运城市现存活HIV/AIDS病人中异性性传播方式的特征分析  

Characteristics of heterosexual transmitted HIV among HIV/AIDS patients Yuncheng,Shanxi province

作　　者：李效民[1] 董旭峰[1] 李秀兰[1] 孙燕[1] 王晋生[1] 

机构地区：[1]运城市疾病预防控制中心,山西运城044000

出　　处：《中国艾滋病性病》2015年第6期466-469,共4页Chinese Journal of Aids & STD

基　　金：山西省运城市社会发展项目~~

摘　　要：目的了解运城市现存活艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)异性性传播方式的特征,为有针对性地开展干预工作提供依据。方法以2013年12月31日前艾滋病综合防治信息系统中,报告现住址为运城市的HIV/AIDS病人为调查对象。通过问卷调查获得其一般人口学特征及异性性传播方式。结果调查464例HIV/AIDS病人,经固定性伴传播者占55.6%(258例),经商业性伴传播者占18.3%(85例),经非商业临时性伴传播者占26.1%(121例)。不同性别、职业、年龄及不同报告年份的HIV/AIDS病人,异性性传播方式所占构成比的差异有统计学意义。经固定性伴传播比例呈现下降趋势,而经商业性伴及非商业临时性伴传播的比例呈上升趋势,经趋势χ2检验差异有统计学意义。结论运城市HIV/AIDS病人中经商业性伴及非商业临时性伴传播所占比例呈现上升趋势。艾滋病干预工作中针对HIV/AIDS病人及其配偶的干预工作不能放松,同时应重视商业性伴传播及非商业临时性伴传播艾滋病的问题。Objective To find out the main pathway and characters of heterosexual transmission of HIV among people living with HIV and AIDS （HIV/AIDS patients）, and to provide evidence for the intervention. Methods The HIV/AIDS patients who were reported in the China information system for disease prevention and control be- fore December 31,2013, and now lived in Yuncheng were the objects of the investigation. Questionnaires were used to investigate the social demographic characteristics and heterosexual transmission mode. Results There were 464 HIV/AIDS patients who were investigated in the survey, and HIV transmission by the fixed sexual partners accoun ted for 55.6 % （258）, the commercial sexual partners accounted for 18.3% （85）, and the non-commercial casual sex- ual partners accounted for 26.1% （121）. The differences of proportion of modes of heterosexual transmission among HIV/AIDS patients between different years, genders occupation and age groups were statistically significant. The rate of HIV transmission by the fixed sexual partners decreased and by the commercial sexual partners, and the non commercial casual sexual partners were rising year by year. Conclusion The proportion of HIV transmission among HIV/AIDS patients via commercial sexual partners and noncommercial casual sexual partners increased significantly. The intervention work for HIV/AIDS patients and their spouses can not be relaxed. At the same time pay attention to HIV transmission among elderly men＇s commercial sexual partners and young women＇s non-commercial casual sexual partners.

关 键 词：艾滋病病毒感染者/艾滋病病人 传播方式 异性性传播 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]