【摘要】 目的探讨结核病患者接受HIV抗体检测的影响因素和对策。方法 30个调查县区中,由结防机构门诊医生对2008年9月至2009年1月新登记的结核病患者进行HIV检测动员,同意者抽血样进行HIV抗体检测。以受检率为指标进行统计分析。结果调查期间,共有5 447例结核病患者被动员接受HIV抗体检测,其中5 161例有检测结果,总受检率为94.6%。粤中、粤东、粤西和粤北4个地区的受检率分别为99.2%、93.1%、92.9%和98.4%,受检率存在地区差异(2=80.164,P<0.001),粤东和粤西的受检率低于粤中和粤北(2粤东vs粤中=66.692,P<0.001;2粤西vs粤中=65.829,P<0.001;2粤东vs粤北=12.984,P<0.001;2粤西vs粤北=13.228,P<0.001)。体力劳动患者、初中文化程度患者、外地户籍患者、转诊患者、有咳嗽咳痰2周以上患者和肺外结核患者更愿意接受HIV抗体检测(P<0.05)。结论广东省结核病患者接受HIV抗体检测的受检率高。但粤东地区和粤西地区受检率偏低,说明在开展结核病患者HIV抗体检测工作中,须根据实际情况采取针对性措施提高结核病患者HIV抗体受检率。更多还原

【Abstract】 Objective To investigate the influence factors of HIV-testing rate among tuberculosis(TB) patients and the countermeasures.Methods TB patients,who were registered from September 2008 to January 2009,were advised to have HIV test in 30 countries.Blood sample for HIV-testing was collected from the patients who consented to HIV test.Results Among 5 447 cases with TB advised to have HIV-test,5 161 cases received the test,with a total HIV-test rate of 94.6%.The HIV-test rates were 99.2%,93.1%,92.9% and 98.4%,respectively in Middle,Eastern,Western and Northern Guangdong,with significant differences among these 4 regional differences(x2=80.164,P<0.001).The HIV-test rates in Eastern and Western Guangdong were both significantly lower than that in Middle or Northern Guangdong(P<0.001).Patients,who were manual labor,with junior high education,floating population,referral,with cough more than 2 weeks or extra-pulmonary TB,preferred to have HIV test(P<0.05).Conclusion The HIV-test rate is high in Guangdong.However,the lower test rate in Eastern and Western Guangdong poses requirement of improvement of the HIV-testing among TB patients,which should be adjusted to local situation.更多还原