阿克苏市50岁及以上男性HIV感染影响因素分析  

Analysis of associated factors of HIV infection in men aged 50 years and older in Akesu city

作　　者：卢娣 李虎 曹静 李涛[1] 孙路明 王希江[3] LU Di;LI Hu;CAO Jing;LI Tao;SUN Lu-ming;WANG Xi-jiang(The Center for Disease Control and Prevention of Akesu Prefecture,Akesu,Xinjiang 843000,China;不详)

机构地区：[1]新疆阿克苏地区疾病预防控制中心,新疆阿克苏843000 [2]新疆现场流行病学培训项目,乌鲁木齐830002 [3]新疆维吾尔自治区疾病预防控制中心,乌鲁木齐830002

出　　处：《疾病预防控制通报》2020年第5期13-15,35,共4页Bulletin of Disease Control & Prevention(China)

基　　金：新疆现场流行病学培训项目(XTFETP-3)。

摘　　要：目的分析2012—2017年新疆阿克苏市50岁及以上男性感染HIV相关危险因素,为本地针对性开展该年龄人群艾滋病防治工作提供依据。方法采用病例对照研究,通过匿名问卷调查获得病例组和对照组人口学和行为学等相关数据资料,以卡方检验和Logistic回归模型分析该人群感染HIV的危险因素。结果共收集有效问卷237份,其中病例组120份和对照组117份,病例组和对照组的婚姻状况((χ~2=1.566)、民族(χ~2=0.073)、文化程度(χ~2=0.471)、职业(χ~2=0.017)和年龄(χ~2=1.962)分布差异无统计学意义(P>0.05),其居住情况(χ~2=5.496)、艾滋病知识知晓情况(χ~2=4.063)、近半年性行为对象(χ~2=5.149)和是否使用安全套(χ~2=4.980)差异有统计学意义(P<0.05);通过Logistic多因素回归分析,最近半年性行为对象为配偶、知晓艾滋病知识、最近半年性生活使用安全套是保护因素。结论不了解艾滋病相关知识、配偶以外的性行为、不使用安全套是阿克苏市50岁及以上男性HIV感染的危险因素;应采取精准干预措施,控制该人群艾滋病疫情。Objective To analyze the risk factors of HIV infection in men aged 50 years and older in Akesu city from 2012 to 2017,and provide scientific basis for conducting prevention and control of HIV in this age-specified population.Methods The case-control study was taken and the data of demography and behavioristics in case group and control group were obtained with anonymous questionnaire survey.The risk factors of HIV infection in this population were analyzed by Chisquare test and Logistic regression.Results There were 237 valid questionnaires,including 120 of case group and 117 of control group.There were no statistical differences(P>0.05)in the distribution of marital status(χ2=1.566),nationality(χ2=0.073),educational background(χ2=0.471),occupation(χ2=0.017)and age(χ2=1.962)between the case group and the control group,and statistical difference(P<0.05)in living condition(χ2=5.496),awareness of HIV knowledge(χ2=4.063),sex partner in latest half a year(χ2=5.149)and usage of condom(χ2=4.980)were found between the case and control group.Only sex with spouse in the latest half a year,awareness of HIV knowledge,using condom in the latest half a year were the protective factors by Logistic multivariate regression analysis.Conclusions Lack of HIV knowledge,extramarital sex activity and non-use of condom are the risk factors of HIV infection in men aged 50 years and older in Akesu city.The precise intervention measures should be conducted for HIV prevention in this age-specified population.

关 键 词：男性 50岁及以上 艾滋病 危险因素 病例对照 

分 类 号：R512.91[医药卫生—内科学] R181.23[医药卫生—临床医学]