CAJ | 학술논문

目的：了解钦州市VCT门诊求询者情况，为艾滋病防治政策的制定提供科学依据。方法分析2011—2013年钦州市VCT门诊求询者信息和数据。结果2011—2013年钦州市VCT求询15206人， HIV抗体检测率99.09%，求询者以20～49岁所占比重最大为80.61%，到疾病预防控制中心VCT门诊求询的比例较高为60.60%；2011、2012年疾病预防控制中心VCT门诊的HIV阳性检出率为17.95%和17.02%，高于医疗机构的7.31%（χ2=86.563，P<0.001）和8.18%（χ2=79.700，P<0.001），2013年疾病预防控制中心和医疗机构VCT门诊的HIV抗体阳性率分别为10.53%和9.01%；49.49%的求询原因为高危性行为；“商业异性性行为史”和“配偶/固定性伴阳性”求询者HIV阳性率较高为28.03%和22.38%。结论钦州市VCT求询者主要对象是青中年，女性比例逐渐增加，高危性行为是主要求询原因。目前疾病预防控制中心仍是VCT的主要力量，应充分发挥医疗机构的作用，并扩大VCT门诊在乡镇/社区的覆盖面。
목적：료해흠주시VCT문진구순자정황，위애자병방치정책적제정제공과학의거。방법분석2011—2013년흠주시VCT문진구순자신식화수거。결과2011—2013년흠주시VCT구순15206인， HIV항체검측솔99.09%，구순자이20～49세소점비중최대위80.61%，도질병예방공제중심VCT문진구순적비례교고위60.60%；2011、2012년질병예방공제중심VCT문진적HIV양성검출솔위17.95%화17.02%，고우의료궤구적7.31%（χ2=86.563，P<0.001）화8.18%（χ2=79.700，P<0.001），2013년질병예방공제중심화의료궤구VCT문진적HIV항체양성솔분별위10.53%화9.01%；49.49%적구순원인위고위성행위；“상업이성성행위사”화“배우/고정성반양성”구순자HIV양성솔교고위28.03%화22.38%。결론흠주시VCT구순자주요대상시청중년，녀성비례축점증가，고위성행위시주요구순원인。목전질병예방공제중심잉시VCT적주요역량，응충분발휘의료궤구적작용，병확대VCT문진재향진/사구적복개면。
Objective To understand the status of VCT for HIV in Qinzhou Cities and provide the scientific basis for AIDS policy developing. Methods The VCT data of Qinzhou City during the period 2011 — 2013 from“China information system for diseases control and prevention”was analyzed. Results From 2011 to 2013, among 15 206 people received the VCT services, 99.09%of them accepted the HIV antibody test in Qinzhou and the consultant person’s number in each year increased . Most consultant persons ( 80.61%) were 20 to 49 years old and the proportion of female was increasing. Over 60%of consultant persons used the VCT clinics of CDC. In 2011 and 2012, the HIV positive rates of the consultants using VCT clinics of CDC were higher than those who using hospitals’ VCT clinics;17.95%versus 7.31%in 2011(χ2=86.563, P<0.001) and 17.02%versus 8.18%in 2012 (χ2= 79.700, P< 0.001). While there was no statistical difference between two rates in 2013 (10.53% versus 9.00%). The main reason for consultation of VCT was high-risk sexual behavior (49.49%). HIV positive rates of consultants with “commercial heterosexual history” and “ HIV positive spouse/regular sexual partner” were 28.03%(712/2 540) and 22.38%(422/1 886) respectively, higher than other groups. Conclusion The mainly VCT consultant persons are young men and middle-age men and the percentage of female was increasing. High-risk sexual behavior is the main reason for consulting. CDC has undertaken the important task in Qinzhou City, but the hospitals also play the important role. We should give the hospitals to full play their roles , improve the ability of township and village/community comprehensive prevention and control of AIDS.