2017—2020年浙江省宁波市新报告艾滋病感染特征分析  

Characteristics of newly reported HIV infection in Ningbo,Zhejiang Province from 2017 to 2020

作　　者：王慧 王海滨[1] 童思未[1] 陈冰冰[1] 李萍萍[2] WANG Hui;WANG Haibin;TONG Siwei;CHEN Bingbing;LI Pingping(Haishu District Center for Disease Control and Prevention,Ningbo,Zhejiang 315012,China;Jiangbei District Center for Disease Control and Prevention,Ningbo,Zhejiang 315020,China)

机构地区：[1]宁波市海曙区疾病预防控制中心,浙江宁波315012 [2]宁波市江北区疾病预防控制中心,浙江宁波315020

出　　处：《上海预防医学》2022年第6期545-550,共6页Shanghai Journal of Preventive Medicine

基　　金：浙江省宁波市甬尚公益小组男男性行为人群干预项目(2019—2020330203PYDMSM003504)。

摘　　要：【目的】分析2017—2020年浙江省宁波市新报告人类免疫缺陷病毒(HIV)感染者和艾滋病(AIDS)患者本地感染特征及其影响因素,为开展针对性AIDS综合防控提供依据。【方法】收集2017—2020年宁波市新报告HIV/AIDS本地感染特征及影响因素,采用个案调查问卷面对面收集调查对象一般人口学信息、性行为特征、HIV抗体检测及HIV感染途径等相关信息。【结果】共招募调查对象449人,完成调查399人,调查对象以男性(346,86.7%)、未婚(188,47.1%)、本地户籍(246,61.6%)、初中及以下文化程度(195,48.9%)和年龄25~44岁(206,51.6%)为主。HIV/AIDS本地感染比例为68.4%(273/399),其中男男同性途径感染HIV/AIDS本地感染比例为74.9%(146/195)。多因素分析显示,调查对象为异性传播(OR=0.349,95%CI:0.201~0.606)、确证前一年在本地通过交友软件寻找同性非商业性伴(OR=2.133,95%CI:0.201~0.606)和确证前一年未获得过艾滋病宣教服务(OR=1.914,95%CI:1.196~3.063)是本地感染的影响因素。【结论】宁波市新报告HIV/AIDS感染地点以本地感染为主,确证前艾滋病宣教覆盖力度不足,经同性传播及确证前在本地通过交友软件寻找性伴的HIV/AIDS本地感染比例高,须加强本地通过交友软件寻找性伴的男男性行为者(MSM)人群艾滋病宣教和互联网干预工作。[Objective]To analyze the local human immunodeficiency virus(HIV)infection characteristics and influencing factors of newly reported HIV infected cases and acquired immunodeficiency syndrome patients(AIDS)in Ningbo City from 2017 to 2020,and to provide scientific basis for local effective AIDS prevention and control measures.[Methods]From January 1,2017 to December 31,2020,the newly reported HIV/AIDS patients in Ningbo were recruited and face-to-face questionnaire was used to collect relevant information such as demography,behavior,infection route and infection location of research subjects. The data were processed and analyzed by EpiData 3.1 and SPSS 23.0 software.[Results]A total of 449 newly reported HIV/AIDS patients were recruited and 399 cases completed the survey. The survey subjects were mainly male(346,86.7%),unmarried(188,47.1%),with local household registration(246,61.6%),with junior high school and lower education level(195,48.9%),and 25 to 44 years old(206,51.6%). The local HIV/AIDS infection rate was 68.4%(273/399),among which the local HIV/AIDS infection rate of homosexual transmission was 74.9%(146/195). Multivariate analysis showed that heterosexual transmission of HIV infection(OR=0.349,95%CI:0.201-0.606),using dating software to find local sexual partners(OR=2.133,95%CI:0.201-0.606),and received no AIDS education services before HIV confirmation(OR=1.914,95%CI:1.196-3.063)were the influencing factors of local HIV/AIDS infection(P<0.05).[Conclusion]The newly reported HIV/AIDS in Ningbo mainly infects HIV locally,and the coverage of HIV/AIDS education is insufficient before HIV confirmation. A high proportion of local HIV/AIDS infections is found in people who find local sexual partners through dating software and who infected through homosexual transmission before HIV confirmation. It is necessary to strengthen local HIV/AIDS education and Internet intervention among MSM who seek sexual partners through dating software.

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 新报告病例 本地感染 影响因素 

分 类 号：R512.91[医药卫生—内科学]