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目的了解北京市海淀区自愿咨询检测人群艾滋病感染状况及其影响因素,为艾滋病防控提供依据。方法收集2008—2015年北京市海淀区自愿咨询检测(VCT)门诊登记的求询者一般资料、高危行为等信息,人类免疫缺陷和病毒(HIV)抗体检测结果,利用统计软件SPSS 13.0进行数据分析。结果接受VCT服务总人数为12 003人,男女性别比为3.03∶1;以20~39岁的青壮年为主,占83.95%;婚姻状况以未婚为主,占60.08%;文化程度以大专及以上为主,占71.09%;求询类型以非婚异性性行为(64.43%)和男男性行为者(MSM)(22.58%)为主。HIV抗体阳性率2.26%,HIV抗体阳性率有逐年增高的趋势(χ_(趋势)~2=6.760,P<0.01)。MSM求询者HIV抗体阳性率6.68%,HIV抗体阳性率有逐年增高的趋势(χ_(趋势)~2=73.869,P<0.01)。logistic多因素分析显示,男性、离异或丧偶、配偶固定性伴阳性、文化程度低、MSM是VCT人群HIV感染的危险因素。结论男性未婚知识水平高的青年是北京市海淀区受到艾滋病影响的主要人群,应重视其性安全意识教育。同时,应加强离异或丧偶人群、配偶固定性伴阳性人群、文化程度低人群、MSM人群艾滋病的防控宣传和VCT动员检测。
Objective To understand the HIV status and its influencing factors among voluntary counseling and testing population in Haidian District of Beijing and provide the basis for AIDS prevention and control. Methods The data collected from VCT clinics, high-risk behaviors, HIV testing and HIV antibody testing were collected from 2008 to 2015 in Haidian District, Beijing. Data were analyzed using statistical software SPSS 13.0 . Results The total number of VCT service recipients was 12 003, with a male-female ratio of 3.03:1. The majority of young adults aged 20-39 accounted for 83.95%. The marital status was mainly unmarried, accounting for 60.08% of the total. Accounting for 71.09%. The types of inquiry were mainly non-marital heterosexual behavior (64.43%) and MSM (22.58%). The positive rate of HIV antibody was 2.26%. The positive rate of HIV antibody increased year by year (χ_ (trend) ~ 2 = 6.760, P <0.01). The positive rate of HIV antibody in MSM was 6.68%. The positive rate of HIV antibody increased year by year (χ_ (trend) ~ 2 = 73.869, P <0.01). Logistic multivariate analysis showed that MSM was a risk factor for HIV infection in VCT population in men, divorced or widowed, positive spouse fixed companion, and low educational level. Conclusions Young people with a high level of male unmarried knowledge are the main populations affected by AIDS in Haidian District, Beijing. Sexual safety awareness education should be emphasized. At the same time, we should strengthen the detection and control of HIV / AIDS prevention and control and VCT mobilization among divorced or widowed people, spouses with fixed sexual partners, low education level, MSM population.