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[目的]了解扬州市艾滋病自愿咨询检测(VCT)门诊求询者有关情况及检测结果,以便提供有针对性的措施。[方法]对2004~2007年我市VCT门诊求询者信息及检测资料进行分析。[结果]2004~2007年合计8 438人在门诊接受VCT服务(每年人数分别为461、502、2 943、3 947人),其中接受检测的6 633人,只咨询未检测的1 805人。在接受检测的6 633人中,HIV抗体阳性的20例,阳性率0.30%(男性17例、阳性率0.41%,女性3例、阳性率0.12%,P<0.05);3个月至14岁为0.00%,15~24岁为0.05%,25~34岁为0.42%,35~44岁为0.26%,45~84岁为0.63%(P>0.05);静脉吸毒者为16.67%,HIV感染者配偶/性伴为11.11%,男男性接触者为5.36%,性病门诊人员为0.10%,其他人员为0%(P<0.01)。[结论]今后需进一步加强咨询员的培训,重点关注25岁~50岁,有静脉吸毒史、HIV感染者配偶/性伴及男男同性性接触者的男性求询者。
[Objective] To understand the situation and test result of the consultation of VCT outpatient service in Yangzhou City in order to provide targeted measures. [Methods] The information and testing data of VCT clinics in our city from 2004 to 2007 were analyzed. [Results] A total of 8 438 people received VCT services in the outpatient department during 2004-2007 (461,502,2943 and 3947 persons per year respectively), of whom 6 633 were tested, and only 1 805 people were not consulted. Of the 6 633 people tested, 20 were HIV-positive, with a positive rate of 0.30% (17 males, 0.41% positive, 3 females, with a positive rate of 0.12%, P <0.05); 3 months to 14 years Were 0. 05% at 15-24 years old, 0.42% at 25-34 years old, 0.26% at 35-44 years old and 0.63% at 45-84 years (P> 0.05) 11.11% of spouses / partners, 5.36% of MSM, 0.10% of STD clinic staff and 0% of other staff (P <0.01). [Conclusion] The training of counselors needs to be further strengthened in the future. The focus is on male inquires from 25 years old to 50 years old with history of intravenous drug abuse, spouse / partner of HIV-infected and male-male same-sex contact.