|
|
|
| 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 |
|
|
|
|
Abstract Objective 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.
|
|
Received: 13 September 2024
Revised: 14 February 2025
Published: 16 April 2025
|
|
|
|
|
|
[1] 张永,丁盈盈,钟培松,等.2009—2023年嘉定区HIV检测结果分析[J].预防医学,2024,36(12):1056-1059.
ZHANG Y,DING Y Y,ZHONG P S,et al.HIV detection in Jiading District from 2009 to 2023[J].China Prev Med J,2024,36(12):1056-1059.(in Chinese)
[2] 韩孟杰,金聪,李敬云,等.扩大艾滋病检测促进早检测专家共识[J].中国艾滋病性病,2021,27(11):1202-1206.
HAN M J,JIN C,LI J Y,et al.Expanding HIV detection and promoting expert consensus on early detection[J]. Chin J AIDS STD,2021,27(11):1202-1206.(in Chinese)
[3] BRICK N.Voluntary counseling and testing(VCT)for changing HIV-related risk behavior in developing countries:a Cochrane review summary[J]. Public Health Nurs,2013,30(4):382-384.
[4] 陈果,庄贵华,丁红玲,等.安康市疾控机构艾滋病自愿咨询门诊结果分析[J].医学动物防制,2021,37(11):1045-1048,1052.
CHEN G,ZHUANG G H,DING H L,et al.Analysis on results of HIV/AIDS voluntary counseling and testing clinic of disease prevention and control institutions in Ankang[J]. J Med Pest Control,2021,37(11):1045-1048,1052.(in Chinese)
[5] 李紫璇,范吉祥,邱柏红,等.2011—2020年吉林省艾滋病自愿咨询检测人群HIV及梅毒感染状况分析[J].中国卫生工程学,2021,20(3):426-427,431.
LI Z X,FAN J X,QIU B H,et al.Analysis of HIV and syphilis infection among HIV voluntary counseling and testing population in Jilin Province from 2011 to 2020[J]. Chin J of Public Health Eng,2021,20(3):426-427,431.(in Chinese)
[6] 尤小慧,曹海兰,匡嘉影,等.2017—2020年青海省西宁市某VCT门诊艾滋病自愿咨询检测结果分析[J].医学动物防制,2023,39(4):339-342.
YOU X H,CAO H L,KUANG J Y,et al.Analysis of results of voluntary AIDS counseling and testing in a VCT outpatient clinic in Xining City,Qinghai Province from 2017 to 2020[J]. J Med Pest Control,2023,39(4):339-342.(in Chinese)
[7] 葛琳,李东民,汤后林,等.中国2015—2019年青年学生HIV、梅毒感染状况及性行为特征趋势分析[J].中华流行病学杂志,2021,42(4):602-607.
GE L,LI D M,TANG H L,et al.Analysis of HIV and syphilis infection status and sexual behavior characteristics of young students in China from 2015 to 2019[J]. Chin J Epidemiol,2021,42(4):602-607.(in Chinese)
[8] 张丽,姚英,胡锦峰,等.上城区艾滋病自愿咨询检测门诊求询者特征及HIV感染情况分析[J].预防医学,2022,34(2):161-165.
ZHANG L,YAO Y,HU J F,et al.Characteristics and HIV infection among AIDS voluntary counseling and testing clients in Shangcheng District[J]. China Prev Med J,2022,34(2):161-165.(in Chinese)
[9] 王春萍,郭琴,韩卓洳,等.中国老年人群艾滋病防治核心知识知晓率的Meta分析[J].中国艾滋病性病,2019,25(2):148-152.
WANG C P,GUO Q,HAN Z R,et al.Meta-analysis of the awareness rate of HIV/AIDS prevention and treatment core knowledge among Chinese elderly population[J].Chin J AIDS STD,2019,25(2):148-152.(in Chinese)
[10] 李娜,施明明,陈俊,等.上城区VCT门诊求询者HIV感染状况分析[J].预防医学,2019,31(6):597-599.
LI N,SHI M M,CHEN J,et al.Analysis of HIV infection among VCT outpatient patients in Shangcheng District[J].China Prev Med J,2019,31(6):597-599.(in Chinese)
[11] 邱延超,王莹莹,刘淑君.石家庄市50岁及以上人群VCT求询者特征分析[J].中国艾滋病性病,2021,27(6):661-662.
QIU Y C,WANG Y Y,LIU S J.Characteristics of VCT seekers aged 50 years and above in Shijiazhuang[J]. Chin J AIDS STD,2021,27(6):661-662.(in Chinese)
[12] 李瑶,杨景元,李慧,等.2017—2021年内蒙古自治区新报告HIV/AIDS病例晚发现情况分析[J].现代预防医学,2022,49(22):4203-4208.
LI Y,YANG J Y,LI H,et al.Analysis of late detection of newly reported HIV/AIDS cases in Inner Mongolia Autonomous Region from 2017 to 2021[J]. Mod Prev Med,2022,49(22):4203-4208.(in Chinese) |
|
|
|
