2015—2018年广西经商业异性性传播艾滋病病例特征及影响因素分析  

Characteristics and associated factors of HIV transmission through commercial heterosexual contact in Guangxi,2015—2018

作　　者：朱秋映[1] 沈智勇[1] 刘玄华[1] 孟琴[1] 吴秀玲[1] 黄精华[1] 阮玉华[1,2] ZHU Qiu-ying;SHEN Zhi-yong;LIU Xuan-hua;MENG Qin;WU Xiu-ling;HUANG Jing-hua;RUAN Yu-hua(Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Nanning,Guangxi 530028,China)

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530028 [2]中国疾病预防控制中心传染病预防控制国家重点实验室

出　　处：《应用预防医学》2020年第6期463-466,471,共5页Applied Preventive Medicine

基　　金：广西八桂学者艾滋病防控关键技术岗位专项。

摘　　要：目的了解广西经商业异性性传播艾滋病病例的流行病学特征及影响因素,为实施精准防控提供数据支持。方法从"中国疾病预防控制信息系统艾滋病防治基本信息系统"下载2015—2018年广西新报告艾滋病病例数据,描述性分析商业异性性传播感染者的特征,采用logistic回归模型分析其影响因素。结果2015—2018年广西新报告≥18岁异性性传播HIV/AIDS 32648例,其中经商业异性性传播为17911例(54.86%)。其性别分布以男性为主,占92.21%(16516/17911);年龄以≥50岁中老年为主,占60.06%(10757/17911);职业以农民为主,占76.98%(13788/17911);以本地常住人口为主,占89.31%(15996/17911);婚姻状态以已婚有配偶为主,占58.03%(10394/17911);教育程度以小学及以下为主,占52.99%(9491/17911);民族以汉族为主,占62.34%(11165/17911);现住址以农村为主,占68.02%(12183/17911)。多因素logistic回归模型分析显示,男性、50岁及以上中老年、汉族、单身(未婚/离异/丧偶)、小学及以下教育程度是商业性行为传播的危险因素。结论商业异性性传播是广西异性性传播HIV的主要方式,应重点针对单身、低教育程度、中老年男性人群实施精准防控措施。Objective To understand the characteristics and influencing factors of HIV transmission through commercial heterosexual contact in Guangxi,provide data support for the implementation of precise prevention and control.Methods Data on newly reported HIV/AIDS cases in Guangxi from 2015 to 2018 was downloaded from"the National Basic Information System for HIV/AIDS Prevention and Control".Descriptive analysis of the characteristics of people infected by commercial heterosexual contact,and a logistic regression model was used to analyze their influencing factors.Results From 2015 to 2018,Guangxi newly reported 32648 cases of heterosexual transmission of HIV/AIDS≥18 years old,of which 17911 cases(54.86%)were transmitted through commercial heterosexual transmission.Among the HIV/AIDS cases through commercial heterosexual transmission,92.21%were male(16516/17911);the majority were elderly≥50 years old,accounting for60.06%(10757/17911);their occupation were mainly farmers,accounting for 76.98%(13788/17911);the local permanent residents were accounted for 89.31%(15996/17911);marital status was mainly married with a spouse,accounting for 58.03%(10394/17911);the majority had education level with primary school and below,accounting for 52.99%(9491/17911);the ethnic group was mainly Han,accounting for 62.34%(11165/17911);the current address was mainly in rural areas,accounting for 68.02%(12183/17911).Multivariate logistic regression analysis showed that male,elderly aged≥50 years,Han ethnic group,single(unmarried/divorced/widowed),and education level with primary school and below were the risk factors of commercial heterosexual transmission(all P values were<0.05).Conclusions Commercial heterosexual transmission of HIV is the main mode of heterosexual transmission in Guangxi.Precise prevention and control measures should be focus on the implementation for single,low education,and middle-aged and elderly men.

关 键 词：艾滋病病毒 异性传播 商业性行为 

分 类 号：R512.911[医药卫生—内科学]