广东省HIV/AIDS患者性伴告知情况及影响因素分析  

Prevalence of and factors associated with HIV serostatus disclosure to sexual partners among HIV/AIDS patients in Guangdong Province

作　　者：冯帅新 刘珺[2] 黄兆谦 付笑冰[2] 黄莹 杨放[2] 洪也婷 林铠浩 严瑶 谭芷敏 杨翌 李艳[2] 江洪波 FENG Shuaixin;LIU Jun;HUANG Zhaoqian;FU Xiaobing;HUANG Ying;YANG Fang;HONG Yeting;LIN Kaihao;YAN Yao;TAN Zhimin;YANG Yi;LI Yan;JIANG Hongbo(Department of Epidemiology and Biostatistics,School of Public Health,Guangdong Pharmaceutical University,Guangzhou 510310,China;Department of HIV/AIDS Control and Prevention,Guangdong Provincial Center for Disease Control and Prevention,Guangzhou511430)

机构地区：[1]广东药科大学公共卫生学院流行病与卫生统计学系,州510310 [2]广东省疾病预防控制中心艾滋病预防控制所,广州511430

出　　处：《中国艾滋病性病》2022年第10期1145-1149,共5页Chinese Journal of Aids & STD

基　　金：广东省哲学社会科学规划项目(GD21YSH08);2022年广东省研究生教育创新计划项目(2022SFKC074);2022年度广东省普通高校特色创新类项目(KTSCX060);国家自然科学基金(81703282)。

摘　　要：目的 了解广东省HIV/AIDS患者性伴告知情况,并分析其影响因素。方法 于2018年5月至2019年6月,采用方便抽样的方法在广东省6个城市招募新报告HIV/AIDS患者,通过国家艾滋病综合防治信息系统及电子问卷收集调查对象社会人口学信息、HIV感染相关信息、社会支持与HIV感染性伴告知情况。采用χ^(2)检验和多因素非条件Logistic回归分析调查对象HIV感染性伴告知的影响因素。结果 纳入分析的705名HIV/AIDS患者年龄中位数45.50(33.79,56.01)岁,HIV感染性伴告知率为57.87%(408/705)。多因素Logistic回归分析显示,相比于已婚有配偶者,离异、丧偶或不详者(a OR=0.43,95%CI:0.26~0.70)性伴告知的可能性更小;相比于配偶/恋人/性伴已感染HIV者,配偶/恋人/性伴未感染HIV(a OR=0.18,95%CI:0.09~0.32)及未知配偶/恋人/性伴HIV感染状况者(a OR=0.04,95%CI:0.02~0.07)性伴告知的可能性更小;认为配偶/恋人/性伴态度会影响自己尽早治疗决定者(a OR=1.83,95CI:1.25~2.70)、客观支持较高者(a OR=1.49,95%CI:1.02~2.17)性伴告知的可能性更大。结论 广东省HIV/AIDS患者的性伴告知率相对较低。应更加关注无配偶、认为配偶/恋人/性伴态度不会影响自己作出尽早治疗决定、配偶/恋人/性伴HIV感染状况为未知或未感染以及低客观支持的HIV/AIDS患者,并制定针对性的干预措施,以提高该人群的性伴告知率。Objective To investigate the prevalence of HIV serostatus disclosure to sexual partners among HIV/AIDS patients in Guangdong Province and analyze its influencing factors. Method Newly reported HIV/AIDS patients were recruited from six cities in Guangdong Province from May 2018 to June 2019 using convenient sampling method.The National AIDS Integrated Prevention and Control Information System and a self-designed electronic questionnaire were used to collect data on demographic information, HIV-infection related information, social support and HIV serostatus disclosure to sexual partners. The χ^(2) test and multivariable unconditional logistic regression analysis were conducted to explore factors associated with HIV serostatus disclosure among HIV/AIDS patients.Results The median age of 705 HIV/AIDS patients included in the analysis was 45.50(33.79, 56.01) years old, and the prevalence of HIV serostatus disclosure was 57.87%(408/705). Multivariable logistic regression analysis showed that HIV/AIDS patients who were divorced, widowed, or with unknown marriage were less likely to disclose their HIV serostatus to sexual partners than participants who were married(a OR=0.43, 95%CI: 0.26-0.70). Participants whose spouse/lover/sexual partner were HIVnegative(a OR=0.18, 95%CI: 0.09-0.32) or unknown(a OR=0.04, 95%CI:0.02-0.07) were less likely to disclose their HIV serostatus to sexual partners than participants whose spouse/lover/sexual partner were HIV-positive. Participants who thought the attitude of their spouse/lover/sexual partner would affect their timely treatment decision(a OR=1.83, 95%CI:1.25-2.70) and those with high objective support(a OR=1.49, 95%CI: 1.02-2.17) were more likely to disclose their HIV serostatus to their sexual partners. Conclusion The prevalence of HIV serostatus disclosure to sexual partners among HIV/AIDS patients in Guangdong province is relatively low. More attention should be paid to HIV/AIDS patients without spouse, those who believe that the attitude of their spouse/lover/sexual partne

关 键 词：艾滋病病毒感染者/艾滋病患者 性伴告知 

分 类 号：R512.91[医药卫生—内科学]