CAJ | 학술논문

目的评价2010~2013年珠海市艾滋病自愿咨询检测(VCT)工作实施效果，为进一步推广VCT策略提供依据。方法收集2010~2013年在珠海市VCT门诊接受咨询检测的求询者信息，对于需要接受HIV抗体检测的求询者抽血进行抗体检测。结果四年共接受咨询检测7690例，总的HIV阳性检出率为1.46%。男性HIV阳性检出率（2.05%）明显高于女性（0.55%）（<0.05）。未婚及无配偶者HIV感染率（1.37%、6.13%）超过已婚求询者（1.20%）（<0.05）。男男性行为人群HIV感染率（6.44%）显著高于其他高危人群（<0.05）。结论珠海市艾滋病流行的危险因素依然广泛存在，VCT点已经成为发现艾滋病病例、开展综合防治措施的重要窗口，VCT服务在艾滋病综合防治中发挥着重要作用，同时为艾滋病防治策略的调整提供线索。
목적평개2010~2013년주해시애자병자원자순검측(VCT)공작실시효과，위진일보추엄VCT책략제공의거。방법수집2010~2013년재주해시VCT문진접수자순검측적구순자신식，대우수요접수HIV항체검측적구순자추혈진행항체검측。결과사년공접수자순검측7690례，총적HIV양성검출솔위1.46%。남성HIV양성검출솔（2.05%）명현고우녀성（0.55%）（<0.05）。미혼급무배우자HIV감염솔（1.37%、6.13%）초과이혼구순자（1.20%）（<0.05）。남남성행위인군HIV감염솔（6.44%）현저고우기타고위인군（<0.05）。결론주해시애자병류행적위험인소의연엄범존재，VCT점이경성위발현애자병병례、개전종합방치조시적중요창구，VCT복무재애자병종합방치중발휘착중요작용，동시위애자병방치책략적조정제공선색。
Objective To evaluate the effects of performing HIV voluntary consulting and testing (VCT) program from 2010 to 2013 in Zhuhai and to provide evidence for further popularizing VCT service.Methods Information on the clients having asked for HIV testing at Zhuhai's VCT department during 2010 and 2013 was col ected, and antibody test was carried out for those clients who needed for HIV antibody testing. Results The total number of accepting consulting and testing was 7690 within 4 years, and the total HIV positive rate was 1.46%. Male population had a much higher HIV positive rate (2.05%) than the female (0.55%). People who were unmarried or without a spouse showed a higher HIV positive rate(1.37%, 6.13%) than those married (1.20%, <0.05). Men who had sex with men had a significantly high HIV positive rate than other high-risk groups ( <0.05).Conclusion Risk factors resulting in HIV epidemic are stil widespread in Zhuhai, and VCT department has become an ef ective window to find HIV-infected persons and to perform comprehensive control measures on HIV. VCT service has not only played an important role in implementing integrated HIV prevention and control but also provided clue for the adjustment of prevention strategy on HIV in Zhuhai.