2018-2022年四川省新报告非婚异性性传播HIV感染者/AIDS患者特征分析  

Characteristics of newly reported non-marital heterosexual HIV infections and AIDS cases in Sichuan Province,2018-2022

作　　者：刘小锦 梁姝[1] 袁风顺 曾亚莉[1] 张灵麟[1] 刘伦皓[1] 何芳 胡莹[1] 卓玛拉措 徐梦娇 冯燎[1] LIU Xiaojin;LIANG Shu;YUAN Fengshun;ZENG Yali;ZHANG Linglin;LIU Lunhao;HE Fang;HU Ying;ZHUOMA Lacuo;XU Mengjiao;FENG Liao(Sichuan Provincial Center for Disease Control and Prevention,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省疾病预防控制中心,四川成都610041

出　　处：《中国预防医学杂志》2024年第12期1505-1512,共8页Chinese Preventive Medicine

基　　金：四川省科技计划项目(2020YJ0449);四川省科技计划重点研发项目(2019YFS0369)。

摘　　要：目的分析2018-2022年四川省新报告非婚异性性传播人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者和获得性免疫缺陷综合征(acquired immnodeficiency syndrome,AIDS)患者(HIV感染者/AIDS患者)的分布特点和相关因素,为有针对性地开展非婚异性性传播艾滋病防控工作提供参考。方法利用“艾滋病防治基本信息系统”收集2018-2022年四川省新报告非婚异性性传播HIV感染者/AIDS患者信息,采用SPSS 22.0统计软件分析不同传播类别新报告病例的分布特征,采用logistic回归模型分析非婚异性性传播HIV的相关因素。结果2018-2022年四川省新报告非婚异性性传播HIV感染者/AIDS患者112886例,占四川省同期新报告病例的78.52%;2018-2022年新报告非婚异性性传播病例数呈下降趋势,其中,非婚非商业异性性传播年均降幅为16.02%,非婚商业异性性传播年均降幅为23.79%。多因素logistic回归分析显示,非婚非商业异性性传播的相关因素包括年龄[15~<20岁(aOR=0.36,95%CI:0.29~0.44)、20~<25岁(aOR=0.35,95%CI:0.31~0.39)、25~<35岁(aOR=0.49,95%CI:0.46~0.53)、35~<45岁(aOR=0.72,95%CI:0.68~0.76)、45~<55岁(aOR=0.86,95%CI:0.82~0.89)和55~<65岁(aOR=0.92,95%CI:0.88~0.96)];女性(aOR=0.06,95%CI:0.06~0.07);民族[彝族(aOR=0.53,95%CI:0.48~0.58)、藏族(aOR=0.62,95%CI:0.50~0.77)]、文化程度[高中/中专(aOR=0.84,95%CI:0.78~0.91)、大专及以上(aOR=0.72,95%CI:0.66~0.79)];婚姻状况[离异/丧偶(aOR=0.96,95%CI:0.92~0.99)];职业[家政家务及待业(aOR=0.92,95%CI:0.88~0.97)、离退人员(aOR=0.75,95%CI:0.70~0.81)、干部/企事业职工(aOR=0.71,95%CI:0.61~0.84)、学生(aOR=0.53,95%CI:0.39~0.71)];流动状态[省内流动(aOR=0.94,95%CI:0.91~0.98)、跨省流动(aOR=0.70,95%CI:0.64~0.76)];非婚异性性伴数[0~<5人(aOR=0.11,95%CI:0.10~0.12)、5~9人(aOR=0.40,95%CI:0.34~0.46)];地区分布[攀西经济区(aOR=0.53,95%CI:0.49~0.57)、川西生态经济区(aOR=0.63,95%CI:0.52~0.77)]。非婚商业异性性传播的危险�Objective To analyze the distribution characteristics and associated factors of newly reported non-marital heterosexual human immunodeficiency virus(HIV)infections and acquired immunodeficiency syndrome(AIDS)cases in Sichuan Province from 2018 to 2022,providing a reference for targeted prevention and control efforts against non-marital heterosexual transmission of HIV/AIDS.MethodssData on newly reported non-marital heterosexual HIV infections and AIDS cases from 2018 to 2022 were collected using the"Basic Information System for AIDS Prevention and Control".The distribution characteristics of newly reported cases across different transmission categories were analyzed using SPSS 22.O software,and the logistic regression model was used to analyze the correlation factors of non-marital heterosexual transmission of HIV transmission.Results From 2018 to 2022,there were 112886 newly reported non-marital heterosexual HIV infections and AIDS cases in Sichuan Province,accounting for 78.52% of all newly reported cases during this period.The number of newly reported non-marital heterosexual transmission cases showed a declining trend,with an average annual decrease of 16.02%for non-commercial non-marital heterosexual transmission and 23.79%for commercial non-marital heterosexual transmission.Multivariate logistic regression analysis showed that the factors associated with non-commercial non-marital heterosexual transmission included age[15-<20 year olds(aOR=0.36,95%CI:0.29-0.44),20-<25 year olds(aOR=0.35,95%CI:0.31-0.39),25-<35 year olds(aOR=0.49,95%CI:0.46-0.53),35-<45 year olds(aOR=0.72,95%CI:0.68-0.76),45-<55 year olds(aOR=0.86,95%CI:0.82-0.89),55-<65 year olds(aOR=0.92,95%CI:0.88-0.96)],female gender(aOR=0.06,95%CI:0.06-0.07),ethnic group[Yi(aOR=0.53,95%)CI:0.48-0.58,Tibetan(aOR=0.62,95%CI:0.50-0.77)],educational level[high school/vocational(aOR=0.84,95%CI:0.78-0.91),college and above(aOR=0.72,95%CI:0.66-0.79)],marital status[divorced/widowed(aOR=0.96,95%CI:0.92-0.99)],occupation[household chores and unemployed(aOR=0.92,

关 键 词：人类免疫缺陷病毒 异性性传播 非婚 非商业 

分 类 号：R181.3[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]