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目的分析宁夏2008~2014年艾滋病自愿咨询检测工作现状,为今后艾滋病防治干预提供科学依据。方法描述性分析2008~2014年宁夏艾滋病自愿咨询检测点的设置,接受咨询检测者的人口学资料、人群分布及艾滋病病毒抗体检测阳性者检出等情况。结果 2008~2014年宁夏VCT门诊由60家增加到78家,接受艾滋病相关知识咨询174969人次,艾滋病病毒抗体检测173 229人次,检测率99.00%;检出HIV阳性288例,阳性率为0.17%;HIV阳性检出率由2008年的0.10%上升到2014年的0.26%(P<0.01);求询者以20~39岁的青壮年为主,占66.22%,求询者类型以商业异性性行为史者所占比例最大,为48.61%;检出的288例HIV阳性者,男女性别比为5.86∶1,同性性传播所占比例最大,为56.60%,且从2008年13.79%(4/29)逐渐上升到2014年的65.71%(46/70),为最高。结论 2008~2014年宁夏求询者中以男性、青壮年及非婚异性性接触史者为最多;检出的HIV阳性者中同性性传播呈逐年上升趋势,是主要的危险人群,也是艾滋病防治干预的重点人群。
Objective To analyze the status quo of volunteer counseling and testing in HIV / AIDS from 2008 to 2014 in Ningxia and to provide a scientific basis for future AIDS prevention and treatment. Methods Descriptive analysis was conducted on the setting of HIV / AIDS voluntary counseling and testing sites in Ningxia from 2008 to 2014, the demographic data of the counselors, population distribution and detection of HIV antibody positive cases. Results From 2008 to 2014, the number of VCT clinics in Ningxia increased from 60 to 78, 174,969 AIDS-related knowledge counseling, 173,229 HIV antibody tests and 99.00% HIV testing were detected. 288 HIV-positive cases were detected, the positive rate was 0.17% The detection rate of HIV positive increased from 0.10% in 2008 to 0.26% in 2014 (P <0.01). The main inquiries were 66.22% of young people aged 20-39 years. The type of inquirers was commercial heterosexual Behavior history accounted for the largest proportion of 48.61%; detected 288 cases of HIV-positive, male to female ratio was 5.86: 1, the largest share of homosexual transmission, was 56.60%, and from 2008 13.79% (4 / 29) gradually rose to 65.71% (46/70) in 2014, the highest. Conclusion From 2008 to 2014, Ningxia asked for the highest number of male, young and non-same-sex sexual contacts; the same-sex transmission among HIV-positive persons showed a rising trend year by year, which was the main risk group and also the AIDS prevention and treatment Intervention of key people.