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目的了解都安县2009―2013年艾滋病自愿咨询检测(VCT)人群人口学特征和HIV感染情况,为制定全县艾滋病防治措施提供科学依据。方法采用描述流行病学方法对2009―2013年都安县VCT门诊求询者的人口学特征和HIV检测结果进行分析。结果 2 753名求询者中,男性1 541人,女性1 212人,男女性别比为1.27∶1;年龄主要集中在20~49岁,占68.07%;已婚者居多,占70.87%;文化程度以小学或初中为主,占84.85%。求询原因以非婚异性接触史居多,占63.49%。在2 753名求询者中,有2 713人进行了HIV抗体检测,检出HIV阳性385例,阳性率为14.19%。385例HIV阳性中,男性239例,女性146例,男女性别比为1.64∶1;男性HIV阳性率(15.74%)高于女性(12.22%),≥50岁求询者HIV阳性率(22.95%)高于≤49岁(11.11%),以离异或丧偶者HIV阳性率最高(37.36%),文化程度以文盲者HIV阳性率最高(20.99%),差异均有统计学意义(均P<0.01)。结论都安县VCT求询者HIV检测阳性率较高,且不同特征人群阳性率有差异,因此应针对不同特征人群采取相应的干预措施,以提高艾滋病防控效果。
Objective To understand demographic characteristics and HIV status of HIV / AIDS voluntary counseling and testing (VCT) population in Du’an County from 2009 to 2013, and to provide a scientific basis for the development of AIDS prevention and control measures in the county. Methods Descriptive epidemiological methods were used to analyze the demographic characteristics and HIV test results of VCT outpatients from 2009 to 2013 in Du’an County. Results Among 2 753 informants, there were 1 541 males and 1 212 females, with a male-female ratio of 1.27:1. The age groups mainly ranged from 20 to 49 years old, accounting for 68.07%. Most married persons accounted for 70.87% Degree to primary or junior high school, accounting for 84.85%. The reason for asking for a survey was mostly heterosexual contact, accounting for 63.49%. Among 2 753 consultants, 2 713 were tested for HIV antibody, and 385 HIV positive cases were detected, the positive rate was 14.19%. Of the 385 HIV-positive patients, 239 were males and 146 were females with a sex ratio of 1.64:1. The positive rate of HIV was 15.74% in males and 12.22% ) Was higher than 49 years old (11.11%), the highest HIV positive rate was divorced or widowed (37.36%), and the HIV positive rate was the highest among illiterate people (20.99%) (all P <0.01 ). Conclusions The positive rate of HIV testing in VCT in Du’an County is high, and the positive rates of different characteristics of the population are different. Therefore, corresponding intervention measures should be taken for different characteristics of the population so as to improve the prevention and control of AIDS.