广西壮族自治区2015-2018年新报告非婚非商业异性性传播HIV/AIDS特征分析  

Characteristics of newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission in Guangxi Zhuang Autonomous Region,2015-2018

作　　者：刘玄华[1] 朱秋映[1] 孟琴[1] 沈智勇[1] 阮玉华[2] 吴秀玲[1] 周信娟[1] 黄精华[1] 唐帅[1] 杨文敏 Liu Xuanhua;Zhu Qiuying;Meng Qin;Shen Zhiyong;Ruan Yuhua;Wu Xiuling;Zhou Xinjuan;Huang Jinghua;Tang Shuai;Yang Wenmin(Institute of HIV/AIDS Prevention and Control,Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control,Nanning 530028,China;National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control,Nanning 530028,China)

机构地区：[1]广西壮族自治区疾病预防控制中心艾滋病防制所,南宁530028 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [3]广西壮族自治区疾病预防控制中心,南宁530028

出　　处：《中华流行病学杂志》2020年第4期537-541,共5页Chinese Journal of Epidemiology

基　　金：国家科技重大专项(2018ZX10721-102-006,2018ZX10715-008);广西科技重点研发计划项目(AB16380213);广西八桂学者艾滋病防控关键技术岗位专项。

摘　　要：目的了解2015-2018年广西壮族自治区(广西)新报告非婚非商业异性性传播(非婚非商性传播)HIV/AIDS特征及其相关影响因素。方法数据来源于中国疾病预防控制信息系统艾滋病防治基本信息系统,收集2015-2018年广西新报告≥18岁HIV/AIDS相关信息,采用非条件logistic回归模型分析新报告HIV/AIDS的非婚非商性传播HIV的影响因素。结果2015-2018年广西新报告≥18岁HIV/AIDS 35497例,异性性传播32648例(占92.0%),非婚非商性传播10500例,占新报告HIV/AIDS的29.6%(10500/35497),占异性性传播的32.2%(10500/32648),男性占53.5%(5617/10500),男女性别比为1.2∶1(5617∶4883),已婚/有固定性伴占55.9%(5873/10500)。男性的商业性传播占64.4%(16516/25633),而女性的非婚非商性传播占49.5%(4883/9864)。多因素logistic回归分析结果显示,非婚非商性传播的HIV感染风险:女性是男性的3.98倍(95%CI:3.78~4.20),<50、50~59岁组分别是≥60岁组的1.35倍(95%CI:1.27~1.44)、1.13倍(95%CI:1.05~1.21),未婚/离异/丧偶是已婚/有固定性伴的1.53倍(95%CI:1.45~1.61),文化程度为初中、高中及以上的分别是小学及以下的1.22倍(95%CI:1.16~1.29)、1.18倍(95%CI:1.10~1.27)。结论2015-2018年广西新报告HIV/AIDS中,非婚非商性传播的构成比接近30.0%,非婚非商性传播HIV的危险因素包括女性、<60岁、未婚/离异/丧偶和初中及以上文化程度,应采取精准的防控措施。Objective To understand the characteristics and associated factors of newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission,in Guangxi Zhuang Autonomous Region(Guangxi),2015-2018.Methods Information of newly reported HIV/AIDS cases aged≥18 years in Guangxi between 2015 and 2018 was collected from the National Comprehensive HIV/AIDS Information System.Unconditional logistic regression model was used to access those factors that were associated with HIV infections through non-marital or non-commercial heterosexual contact.Results Between 2015 and 2018,a total number of 35497 HIV/AIDS cases,aged≥18 years were newly reported in Guangxi.Among them,32648(92.0%)were infected heterosexually while 10500 were infected through non-marital or non-commercial heterosexual behavior.Non-marital or non-commercial heterosexual transmission accounted for 29.6%(10500/35497)of the newly reported HIV/AIDS cases,and 32.2%(10500/32648)of those with heterosexual transmission.Males counted for 53.5%(5617/10500)of non-marital or non-commercial heterosexual transmission and males to females ratio was 1.2∶1(5617∶4883).Those married or had regular sexual partners counted for 55.9%(5873/10500).Commercial heterosexual transmission appeared the main mode of HIV transmission for males(64.4%,16516/25633)while main mode for females was non-marital or non-commercial heterosexual transmission and counted for 49.5%(4883/9864).Results from the multivariate logistic regression analysis showed that adjusted OR of female HIV/AIDS infected HIV via non-marital or non-commercial heterosexual transmission,was 3.98 times(95%CI:3.78-4.20)hight than that of males.Among the group aged<50 years and the aged 50-59 years,the adjusted ORs were 1.35 times(95%CI:1.27-1.44)and 1.13 times(95%CI:1.05-1.21)hight than that of aged≥60 years.Those who were single/divorced/widowed,the adjusted OR was 1.53 times(95%CI:1.45-1.61)hight than that of those married/regular partners.Those with junior high school education,high school edu

关 键 词：艾滋病病毒感染/艾滋病 异性性传播 非婚 非商业 

分 类 号：R512.91[医药卫生—内科学]