourse was mainly sexual intercourse, accounting for 88.57% and the history of same-sex men’s behavior was 40.71%. Inquirers had different rates of syphilis infection due to different sex, age, marital status, educational level, (Χ2 = 14.65, P <0.05). The prevalence of HIV infection in different years was 0.92%, the difference was not statistically significant (χ2 = 14.65, P <0.05) = 0.46, P> 0.05), syphilis infection rate was 9.18%, the difference was statistically significant (χ2 = 8.83, P <0.05). Conclusions The population of VCT in Qingyang City, Gansu Province is younger, with lower educational level, lower proportion of active consultation and the characteristics of male androgynous persons as the main inquirers. The infection rate of AIDS and syphilis has not risen, and should be targeted To carry out high-risk population intervention, relying on VCT is an important way to improve the AIDS / STD detection rate.