武汉市艾滋病经性传播病例感染方式特征变化趋势分析  

Characteristics of the changing tendency of HIV/AIDS cases through sexual transmission in Wuhan City

作　　者：许骏[1] 罗莉[1] 胡荣[1] 曹琳[1] 丁洁[1] 王夏[1] XYU Jun;LUO Li;HU Rong;CAO Lin;DING Jie;WANG Xia(Wuhan Center for Disease Control and Prevention,Wuhan 430015,China)

机构地区：[1]武汉市疾病预防控制中心

出　　处：《公共卫生与预防医学》2018年第6期126-129,共4页Journal of Public Health and Preventive Medicine

基　　金：武汉市公共卫生及卫生政策科研重点项目(WG14B07)

摘　　要：目的 深入了解武汉市艾滋病经性传播感染方式特征变化趋势。方法 分别在不同年份抽样调查武汉市当年新报告男男HIV/AIDS病例,结合病例随访收集分析历年报告传播途径为异性传播的HIV/AIDS信息。结果 接受调查的男男同性HIV/AIDS病例大学及以上文化所占比例由2012年的34.65%升至2016年的64.83%,通过互联网/交友App寻找性伴比例由2012年的25.88%升至2016年的72.76%,差异均有统计学意义(P<0.001)。3298例异性性传播病例中非婚异性性行为占91.75%,阳性配偶/固定性伴的仅占8.25%。2015—2017年经非商业性行为感染比例达71.08%,远高于商业异性的18.03%,分层分析结果显示非商业性行为感染HIV/AIDS病例呈逐年增加趋势,在性别、年龄、文化、婚姻、流动性及非婚性行为人数等特征上不同于商业异性性行为病例。结论 互联网/交友软件已经成为武汉市MSM寻找性伴的重要平台/场所,需充分利用互联网资源,针对性宣教干预。同时调整异性性传播防治策略措施,区别对待非商业与商业异性性行为传播。Objective To better understand the characteristics trend of different infection patterns of AIDS through sexual transmission in Wuhan.Methods Cross sectional study was performed for the newly reported homosexual HIV/AIDS cases in different years.Data of HIV/AIDS through heterosexual transmission were also collected and analyzed using combined case follow-up. Results Among the surveyed homosexual cases,proportion of college level increased from 34.65%in 2012 to 64.83%in 2016,proportion of chasing partner mode through internet/dating software increased from 25.88%in 2012 to 72.76%in 2016,both with significant difference(P<0.001).Among 3298 heterosexual transmission cases,proportion of non-marital heterosexual behavior was 91.76%,while proportion of positive spouse/fixed partners was only 8.25%.In 2015-2017,proportion of non-commercial transmission was up to 71.08%,far higher than 18.03%through commercial transmission. Results from hierarchical analysis showed an increasing trend for cases infected through non-commercial,and differences existed between non-commercial and commercial in characteristics of gender,age,culture,marriage status,migration and the numbers of non-marital sex partners. Conclusion Internet/Dating software had become an important platform/place for MSM chasing sexual partners in Wuhan city.It was necessary to make full use of internet resources to conducttargeted intervention.Measures should be adjusted and differentiate the spread of non-commercial and commercial heterosexual transmission.

关 键 词：艾滋病病毒感染者/艾滋病患者 性传播 感染方式 

分 类 号：R183[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]