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The purpose of this study was to investigate the characteristics of participants and analyze the major factors of HIV infection in VCT in Nantong, China. This study was conducted between January 2010 and December 2015, based on the responses to questionnaires and blood test results retrieved from the Chinese National HIV\/AIDS Comprehensive Control Information System (CNHCCIS). Multivariate logistic regression analyses were used to identify factors related to HIV infection. Differences between first\u2010time testers and repeat testers were assessed using the chi\u2010squared or Fisher test. Over six years, a total of 11,560 VCT participants were included, and 420 cases were confirmed to be HIV\u2010positive. Overall, the annual number of participants was relatively stable with a mean of 1927, while there was a rapid increase in the HIV detection rate (from 1.03% in 2010 to 7.52% in 2015). In multivariate analysis, referral counseling and having a HIV\u2010positive spouse\/fixed sex partners were found to be significantly associated with HIV infection among all participants, while being unmarried or divorced, having commercial heterosexual behaviors, and male\u2010male sexual behaviors are additional HIV\u2010related factors for males. Compared to first\u2010time testers, repeat testers were more willing to engage in high\u2010risk sexual behaviors and had higher HIV detection rates (<jats:italic>P<\/jats:italic> &lt; 0.001). In conclusion, the HIV epidemic in Nantong is still not controlled. Therefore, in the future, it is critical to expand VCT services to increase the detection rate of HIV, which can prevent the transmission of HIV effectively.<\/jats:p>","DOI":"10.1155\/2020\/5740654","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T04:18:14Z","timestamp":1601957894000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Understanding the Role of Voluntary Counseling and Testing (VCT) in HIV Prevention in Nantong, China"],"prefix":"10.1155","volume":"2020","author":[{"given":"Zhengcheng","family":"Xu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minjie","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujia","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyan","family":"Miao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongli","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3974-8193","authenticated-orcid":false,"given":"Xun","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,5]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1741-8"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13010030"},{"key":"e_1_2_10_3_2","article-title":"Update on the AIDS\/STD epidemic in China in August, 2018","volume":"24","author":"NCAIDS, NCSTD, China CDC","year":"2018","journal-title":"Chinese J AIDS STD"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/280969"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2011.00951.x"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0118651"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1631878"},{"key":"e_1_2_10_8_2","article-title":"Update on the AIDS\/STD epidemic in China and main response in control and prevention the second quarter of, 2016","volume":"22","author":"NCAIDS, NaCC, China CDC","year":"2016","journal-title":"Chinese J AIDS STD"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1071\/SH11104"},{"key":"e_1_2_10_10_2","first-page":"37","article-title":"Repeat HIV testing and incident rates among individuals attending voluntary counseling and testing clinics in Wuxi, China: a retrospective study","volume":"31","author":"Meng X. 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