杭州市萧山区男性中老年人群HIV感染因素分析  

Factors associated with HIV infection among middle-aged and elderly men in Xiaoshan District,Haugzhou

作　　者：王飞 张庆梅[1] 王富良[1] 贾和祥[1] Wang Fei;Zhang Qingmei;Wang Fuliang;Jia Hexiang(Department of AIDS Prevention and Control,Center for Disease Prevention and Control of Xiaoshan District,Hangzhou 311201,China)

机构地区：[1]杭州市萧山区疾病预防控制中心艾滋病防制科,311201

出　　处：《国际流行病学传染病学杂志》2021年第2期137-141,共5页International Journal of Epidemiology and Infectious Disease

基　　金：2018年度萧山区社会发展重大科技项目(2018223)。

摘　　要：目的了解杭州市萧山区男性中老年人群HIV感染的影响因素,为老年人艾滋病防控提供参考。方法通过中国疾病预防控制信息系统艾滋病综合防治信息系统筛选2004年1月1日至2018年6月30日居住地为杭州市萧山区、确证时≥50岁男性HIV/AIDS病例资料,1∶2匹配同年龄段同性别的社区居民,开展问卷调查,采取多因素Logistic回归分析HIV感染影响因素。结果调查病例组83人,对照组175人,调查对象年龄范围50~90岁,文化程度以初中及以下为主(84.5%)。多因素分析结果表明,男性中老年人群HIV感染的危险因素包括未拆迁(OR=4.723,95%CI:1.577~14.140)、拆迁过渡期(OR=8.334,95%CI:2.018~34.416)、无业余活动(OR=4.486,95%CI:1.602~12.564)、有婚外异性性行为(OR=111.004,95%CI:26.299~468.526)、未婚/离异/丧偶(OR=6.175,95%CI:2.059~18.523)、年收入≤5万元(OR=4.412,95%CI:1.303~14.934)。结论未拆迁或处于拆迁过渡期的低收入独居老年人群感染HIV的风险较大。在加快城市化建设过程中,对此类人群进行有效干预是当前男性中老年人群艾滋病防控的重要任务。Objective To understand the risk factors of HIV infection among the middle aged and elderly men in Xiaoshan District of Hanghou,so as to provide references for the prevention and control of AIDS in the elderly.Methods The data of HIV/AIDS cases in men over 50 years old linving in Xiaoshan District were selected from the sub platform of China's legal infectious disease monitoring information reporting system-HIV/AIDS integrated prevention and control data information management system from January 1st,2004 to June 30th,2018.Residents with the same age and gender were matched by a ratio of 1∶2.Questionnaire survey was carried out,and Logistic regression model was used to analyze the risk factors.Results There were 83 cases in the case group and 175 in the control group.The respondents were at the age of 50-90,and most of them(84.5%)had the educational level of junior high school or below.Logistic multiple factors regression analysis revealed that the risk factors of HIV infection in male middle-aged and elderly population included non-demolition(OR=4.723,95%CI:1.577-14.140),transitional period(OR=8.334,95%CI:2.018-34.416),no amateur activities(OR=4.486,95%CI:1.602-12.564),extramarital sexual behaviors(OR=111.004,95%CI:26.299-468.526),unmarried/divorced/widowed(OR=6.175,95%CI:2.059-18.523),and annual income≤50000 yuan(OR=4.412,95%CI:1.303-14.934).Conclusions Middle-aged and elderly male population with low annual income who have housing demolition or are at transitional period are at high risk for HIV infection.At the period of urbanization construction,it is an important task of AIDS prevention and control for the middle-aged and the elderly men.

关 键 词：HIV 影响因素 男性 中老年人群 拆迁 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]