2011~2020年山东省女性经性途径感染HIV者流行特征分析  

Analysis on epidemiological characteristics of women with sexually transmitted HIV infection,Shandong province,2011-2020

作　　者：杨兴光[1] 赵志刚[1] 于海英[1] 李玲 黄鹏翔[1] 张娜[1] 王国永[1] 康殿民[1] YANG Xing-guang;ZHAO Zhi-gang;YU Hai-ying;LI Ling;HUANG Peng-xiang;ZHANG Na;WANG Guo-yong;KANG Dian-min(Shandong Center for Disease Control and Prevention Jinan Shandong,250014,China;不详)

机构地区：[1]山东省疾病预防控制中心,山东济南250014

出　　处：《预防医学论坛》2021年第9期653-656,共4页Preventive Medicine Tribune

基　　金：山东省医药卫生科技发展计划项目(项目编号:2019WS435);山东省医药卫生科技发展计划项目(项目编号:2019WS427);山东省医药卫生科技发展计划项目(项目编号:202012051420)。

摘　　要：目的分析山东省女性经性途径感染HIV者的流行特征。方法通过国家"艾滋病综合防治信息系统"获取HIV感染者/艾滋病患者信息,纳入其中2011年1月1日至2020年12月31日期间感染途径为性传播且现住址为山东省的女性,共1665例。收集研究对象的基本人口学特征(年龄、婚姻状况、文化程度、民族、现住址等)和死亡等情况。比较不同性途径感染HIV者的人口学特征和死亡构成差异。结果1665例研究对象中,非婚异性性传播者为1057例(占63.48%),被发现时年龄为(40.48±14.13)岁;经阳性配偶传播者为608例(占36.52%),被发现时平均年龄为(44.62±12.90)岁,差异有统计学意义(P<0.01)。非婚异性性传播者已婚有配偶占61.69%,经阳性配偶传播者已婚有配偶占89.47%,差异有统计学意义(P<0.01)。非婚异性性传播者汉族占89.59%,经阳性配偶传播者汉族占96.88%(P<0.01)。共死亡219例,其中非婚异性性传播感染HIV死亡者占73.97%(162例),经阳性配偶传播感染HIV死亡者占26.03%(57例)(P<0.01)。经非婚异性性传播死亡者中,53.09%(86例)者从发现到死亡的存活时间不超过6个月,而经阳性配偶传播者中该比例为36.84%(21例)(P<0.05)。结论非婚异性性传播已成为山东省女性感染HIV的主要传播方式;经非婚异性性传播和阳性配偶传播HIV的女性的流行特征有一定差异。Objective To analyze the epidemiological characteristics of HIV/AIDS cases in adult females who infected by sexual transmission in Shandong province.Methods Data on HIV-infected people and AIDS patients(HIV/AIDS)were derived from HIV/AIDS Comprehensive Response Information Management System.A total of 1665 HIV/AIDS lived in Shandong province were reported by sexual transmission from 2011 to 2020.The epidemic data such as demographic and behavioral information were collected to compare by extramarital heterosexual transmission and spouse/fixed sex with positive transmission.Results Among the 1665 subjects,1057(63.48%)were unmarried heterosexual communicators,and their age at the time of discovery was(40.48±14.13)years old.608 cases(36.52%)were transmitted by positive spouses,and the average age at the time of discovery was(44.62±12.90)years old,with statistically significant difference(P<0.01).The percentage of unmarried heterosexual communicators with married spouse was 61.69%,and that of the positive spouse communicators with married spouse was 89.47%,the difference was statistically significant(P<0.01).There were 89.59%of the cases transmitted by non-marital heterosexual Han nationality,and 96.88%were transmitted by positive spouse Han nationality(P<0.01).There were a total of 219 deaths,among which the non-marital heterosexual transmission of HIV accounted for 73.97%(162 cases)and the transmission of HIV through the positive spouse accounted for 26.03%(57 cases),showing a statistically significant difference(P<0.01).Among those who died through non-marital heterosexual transmission,53.09%(86 cases)survived for less than 6 months from discovery to death,while the proportion among those who were transmitted through positive spouses was 36.84%(21 cases)(P<0.05).Conclusion Extramarital heterosexual transmission has been the main transmission of HIV/AIDS in adult females in Shandong province.Epidemiological and social demographic characteristics of each sexual transmission are different.

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 性传播 阳性配偶传播 危险因素 

分 类 号：R512.91[医药卫生—内科学]