Derancourt C, Merle C, Godeau H, Vignon F, Lemoussu C, Verraes Derancourt S, Bernard P
CDAG, Service de Dermatologie, CHU de Reims.
Ann Dermatol Venereol. 2004 Jan;131(1 Pt 1):11-5. doi: 10.1016/s0151-9638(04)93536-3.
The anonymous and free AIDS screening centers were developed in France in 1987 to incite the general population to undergo screening for HIV infection. The aim of this paper was to conduct a prospective study describing the principle characteristics and level of risk of those consulting a center in the Year 1999.
A face to face physician-consultant questionnaire was proposed to all the consultants that Year. It included 20 questions regrouped in general characteristics of the subject, number of previous screenings, reason for screening, type of risk taken, date of last risk taken, and number of sexual partners during the past 12 Months and throughout their life without the use of a condom.
Two thousand six hundred seventy-eight persons consulted (sex ratio=1) aged a mean of 25.8 Years. The men were older than the women (respectively 27 versus 24.6; p<0.05). The reason for screening was a decision made by the couple in 44.6 p. 100, an unprotected sexual relationship in 47.6 p. 100 another reason in 7.6 p. 100 and drug abuse in 0.2 p. 100 of cases. The sex mode declared was heterosexual in 94.5 p. 100 and homo or bisexual in 5.4 p. 100. The majority of those consulting (66.2 p. 100) had had between 0 and 2 partners during the past 12 Months; 66 p. 100 had had more than 10 during their life without using a condom. The assessment of the global risk by the physician was: very high in 1 p. 100, high in 2.5 p. 100, moderate in 13.3 p. 100, low in 70.7 p. 100 and nil in 12.5 p. cent. Five HIV infections were diagnosed, all in persons at high or very high risk.
These results should stimulate the radical differentiation of the management of persons consulting according to the level of risk identified by the medical questionnaire.
1987年法国设立了匿名免费艾滋病筛查中心，以鼓励普通民众接受HIV感染筛查。本文旨在进行一项前瞻性研究，描述1999年咨询某筛查中心人员的主要特征和风险水平。
当年向所有咨询者发放了一份医生与咨询者面对面的调查问卷。问卷包含20个问题，分为咨询者的一般特征、既往筛查次数、筛查原因、所涉风险类型、上次涉险时间以及过去12个月和一生中未使用避孕套时的性伴侣数量。
2678人前来咨询（男女比例为1），平均年龄25.8岁。男性比女性年龄大（分别为27岁和24.6岁；p<0.05）。筛查原因中，44.6%是夫妻双方的决定，47.6%是有不安全性行为，7.6%是其他原因，0.2%是药物滥用。所宣称的性行为方式中，94.5%为异性恋，5.4%为同性恋或双性恋。大多数咨询者（66.2%）在过去12个月中有0至2个性伴侣；66%的人一生中未使用避孕套时性伴侣超过10个。医生评估的总体风险为：1%为极高，2.5%为高，13.3%为中等，70.7%为低，12.5%为无风险。诊断出5例HIV感染，均为高风险或极高风险人群。
这些结果应促使根据医学问卷确定的风险水平，对咨询者的管理进行彻底区分。
