目的:比较性传播HIV/AIDS人群中经VCT检出人群与经其他来源检出人群的差别,明确寻求VCT的性传播人群特征.方法:收集2011年至2015年唐山市报告的经性传播途径感染的HIV感染者/AIDS患者的基本信息,按照检测来源是否为VCT分为两组,分别比较两组人群基本特征、传播途径和首次CD4+细胞计数等因素间的差异.结果:515例经性传播的病例中,186例经VCT检出,329例经其他来源检出.经VCT检出的性传播病例更年轻(29.37±9.89)、男性比例高(95.70%)、未婚比例高(64.52%)、大专及以上学历比例高(40.86%)、从事服务行业者多(29.03%)、同性性传播比例高(83.87%)、晚发现率低(20.97%)、首次CD4+细胞计数高(413.00个/μL).结论:VCT在没有结婚、年龄轻、高学历以及从事服务行业的性传播HIV/AIDS人群中比较容易被接受.%Objective:To compare the difference between voluntary counseling and testing (VCT) pathway confirmed and other sources confirmed HIV/AIDS cases infected by sexual transmission, in order to clarify the characteristic of sexual transmission group that accepted VCT.Methods: Collected the information of HIV/AIDS cases infected by sexual transmission who were reported by Tangshan from 2011 to 2015.The information included cases' basic characteristics, route of transmission and CD4+ test.Compared the differences between the VCT diagnosed cases and other diagnosed cases.Results: There were 515 HIV/AIDS cases infected by sexual transmission, including 186 cases were confirmed through VCT and 329 cases were confirmed through other ways.The age in cases diagnosed by VCT (29.37±9.89) was younger than the cases diagnosed by other ways (35.87±13.43).VCT diagnosed cases had a higher proportions of men (95.70%), unmarried (64.52%), with collage degree or above (40.86%), and cases in the service industry (29.03%).More MSM HIV/AIDS cases were found by VCT (83.87%).The first CD4+ T lymphocyte counts were statistically higher in VCT diagnosed cases (422.62±277.71).Conclusion: VCT would be accepted more easily among the HIV/AIDS infected by sexual transmission of unmarried, younger age, with collage degree or above, and cases in the service industry.
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