| 胡海洋,刘晓燕,张之,徐金水,傅更锋,还锡萍.江苏省2011-2013年新报告HIV感染者/艾滋病患者新发感染状况分析[J].中华流行病学杂志,2014,35(10):1115-1118 |
| 江苏省2011-2013年新报告HIV感染者/艾滋病患者新发感染状况分析 |
| Recent infected and newly reported HIV cases in Jiangsu province,2011-2013 |
| 收稿日期:2014-06-28 出版日期:2014-09-15 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.10.008 |
| 中文关键词: HIV感染者/艾滋病患者 新发感染 |
| 英文关键词: HIV/AIDS Recent infection |
| 基金项目:江苏省卫生厅预防医学科研项目（Y2013051） |
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| 中文摘要: |
| 目的 了解江苏省新报告HIV 感染者/艾滋病患者（HIV/AIDS）新发感染状况。方法 收集2011-2013 年江苏省每年新报告的HIV/AIDS 及其一般人口学资料、感染途径、样本来源等相关信息，并收集血清或血浆样本，进行BED检测，计算新发感染比例，研究新发感染的影响因素。结果 同性传播的HIV/AIDS 中新发感染比例最高（29.19%），其次是注射毒品（21.75%），异性传播最低（17.40%），不同感染途径间差异有统计学意义（P<0.05）。新报告的HIV/AIDS 中，与女性相比，男性更可能是新发感染（OR=1.569，95%CI：1.168～2.107）；与>35 岁的相比，≤35 岁的更可能是新发感染（OR=1.556，95%CI：1.289～1.879）；与未婚相比，已婚有配偶的更可能是长期感染（OR=0.789，95%CI：0.649～0.960）；与其他就诊者检测相比，通过检测咨询（OR=2.278，95%CI：1.853～2.801）、专题调查（OR=2.409，95%CI：1.860～3.120）及无偿献血人员检测（OR=2.911，95%CI：2.118～4.001）更容易发现HIV新发感染者（P<0.05）。结论 江苏省新报告HIV/AIDS中MSM的新发感染比例最高；应加强主动监测，减少二代传播。 |
| 英文摘要: |
| Objective To understand the status of recent infected and newly reported HIV cases in Jiangsu province. Methods Information including general demographic,mode of transmission and sample source of newly reported HIV infected cases was collected. Corresponding serum or plasma samples were collected and tested with BED-CEIA. Proportions of recent HIV infections among different populations were calculated,and associated factors of recent HIV infection calculated. Results Among cases infected through different channels as homosexual,heterosexual and needles sharing,the proportions of recent infections were 29.19% ,17.40% and 21.75% , respectively. Statistically significant difference was seen between different populations（P<0.05）. Compared with female cases,male cases were more likely to be recent infected（OR=1.569,95%CI： 1.168-2.107）. Compared with cases older than 35 years of age,the ones that younger than that age were more likely to be recently infected（OR=1.556,95% CI：1.289-1.879）. Compared with cases who remained single,those married cases were more likely to be long-term infections（OR=0.789, 95%CI：0.649-0.960）. Compared with patients identified by hospitals,the recent HIV infections were more likely to be found through voluntary counseling programs and testing（OR=2.278,95%CI： 1.853-2.801）,project-based surveillance programs（OR=2.409,95%CI：1.860- 3.120）,and unpaid blood donation sites（OR=2.911,95%CI：2.118-4.001）（P<0.05）. Conclusion Proportion of MSM ranked 1st in the newly reported HIV cases in Jiangsu province. Related HIV case-finding programs should be strengthened to reduce the secondary transmission. |
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