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预防医学  2025, Vol. 37 Issue (4): 356-360    DOI: 10.19485/j.cnki.issn2096-5087.2025.04.007
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内蒙古自治区艾滋病自愿咨询检测门诊求询者特征分析
李瑶1, 杨景元1, 杨虹1, 李向春1, 孔瑞琴1, 刘静1, 白宝宝1, 张艳萍2, 李慧1
1.内蒙古自治区疾病预防控制中心(内蒙古自治区预防医学科学院),内蒙古 呼和浩特 010080;
2.通辽市疾病预防控制中心,内蒙古 通辽 028000
Characteristics of individuals attending HIV voluntary counseling and testing clinics in Inner Mongolia Autonomous Region
LI Yao1, YANG Jingyuan1, YANG Hong1, LI Xiangchun1, KONG Ruiqin1, LIU Jing1, BAI Baobao1, ZHANG Yanping2, LI Hui1
1. Inner Mongolia Center for Disease Control and Prevention (Inner Mongolia Academy of Preventive Medicine), Hohhot, Inner Mongolia 010080, China;
2. Tongliao Center for Disease Control and Prevention, Tongliao, Inner Mongolia 028000, China
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摘要 目的 了解内蒙古自治区艾滋病自愿咨询检测(VCT)门诊求询者特征及艾滋病病毒(HIV)抗体确证阳性状况,为加强艾滋病高危人群干预提供依据。方法 通过中国疾病预防控制中心VCT数据库收集2019—2023年内蒙古自治区VCT门诊求询者的人口学资料、咨询原因、咨询机构和HIV抗体检测资料,描述性分析VCT求询者特征;采用多因素logistic回归模型分析VCT门诊求询者HIV抗体确证阳性的影响因素。结果 2019—2023年内蒙古自治区VCT门诊求询人数为249 919人,其中男性128 069人,占51.24%;女性121 850人,占48.76%。年龄以25~<35岁为主,92 445人占36.99%。HIV抗体确证阳性785例,阳性率为0.31%。多因素logistic回归分析结果显示,男性(OR=4.787,95%CI:3.562~6.434)、年龄45~<65岁(45~<55岁,OR=7.723,95%CI:1.786~33.406;55~<65岁,OR=7.689,95%CI:1.757~33.653)、未婚(OR=2.143,95%CI:1.580~2.906)、初中及以下文化程度(OR=1.147,95%CI:1.042~2.430)、咨询原因为有高危行为史或暴露风险史(商业异性性行为史,OR=2.717,95%CI:1.707~4.324;非商业非固定异性性行为史,OR=5.421,95%CI:3.763~7.809;男男性行为史,OR=70.774,95%CI:48.409~103.473;配偶/固定性伴/母亲阳性,OR=100.024,95%CI:62.490~160.100;注射毒品史,OR=5.366,95%CI:2.213~13.014)、咨询机构为综合医院/中医院(OR=1.973,95%CI:1.650~2.360)的VCT门诊求询者HIV抗体确证阳性风险较高。结论 内蒙古自治区VCT门诊求询者HIV抗体确证阳性与性别、年龄、婚姻状况、文化程度、咨询原因和咨询机构有关,建议加强高危人群健康教育和行为干预,降低HIV感染风险。
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李瑶
杨景元
杨虹
李向春
孔瑞琴
刘静
白宝宝
张艳萍
李慧
关键词 自愿咨询检测艾滋病病毒影响因素    
AbstractObjective To investigate the characteristics and HIV confirmed positive status among individuals attending HIV voluntary counseling and testing (VCT) clinics in Inner Mongolia Autonomous Region, so as to provide the basis for enhancing interventions targeting high-risk populations for AIDS. Methods Demographic information, reasons for consultation, consulting institutions, and HIV antibody testing data of individuals attending VCT clinics in Inner Mongolia Autonomous Region from 2019 to 2023 were collected through the VCT database of the Chinese Center for Disease Control and Prevention. The characteristics of individuals attending VCT were described. Factors affecting HIV confirmed positive among VCT clinic attendees were analyzed using a multivariable logistic regression model. Results A total of 249 919 individuals attended VCT clinics in Inner Mongolia Autonomous Region from 2019 to 2023, including 128 069 males (51.24%) and 121 850 females (48.76%). The majority of attendees were aged 25-<35 years, accounting for 92 445 cases (36.99%). Among them, 785 cases were confirmed as HIV positive, with a positivity rate of 0.31%. Multivariable logistic regression analysis revealed that males (OR=4.787, 95%CI: 3.562-6.434), 45-<65 years of age (45-<55 years, OR=7.723, 95%CI: 1.786-33.406; 55-<65 years, OR=7.689, 95%CI: 1.757-33.653), being unmarried (OR=2.143, 95%CI: 1.580-2.906), junior high school education or below (OR=1.147, 95%CI: 1.042-2.430), having the history of high-risk behaviors or exposure risks (commercial heterosexual behaviors, OR=2.717, 95%CI: 1.707-4.324; non-commercial non-fixed heterosexual behaviors, OR=5.421, 95%CI: 3.763-7.809; homosexual behaviors, OR=70.774, 95%CI: 48.409-103.473; having an HIV-positive spouse/fixed partner/mother, OR=100.024, 95%CI: 62.490-160.100; drug injection, OR=5.366, 95%CI: 2.213-13.014), and seeking general hospitals or traditional Chinese medicine hospitals (OR=1.973, 95%CI: 1.650-2.360) were associated with a higher risk of HIV confirmed positive. Conclusions HIV confirmed positive among individuals attending VCT clinics in Inner Mongolia Autonomous Region is associated with gender, age, marital status, educational level, reasons for consultation, and consulting institutions. It is recommended to strengthen health education and targeted interventions for high-risk populations to reduce the risk of HIV infection.
Key wordsvoluntary counseling and testing    HIV    influencing factor
收稿日期: 2024-09-13      修回日期: 2025-02-14      出版日期: 2025-04-10
中图分类号:  R512.91  
基金资助:内蒙古自治区卫生健康科技计划项目(202202114)
作者简介: 李瑶,硕士,主管医师,主要从事艾滋病防治工作
通信作者: 李慧,E-mail:370521991@qq.com   
引用本文:   
李瑶, 杨景元, 杨虹, 李向春, 孔瑞琴, 刘静, 白宝宝, 张艳萍, 李慧. 内蒙古自治区艾滋病自愿咨询检测门诊求询者特征分析[J]. 预防医学, 2025, 37(4): 356-360.
LI Yao, YANG Jingyuan, YANG Hong, LI Xiangchun, KONG Ruiqin, LIU Jing, BAI Baobao, ZHANG Yanping, LI Hui. Characteristics of individuals attending HIV voluntary counseling and testing clinics in Inner Mongolia Autonomous Region. Preventive Medicine, 2025, 37(4): 356-360.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.04.007      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I4/356
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