杭州市2016—2020年青少年学生艾滋病自愿咨询检测特征

张丽; 姚英; 潘忠廉; 胡锦峰

doi:10.16835/j.cnki.1000-9817.2021.10.033

杭州市2016—2020年青少年学生艾滋病自愿咨询检测特征

doi: 10.16835/j.cnki.1000-9817.2021.10.033

1.
浙江省杭州市上城区疾病预防控制中心质管科, 310004
2.
杭州市上城区疾病预防控制中心传防科

详细信息

作者简介:
张丽(1971-), 女, 安徽省人, 大学本科, 主管医师, 主要从事疾病控制工作

中图分类号: R512.91G478
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- 文章访问数: 612
- HTML全文浏览量: 247
- PDF下载量: 89
- 被引次数: 0
出版历程
- 收稿日期: 2021-05-31
- 修回日期: 2021-06-29
- 网络出版日期: 2021-10-25
- 刊出日期: 2021-10-25

Voluntary counseling and testing among young students in Hangzhou City during 2016-2020

1.
Quality Management Section of Shangcheng County Center for Disease Control and Prevention, Hangzhou(310004), China

摘要

摘要: 目的通过分析艾滋病自愿咨询检测(voluntary counseling and testing, VCT)门诊青少年学生求询特征, 为评估当地学校艾滋病防控效果提供参考。方法通过艾滋病检测咨询信息管理系统收集杭州市上城区2016—2020年VCT门诊7~28岁学生咨询者1 223例, 采用横断面研究方法分析其流行特征。结果青少年学生求询者占全部求询者的25.21%(1 223/4 852), 主要求询原因以无高危行为为主(28.29%, 346例), 其次是男男性行为(26.41%, 323例)和非商业非固定异性性行为(25.92%, 317例)。非商业非固定异性性行为、商业异性性行为求询比例均随时间呈下降趋势(χ_趋势²值分别为-6.04, -3.59, P值均 < 0.01)。HIV平均阳性检出率3.03%(37例), 且随时间呈上升趋势(χ_趋势²=2.45, P < 0.01)。结论中小学校开展规范系统的性教育和艾滋病宣教十分必要, 杭州市在男男性行为干预方面还需探索更有针对性的措施。
- 获得性免疫缺陷综合征 /
- 患病率 /
- 同性恋, 男性 /
- 学生
Abstract: Objective To analyze the characteristics of young students inquiry to voluntary counseling and testing (VCT) clinics, and to provide reference for AIDS prevention and control effectiveness of local schools. Methods A total of 1 223 students aged 7-28 years were collected and characterized through HIV Testing Consulting Information Management System in Shangcheng VCT clinics during 2016-2020. The epidemic characteristics were analyzed by cross-sectional studies. Results Young students accounted for 25.21%(1 223/4 852) of the total counseling population in VCT clinics from 2016 to 2020. The main reason for counseling was non-high-risk (28.29%, 346 cases), followed by MSM (26.41%, 323 cases) and non-commercial non-fixed heterosexual behavior(25.92%, 317 cases). The counseling proportion of non-commercial non-fixed heterosexual behavior and commercial heterosexual sex behavior declined with time(χ_trend²=-6.04, -3.59, P < 0.01). The average of HIV positive detection rate among young students was 3.03%(37 cases), which increased with time(χ_trend²=2.45, P < 0.01). Conclusion Sex education and HIV/AIDS knowledge education are necessary in primary and secondary schools. Targeted strategies are in great need in terms of MSM behavior intervention.
- Acquired immunodeficiency syndrome /
- Prevalence /
- Homosexuality, male /
- Students

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表 1 2016—2020年求询青少年性别与学段构成情况

Table 1. Compare for characteristics of young students counselors from 2016 to 2020

年份	人数	性别		学段
年份	人数	男	女	小学	中学	大学
2016	106	91(85.85)	15(14.15)	2(1.89)	17(16.04)	87(82.08)
2017	357	217(60.78)	140(39.22)	1(0.28)	85(23.81)	270(75.63)
2018	261	205(78.54)	56(21.46)	7(2.69)	58(22.22)	195(74.71)
2019	336	183(54.46)	153(45.54)	10(2.98)	59(17.56)	267(79.46)
2020	163	159(97.55)	4(2.45)	5(3.07)	69(42.33)	89(54.60)
注：()内数字为构成比/%。

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表 2 2016—2020年青少年求询原因构成

Table 2. Compare for counseling reasons of young students from 2016 to 2020

年份	人数	无高危行为	非商业非固定异性性行为	商业异性性行为	男男性行为	亲属HIV阳性	血液接触史	其他
2016	106	2(1.89)	58(54.72)	6(5.66)	31(29.25)	4(3.77)	2(1.89)	3(2.83)
2017	357	127(35.57)	84(23.53)	59(16.53)	72(20.17)	4(1.12)	8(2.24)	3(0.84)
2018	261	38(14.56)	93(35.63)	35(13.41)	79(30.27)	6(2.30)	6(2.30)	4(1.53)
2019	336	152(45.24)	51(15.18)	13(3.87)	99(29.46)	8(2.38)	3(0.89)	10(2.98)
2020	163	27(16.56)	31(19.02)	11(6.75)	42(25.77)	0	0	52(31.90)
注：()内数字为构成比/%。

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