国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2010, Vol. 29 ›› Issue (5): 357-361.

• 综述 • 上一篇    下一篇

中国艾滋病自愿咨询检测服务的现状及影响因素

李娜,武俊青   

  1. 200032 上海，复旦大学，上海市计划生育科学研究所
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-09-15 发布日期:2010-09-15
  • 通讯作者: 武俊青

New Advancement of VCT Carried in China and Related Factors

LI Na，WU Jun-qing.   

  1. Fudan University， Shanghai Institute of Planned Parenthood Research，Shanghai 200032，China.
  • Received:1900-01-01 Revised:1900-01-01 Published:2010-09-15 Online:2010-09-15
  • Contact: WU Junqing

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摘要： 艾滋病(AIDS)自愿咨询检测（voluntary counseling and testing，VCT）是求询者通过咨询，在
充分知情和完全保密的情况下，自愿选择是否接受HIV抗体检测、改变危险行为及获得相关服务的过程。
VCT 不仅有利于早发现、早诊断和早治疗，预防机会感染，还能为受检者（特别是感染者）提供心理支持。
作为艾滋病预防和关怀项目的重要内容和切入点，VCT服务受到重视，2003 年中国实行免费艾滋病咨询
检测服务以来，现VCT服务点已遍布各省市，2008 年的统计数据显示，全国有VCT 服务点六千多个。影
响VCT服务开展和利用的因素包括政策、社会和家庭支持环境、服务质量、服务可及性及服务对象的认知
水平等。为推进VCT 服务的开展，建议进一步完善立法和工作标准，强化服务人员的能力培养，广泛宣传
相关知识，消除社会歧视，营造社会支持环境。

关键词: 获得性免疫缺陷综合征, 咨询, 自愿咨询检测, 流行病学因素

Abstract: In order to strengthen AIDS prevention and control，HIV/AIDS Voluntary Counseling and
Testing (VCT) was introduced，which encourages people who engaged in high鄄risk behavior to take voluntary
rather than mandatory HIV testing. It mainly provides services of counseling，supports and referral before and
after testing. VCT can not only discover and treat PLWHA（people Living with HIV/AIDS），but also provide
psychological support to them. In these review，the latest development of VCT in China and the related factors
are stated. As an entry point of conducting intervention，treatment and care for PLWHA，VCT is highlighted
for attention in China. Since 2003，the VCT service for free has been throughout every province. And data
from CDC in the year of 2008 showed that there were more than 6000 VCT sites in China. The study also
showed that the main factors influencing the expansion and use of VCT service include policy，social and
family supportive environment，quality of service，accessibility of service and the KAP of service target. To
promote the VCT services，it needs support from policy，social and family，as well the capacity building of the
service providers.

Key words: Acquired immunodeficiency syndrome, Counseling, Voluntary counseling and testing, Epidemiologic factors