重庆市九龙坡区60例老年艾滋病患者感染因素调查分析  

Investigation and analysis of infection factors of 60 elderly AIDS patients in Jiulongpo district of Chongqing

作　　者：何惊春 姚远[1] 王志勇[1] 董攀 何继菲 HE Jingchun;YAO Yuan;WANG Zhiyong;DONG Pan;HE Jifei(Center for Disease Control and Prevention of JiulongpoDistrict,Chongqing 400039,China;The thirteenth people′s Hospital of Chongqing,Chongqing 400053,China)

机构地区：[1]重庆市九龙坡区疾病预防控制中心,400039 [2]重庆市第十三人民医院,400053

出　　处：《现代医药卫生》2019年第19期2965-2967,2972,共4页Journal of Modern Medicine & Health

摘　　要：目的了解老年人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者(PLWHA)感染途径、感染因素,提出防治对策。方法选择60例50岁以上老年PLWHA作为调查对象,对其人口学特征、社会活动、高危行为、安全套使用情况、AIDS的认知等进行面对面访谈。结果60例患者中男35例,女25例;文化程度以小学及以下为主,占50.00%(30/60);婚姻以在婚/同居为主,占55.00%(33/60);传播途径以异性性传播为主,占80.00%(48/60)。不同性别感染途径占比比较,差异有统计学意义(χ^2=37.592,P<0.01)。男性发生商业异性性行为的比例为71.43%(25/35),商业异性性行为史26例患者中,25例从未使用安全套,男性购买性服务的场所以低档发廊和路边店、无名场所为主。70.00%(42/60)患者是通过医疗机构就医时发现;查出HIV感染前78.33%(47/60)患者不了解AIDS;知晓感染后,60.00%(36/60)患者有不同程度的压抑、焦虑和羞愧情绪。结论老年PLWHA缺乏AIDS预防知识,易发生不安全性行为,男性以商业性行为传播、女性以固定性行为传播为主。提示下一步工作重点应关注老年人的性健康、安全性行为及扩大检测,加强娱乐场所性服务工作者的干预,推广使用安全套。Objective To understand the infection route and infection factors of elderly human immunodeficiency virus(HIV)/AIDS(PLWHA)patients(PLWHA),and to propose prevention and treatment measures.Methods A total of 60 patients over 50 years old with PLWHA were selected and interviewed for their demographic characteristics,social activities,high-risk behaviors,condom use and AIDS awareness.Results Among the 60 patients,35 were male and 25 were female.Primary school education and below,accounting for 50.00%(30/60).Marriage was dominated by marriage/cohabitation,accounting for 55.00%(33/60).The main transmission route was heterosexual transmission,accounting for 80.00%(48/60).The proportion of infection pathways of different genders was compared,and the difference was statistically significant(χ^2=37.592,P<0.01).The proportion of men having commercial heterosexual sex was 71.43%(25/35).Among the 26 patients with commercial heterosexual sexual history,25 never used condoms.The places where men bought sexual services were mainly low-end hair salons,roadside shops and anonymous places.Among the 60 cases,70.00%(42/60)were found through medical institutions,78.33%(47/60)were unaware of AIDS before HIV infection was detected.After knowing the infection,60.00%(36/60)had varying degrees of depression,anxiety and shame.Conclusion Elderly PLWHA lacks knowledge of AIDS prevention,and is prone to unsafe sex,mainly transmitted by commercial sex in males and by fixed sex in females.It suggests that the next work should focus on the sexual health and safe sex of the elderly and expand the testing,strengthen the intervention of sex workers in entertainment places,and promote the use of condoms.

关 键 词：获得性免疫缺陷综合征 感染 数据收集 老年人 艾滋病 因素 

分 类 号：R512.91[医药卫生—内科学]