永康市经异性性接触感染的HIV/AIDS病人的流行特征  

Epidemiological characteristics of heterosexual transmission in HIV/AIDS patients in Yongkang city

作　　者：丁雄 周美儿 夏筱利 王郁青 DING Xiong;ZHOU Meier;XIA Xiaoli;WANG Yuqing(Department of Preventive Health Care,Yongkang Hospital of Traditional Chinese Medicine,Yongkang 321300,Zhejiang,China)

机构地区：[1]永康市中医院预防保健管理科

出　　处：《中国艾滋病性病》2019年第11期1157-1160,共4页Chinese Journal of Aids & STD

摘　　要：目的了解浙江省永康市经异性性接触感染的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的流行情况及影响因素,为制定有针对性的干预措施提供依据。方法通过中国疾病预防控制信息系统中的传染病报告信息管理系统,下载2014年1月1日至2018年12月31日HIV/AIDS病人传染病报卡,并汇编成数据库。从数据库中收集研究对象的人口学特征、流动特征和HIV感染高危行为等信息。采用χ~2检验和多因素非条件Logistic回归分析比较不同特征HIV/AIDS病人经商业性途径感染情况。结果共收集320例HIV/AIDS病人,平均年龄(41.48±14.29)岁(17~86岁);其中男性211例,占65.9%;经异性商业性性途径感染224例,占70.0%。不同报告年龄、性别、职业、婚姻状况、样本来源、有无性病史差异均有统计学意义(P<0.05);进行多因素Logistic回归分析,结果显示:男性、46~55岁和非服务性行业务工、有性病史是经商业性异性性途径感染的危险因素。结论民工、工人和年龄≥46岁为艾滋病的防控重点人群;应继续开展自愿咨询检测、性病门诊等专题调查,扩大HIV检测覆盖面,提高病例的早发现能力。Objective To study the epidemiological characteristics and factors of heterosexual transmission among HIV/AIDS individuals in Yongkang,Zhejiang province,and to provide the basis for intervention promotion.Methods Through the infectious disease reporting information management system,the HIV/AIDS cases reported from Jan 1,2014 to Dec 31,2018 were collected to know their demographic characteristics,floating characteristics,HIV high-risk behaviors and other information.Chi square test and multivariate unconditional logistic regression analysis were used to compare the infection status of HIV/AIDS with different characteristics.Results There were320 cases,at the age between 17-86 years old,and the average age of(41.48±14.29)years.211(65.9%)cases were males,and 224(70.0%)men were infected via heterosexual transmission by commercial sexual intercourse.There were significant differences in age,gender,occupation,marital status,sample sources,and history of sexually transmitted diseases(P<0.05).Multivariate logistic regression analysis showed that males,46-55 years old,and workers in non-service industries,history of sexually transmitted diseases were risk factors for HIV infection,esp.through commercially heterosexual behavior.Conclusion We should further strengthen the prevention and control of AIDS among migrants,workers and risk behavior groups,and those younger than 46 years,continue to carry out special investigations on the situation of VCT and STD services,and expand the coverage of HIV/AIDS testing to improve HIV early detection.

关 键 词：艾滋病 性传播疾病 危险因素 

分 类 号：R512.91[医药卫生—内科学]