| 陈珺芳,吴虹,张兴亮,罗艳,丁建明.杭州市2015-2017年非婚非商业的异性性传播新报告艾滋病病毒感染者特征分析[J].中华流行病学杂志,2018,39(12):1602-1606 |
| 杭州市2015-2017年非婚非商业的异性性传播新报告艾滋病病毒感染者特征分析 |
| Characteristics of newly reported HIV/AIDS cases with non-marital but non-commercial heterosexual transmission in Hangzhou, 2015-2017 |
| 收稿日期:2018-07-04 出版日期:2018-12-14 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.12.012 |
| 中文关键词: 艾滋病病毒感染者 异性性传播 非婚 非商业 |
| 英文关键词: HIV/AIDS cases Heterosexual transmission Non-marital Non-commercial |
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| 中文摘要: |
| 目的 了解2015-2017年杭州市经非婚非商业异性性传播的新报告HIV感染者特征及其相关因素。方法 利用我国艾滋病综合防治基本信息系统，研究对象为2015年1月1日至2017年12月31日新报告HIV感染者，且现住址为杭州市、传播途径为非婚异性性传播。采用SPSS.20软件统计分析，比较不同特征的感染者经非婚异性性传播的比例，采用多因素logistic回归模型分析非婚非商业异性性传播感染HIV的相关因素。结果 新报告HIV感染者中的非婚异性性传播占38.03%（1 393/3 663），其中，非商业性传播占非婚异性性传播的50.83%（708/1 393），商业性传播占非婚异性性传播的49.17%（685/1 393）。男女性别比为3.51：1（1 084/309）。男性以非婚商业性传播为主（61.81%，670/1 084），女性以非婚非商业性传播为主（95.1%，294/309）。多因素分析结果显示，非婚非商业异性传播的相关影响因素包括女性（aOR=48.25，95% CI：26.94~88.44）、年龄<30岁组（aOR=2.43，95% CI：1.31~4.51）、30~岁组（aOR=1.92，95% CI：1.11~3.33）、40~岁组（aOR=1.80，95% CI：1.08~3.00）、已婚和未婚（与离异或丧偶相比，aOR=1.57，95% CI：1.10~2.24；aOR=1.78，95% CI：1.15~2.78）、高中及以上文化程度（与小学及以下相比，aOR=1.82，95% CI：1.18~2.80）、职业为干部/职员（与农民相比，aOR=2.03，95% CI：1.04~1.91）、非婚性伴数<5个（与非婚性伴数≥ 5个相比，aOR=10.65，95% CI：6.41~17.42）。结论 2015-2017年杭州市非婚异性性传播HIV感染者比例高，不同性别、年龄、婚姻状况、文化程度和职业的HIV感染者在非婚非商业异性性传播的风险上存在差异，应采取针对性的防治措施。 |
| 英文摘要: |
| Objective To describe the characteristics of newly reported HIV/AIDS cases via non-marital or non-commercial heterosexual transmission and to find out the relative factors in Hangzhou, from 2015 to 2017. Methods Data were collected through the national HIV/AIDS comprehensive control and prevention data system. Study subjects would include those reported HIV/AIDS cases who were residents of Hangzhou and were infected via non-marital heterosexual transmission, between January 1, 2015 and December 31, 2017. Demographic characteristics and behavioral information were collected. χ2 test was used to compare different characteristics of the non-married heterosexual transmission subjects. Logistic regression was used to assess factors that associated with non-marital but non-commercial HIV heterosexual transmission with SPSS.20 software used to analyze statistically. Results Non-marital HIV heterosexual transmission accounted for 38.03% (1 393/3 663) of the total new reported HIV/AIDS cases in 2015-2017. Out of the 1 393 HIV/AIDS cases, those infected through non-marital but non-commercial heterosexual transmission accounted for 50.83% (708/1 393), and those through non-martial commercial transmission was accounted for 49.17% (685/1 393). Male to female ratio was 3.51:1 (1 084/309). Male HIV cases reported that their major way of infection was via non-marital commercial transmission (670/1 084, 61.81%), while female patients reported the way was via non-marital non-commercial (294/309, 95.1%). Results from multivariate logistic analysis showed that the related risk factors and ORs for non-marital but non-commercial transmission appeared as:female (aOR=48.25, 95% CI:26.94-88.44), <30 year olds (aOR=2.43, 95% CI:1.31-4.51), 30-39 year olds (aOR=1.92, 95% CI:1.11-3.33), 40-49 year olds (aOR=1.80, 95% CI:1.08-3.00), married or unmarried (vs. divorced or widowed, aOR=1.57, 95% CI:1.10-2.24; aOR=1.78, 95% CI:1.15-2.78), high school and above of education level (vs. primary school and under of education level, aOR=1.82, 95% CI:1.18-2.80),administrative officers or employee (vs. farmers, aOR=2.03, 95% CI:1.04-1.91). Number of non-marital partners less than 5 (vs. number of non-marital partners more than 5, aOR=10.65, 95% CI:6.41-17.42). Conclusions HIV/AIDS cases with non-marital heterosexual transmission accounted for considerable proportion regarding the HIV transmission in Hangzhou from 2015 to 2017.Differences were found in the following factors as non-marital and non-commercial heterosexual transmission with diverse gender, age, marital status, educational level and occupation among of the HIV/AIDS patients. |
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