杭州市非婚非商业异性性行为感染HIV/AIDS病例特征分析  

Characteristics of HIV/AIDS cases with non-marital or non-commercial heterosexual transmission in Hangzhou

作　　者：赵刚[1] 张兴亮[1] 陈珺芳[1] 许珂[1] 吴虹[1] ZHAO Gang;ZHANG Xingliang;CHEN Junfang;XU Ke;WU Hong(Hangzhou Center for Disease Control and Prevention,Hangzhou,Zhejiang 310021,China)

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310021

出　　处：《预防医学》2021年第12期1209-1214,共6页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划项目(2018KY638);杭州市农业与社会发展科研自主申报项目(20191203B140);杭州市科技计划引导项目(20181228Y19);杭州市卫生科技计划项目(2018A81);杭州市医学重点学科建设项目。

摘　　要：目的了解杭州市非婚非商业异性性行为感染的艾滋病病毒感染者和艾滋病患者(HIV/AIDS)特征,分析新感染和本地感染的影响因素,为杭州市艾滋病防控提供依据。方法以2017—2019年杭州市新报告非婚非商业异性性行为感染的HIV/AIDS病例为研究对象,面对面问卷调查收集基本情况、性行为和HIV抗体检测资料。采用多因素Logistic回归模型分析新感染和本地感染的影响因素。结果2017—2019年杭州市新报告HIV/AIDS病例688例,完成调查522例,应答率为75.87%。年龄以≥40岁为主,263例占50.38%;已婚有配偶218例,占41.76%;初中及以下文化程度326例,占62.45%;外地户籍340例,占65.13%。新感染72例,占可判断感染时间病例的14.29%;<40岁(OR=4.148,95%CI:1.956~8.795)、有HIV抗体检测史(OR=2.049,95%CI:1.163~3.609)和有性病史(OR=2.169,95%CI:1.076~4.374)是新感染的影响因素。本地感染267例,占可判断感染地点病例的58.81%;高中及以下文化程度(OR=2.538,95%CI:1.252~5.145)、杭州市户籍(OR=7.835,95%CI:4.227~14.353)、在杭州市居住时间≥1年(OR=18.960,95%CI:8.755~41.060)和月均收入≥3000元(OR=2.630,95%CI:1.546~4.474)是本地感染的影响因素。结论杭州市非婚非商业异性性行为感染的HIV/AIDS病例具有文化水平较低、流动人口为主等特征。青壮年和性病就诊者新感染可能性较高;常住人口、文化程度较低、收入较高者本地感染可能性较高。Objective To analyze the characteristics of HIV/AIDS cases with non-marital or non-commercial heterosexu⁃al transmission in Hangzhou,and the influencing factors for new infection and local infection,so as to provide the evi⁃dence for AIDS prevention and control.Methods From 2017 to 2019,the newly reported HIV/AIDS cases with nonmarital or non-commercial heterosexual transmission in Hangzhou were recruited,and their demographic information,pre⁃vious sexual behaviors and history of HIV testing were collected in the questionnaire survey.The multivariate logistic regression model was used to analyze the influencing factors for new infections and local infections.Results A total of 522 participants from 668 newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission in Hangzhou during this period were surveyed.Among 522 cases,263(50.38%)were aged 40 years or above,218(41.76%)were married,326(62.45%)had an educational level of junior high school or below,and 340(65.13%)were not local.Among 504 cases whose infection time could be determined,72(14.29%)were newly infect⁃ed within one year;age of 40 years below(OR=4.148,95%CI:1.956-8.795),history of HIV testing(OR=2.049,95%CI:1.163-3.609)and history of sexually transmitted diseases(OR=2.169,95%CI:1.076-4.374)were risk factors for new infection.Among 454 cases whose infection location could be determined,267(58.81%)were infected in Hang⁃zhou;educational level of high school or below(OR=2.538,95%CI:1.252-5.145),Hangzhou residence(OR=7.835,95%CI:4.227-14.353),living in Hangzhou for a year or over(OR=18.960,95%CI:8.755-41.060)and monthly in⁃come of 3000 yuan or over(OR=2.630,95%CI:1.546-4.474)were risk factors for local infection.Conclusions The HIV/AIDS cases with non-marital or non-commercial heterosexual transmission in Hangzhou are mainly floating popula⁃tion and less educated.The newly infected cases are more likely to be young and middle-aged people and patients with sexually transmitted diseases,the locally infected cases are

关 键 词：艾滋病 非婚非商业性行为 异性性传播 感染来源 

分 类 号：R512.91[医药卫生—内科学]