Analysis of HIV voluntary counseling and testing services in Shenzhen from 2011 to 2013

Objective To analyze the situation of HIV voluntary counseling and testing(VCT)from 2011 to 2013 in Shenzhen in order to provide evidence for developing HIV/AIDS prevention and control strategies. Methods The historical data of HIV VCT from 2011 to 2013 in Shenzhen were analyzed aided with Excel and SPSS13.0. Results Totally 49 503people received VCT from 2011 to 2013 in Shenzhen, with the male/female ratio of 1.3:1:1, most of the VCT clients were young adults aged between 20 and 39 years accounting for 80.9%, a majority of then were married or having spouse(46.3%). From2011 to 2013,the proportion of extramarital heterosexual behaviors were 64.0%, 62.9% and 67.2%, respectively and male homosexual were 5.8%,7.1% and 8.8%(Linear- by- linear associationχ2=1453.61,P =0.000). The overall HIV positive detection rate accounted for 1.9% and the detection rate in the 3 years was 1.9%、1.8% and 2.3%, respectively. Among HIV positive clients, the majority of them were homosexual males, followed by injecting drug users and those having HIV positive spouses/regular sex partners. The proportions of VCT services accounted for 67.7%,71.4% and 71.4% of overall outpatient services by medical institutions at different levels from 2011 to 2013, while the proportion of clients occupied 61.9%、70.6%and 64.4% of the total VCT clients in the respective 3 years. Conclusion Shenzhen medical institutions provided good VCT services to the public. VCT outpatients can detect HIV positives that is effective for control the spread of HIV/AIDS infection.Highest HIV positive rate was detected among MSM, the focus group for HIV/AIDS control.