Status and impact factors of HIV voluntary counseling and testing(VCT) and HIV positive rate among VCT attendees in Hubei province,2013

Objective To examine the situation and influencing factors of human immunodeficiency virus(HIV)voluntary counseling and testing(VCT) in Hubei province in 2013,and to provide evidences for adjusting VCT strategy.Methods Data on demographic information,the reasons for seeking VCT,and the result of HIV antibody screening among VCT attendees were collected form 333 VCT clinics in Hubei province in 2013.Results Totally 57378 people received VCT services,of which 56654 undertook HIV antibody screening,with a screening rate of 98.74%.Among the attendees having HIV antibody screening,442 were positive to HIV and the positive rate was 0.78%.Of all the VCT attendees,91.96% took the VCT actively;34.23% had non-commercial extramarital heterosexual behavior and 30.87% had commercial heterosexual behavior.The HIV positive rate was the highest(6.88%) among the attendees being men who have sex with men(MSM),followed by the rate(5.47%) among those with a HIV positive spouse or regular sexual partner.Multivariate logistic analyses showed that age,reason for seeking VCT,medical institutions selected for VCT,and history of HIV test were associated with HIV positive results among the attendees.Conclusion VCT should be combined with provider-initiated HIV testing and counseling and post-test counseling and intervention should be strengthened.