2015-2019年温州市非婚异性性行为HIV感染者特征及相关因素  

Epidemic characteristics and associated factors of non-marital HIV/AIDS infection via heterosexual transmission in Wenzhou from 2015-2019

作　　者：王大勇[1] 赵淑珍 叶振淼[1] 赵丽娜[1] 张鹤美[1] 苏德华[1] 陈向阳[1] 汪若秋[1] 侯祥庆 毛广运 WANG Dayong;ZHAO Shuzhen;YE Zhenmiao;ZHAO Lina;ZHANG Hemei;SU Dehua;CHEN Xiangyang;WANG Ruoqiu;HOU Xiangqing;MAO Guangyun(Wenzhou Center for Disease Prevention and Control,Wenzhou 325000,Zhejiang,China;Department of Preventive Medicine,School of Public Health&Management,Wenzhou Medical University,Wenzhou 325035,Zhejiang)

机构地区：[1]温州市疾病预防控制中心,浙江温州325000 [2]温州医科大学公共卫生与管理学院,浙江温州325035

出　　处：《中国艾滋病性病》2021年第4期369-373,共5页Chinese Journal of Aids & STD

基　　金：温州市科技计划项目(Y20150294、Y2020553)。

摘　　要：目的了解2015-2019年温州市经非婚异性性行为感染的新报告HIV感染者特征。方法收集中国疾病预防控制中心"艾滋病综合防治信息管理系统"自2015年1月1日至2019年12月31日温州市自述传播途径为非婚异性性行为感染的新报告HIV感染者的相关信息。采用多元Logistic回归模型分析非婚非商业异性性行为感染HIV的相关因素。结果 1 797例经非婚异性性行为HIV感染者,男性占79.4%(1 426例)。商业异性性行为感染的871例中,男性占96.8%(843例),女性占3.2%(28例);非婚非商业异性性行为感染的774例中男性占57.1%(442例),女性占42.9%(332例)。多因素分析结果显示,发生非婚非商业异性性行为感染的相关影响因素包括女性、年龄、性病史、户籍地、学历、非婚性伴个数等(P<0.05)。结论 2015-2019年温州市非婚异性性行为HIV感染者比例较高;加强艾滋病知识防治宣传教育,尤其是青年男女的性健康教育,积极开展一级防控策略是非常有必要的。Objective To understand the characteristics of newly reported HIV-infected people through unmarried heterosexual transmission in Wenzhou from 2015 to 2019. Methods The new HIV/AIDS cases reported from January 1,2015 to December 31, 2019 as Wenzhou residents collected by using the "National Comprehensive AIDS Information Management System", and self-reported as infected through non-marital heterosexual transmission were included in the study. SPSS22.0 software was used for statistical analysis, and multiple logistic regression model was used to analyze the related factors of HIV infection in non-marital heterosexual transmission. Results There were 1 797 cases of HIV infection through non-marital heterosexual transmission, with 79.4% males. The proportion of non-married commercial heterosexual males reached 96.8%(843/871), and that of women was only 3.2%(28/871);the proportion of unmarried non-commercial heterosexual males was 57.1%(442/774), and that of females was 42.9%(332/774). Multi-factor analysis results showed that the influencing factors of non-married and non-commercial heterosexual transmission included women, age, history of sexually transmitted diseases, place of residence, education, and number of non-married sexual partners(P<0.05). Conclusion The proportion of non-marital heterosexually transmitted HIV infections in Wenzhou is relatively high from 2015 to 2019. Among them, non-married commercial heterosexual transmission is dominated by males. It is necessary to strengthen the publicity and education of AIDS knowledge, and take the measures for prevention and targeted intervention to stop sexual transmission of HIV.

关 键 词：艾滋病病毒感染者 非婚非商业异性性传播 影响因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]