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《Chinese Journal of AIDS & STD》 2009-02
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Effectiveness evaluation of a voluntary counseling and testing program of three years in a low HIV/AIDS epidemic region

GUAN Wein-hui,ZHU Yin-xia,WEI Qing,et al.(School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 210029,China)  
Objective To evaluate the effectiveness of a HIV voluntary counseling and testing(VCT)program of three years in a low HIV/AIDS epidemic region and to provide evidence for further expanding VCT service.Methods An independent HIV counseling unit was set up in the STD clinic to provide standardized VCT service.Outreaching VCT service and community mobilization were implemented.The information of clients visiting the VCT unit from 2005 to 2007 was collected.The data was input and analyzed using Epidata 3.1 and SAS9.1 software.Results A total of 4439 clients received VCT service in the past 3 years.Among them 369 were men who had sex with men(MSM),3962 had heterosexual contact,96 had risk of blood contact and 12 had occupational exposure.There were 1342 clients receiving repeated VCT service.HIV positive rate was 1.57% in the clients over 30 years of age(≥30 years)and 0.67% under 30 years of age(30 years)(P0.05).HIV positive rate was 5.69% in MSM,which was significantly higher than in those with heterosexual contact.HIV positive rate was 0.97% in the clients receiving VCT service for the first time and 1.12% in those receiving repeated VCT service(P0.05).Forty five HIV positive cases were all informed of the results of the test and all of them received the first followup.Logistic regression analysis showed that HIV positive rate was significantly associated with the age over 30 years(OR=3.20,95%CI 1.66-6.17)and homosexual contact(OR=28.20,95%CI 13.20-60.30).Conclusion In a low HIV/AIDS epidemic region,VCT has played an important role in implementing integrated HIV/AIDS prevention and control and has also provided clue for regulating regional prevention strategy.Although risk factors of HIV epidemic are still present in this region,VCT service has become an effective window to screen HIV-infected persons.
【CateGory Index】: R512.91
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