山东省艾滋病夫妻间传播的病例对照研究  

A case control study on aids transmission in couples

作　　者：刘少楠[1] 傅继华[2] 吕翠霞[2] 张晓菲[2] 赵玉遂[3] 

机构地区：[1]威海市疾病预防控制中心,山东威海264200 [2]山东省疾病预防控制中心 [3]山东省医学科学院基础医学研究所

出　　处：《现代预防医学》2012年第16期4081-4083,共3页Modern Preventive Medicine

摘　　要：目的分析山东省HIV夫妻间传播途径及影响因素,为艾滋病防治提供依据。方法选择山东省1992～2009年12月31日常住山东省内HIV夫妻间传播的感染者为对象,并选取101个单阳家庭作对照进行调查。结果发生夫妻间传播有90例,其先感染者一方与101例单阳夫妻感染途径比较:χ2=3.19,P﹥0.05,差异无统计学意义。单因素分析结果显示:文化程度(χ2=17.62,P﹤0.01),分居情况(χ2=5.75,P﹤0.05)是夫妻间传播的影响因素;Logistic回归分析结果显示:文化水平低(OR=1.672),同居(OR=2.877)是影响夫妻传播的独立危险因素。结论加强对HIV感染者相关知识的教育,杜绝无保护性行为是防治HIV夫妻间传播的有效措施。OBJECTIVE To analyze the route of transmission and influence factor of HIV between couples, so as to provide the basis for AIDS prevention and control in Shandong. METHODS Families who were found HIV infection between Dec 31th 1992-Dec 31th 2009 in Shandong were collected and investigated living couples, and 101 single positive families were selected as controls and investigated. RESULTS 90 cases couples were transmission by spouse, the first infection people of 90 couples did not show significant difference with 101 single positive couples, x2 = 3.19, P 〉 0.05. There was no significant difference. Single factor analysis showed culture level （x2 = 17.62, P 〈 0.01） and the information of separation （x2= 5.75, P 〈 0.05） were the influence factors of spread of couples; The logistic regression analysis indicated that the low Culture level （OR = 1.672） and live together （OR = 2.877） were the independent risk factors of spread of HIV. CONCLUSION Strenthen health education of HIV infected person, promote using condoms, and prevent from unprotected sex are the effective measures of con- trolling spread between couples.

关 键 词：艾滋病 夫妻间传播 影响因素 

分 类 号：R512.91[医药卫生—内科学]