Analysis of impact factors and status of HIV voluntary counseling and testing in Shenzhen

Objective To analyze the impact factors and status of HIV VCT in Shenzhen city from 2008 to 2010,and to provide evidence for the adjustment of VCT strategy.Method The information of VCT in the Chinese disease prevention and control information system was collected and analyzed.Results A total of 45 135 clients received VCT service from 2008 to 2010.Among them 27 952(61.9%)had commercial heterosexual behavior,1 763 were men who had sex with men(MSM),1 120 had offered plasma or blood /blood products,286 had history of drug injection,and 14 014(31.0%)had other conditions.428 clients were confirmed as HIV(+) among 44 239(98.0%) clients who had received HIV test in the past three years,with a positive rate of 0.97%;65.8% of the clients received pre-test counseling,and 82.7% of the clients received post-test counseling and informed services.Logistic regression analysis showed that HIV positive rate was significantly associated with gender,age,education,types of counseling and past history of physical check up.Conclusion VCT plays an important role in HIV identification in Shenzhen,but it is necessary to strengthen health education for behavior change after VCT service in high-risk population groups.