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目的了解石河子市艾滋病自愿咨询检测(VCT)现状,为制定艾滋病预防控制工作提供指导意见。方法收集2009年1月—2011年6月咨询者个案登记表,对咨询者的基本情况、咨询原因、检测结果等进行统计分析。结果 378例咨询者中367(97.1%)接受了HIV抗体检测,检出53例阳性,HIV感染率14.4%;咨询男女比例2.99∶1;17～45岁的青壮年占78.0%,平均年龄34岁;已婚者居多,占54.0%;大专以上学历在咨询中占31.8%,为最高;在咨询原因上有高危行为者占61.9%,其中性传播占55.8%;在HIV阳性感染率方面,女性大于男性,低文化程度者高于高文化程度者。结论石河子市艾滋病传播途径以性传播为主,在今后的工作中对于不同的人群要有针对性地开展健康宣传和外展服务,促使潜在高危行为的人群主动接受VCT服务,发挥VCT的作用。
Objective To understand the current status of voluntary counseling and testing (VCT) in Shihezi City and provide guidance for the development of AIDS prevention and control. Methods A questionnaire was collected from January 2009 to June 2011, and the statistical information of the counselors, the reasons for the consultation and the test results were collected. Results Of the 378 counselors, 367 (97.1%) were tested for HIV antibody, 53 were positive and the HIV infection rate was 14.4%; the ratio of men to women was 2.99:1; young adults aged 17-45 accounted for 78.0%, with an average age of 34 Year-old; mostly married, accounting for 54.0%; college education accounted for 31.8% of the consultation, which is the highest; 61.9% of high-risk actors in counseling, of which 55.8% were sexually transmitted; Women than men, people with low education level are higher than those with high education level. Conclusion The transmission of HIV / AIDS in Shihezi City is mainly sexual transmission. In the future work, it is necessary to carry out health promotion and outreach services for different groups of people in a prospective manner so as to encourage potential high-risk behaviors to take the initiative to receive VCT services and to play the role of VCT.