文章摘要
蒋均,杨介者,徐云,罗明宇,陈琳,潘晓红.浙江省2017-2019年部分新报告HIV/AIDS非婚非商业异性性行为特征分析[J].中华流行病学杂志,2021,42(9):1601-1606
浙江省2017-2019年部分新报告HIV/AIDS非婚非商业异性性行为特征分析
Epidemiological characteristic of newly reported HIV/AIDS cases with non-martial and non-commercial heterosexual behaviors in Zhejiang province, 2017-2019
收稿日期:2021-03-03  出版日期:2021-09-27
DOI:10.3760/cma.j.cn112338-20210303-00167
中文关键词: 艾滋病病毒/艾滋病;异性性传播;非婚;非商业
英文关键词: HIV/AIDS;Heterosexual transmission;Non-martial;Non-commercial
基金项目:
作者单位E-mail
蒋均 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051  
杨介者 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051  
徐云 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051  
罗明宇 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051  
陈琳 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051  
潘晓红 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310051 xhpan@cdc.zj.cn 
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中文摘要:
      目的 分析浙江省新报告HIV/AIDS非婚非商业异性性行为的性伴及相关行为特征。方法 采用回顾性调查的方式,收集浙江省2017年1月1日至2019年9月30日新报告HIV/AIDS在确证HIV感染前的非婚非商业异性性伴类型和行为特征。采用多重对应分析方法分析调查对象社会人口学特征与性伴类型间的关系。结果 共调查406例HIV/AIDS,均为确证HIV感染前发生非婚非商业异性性行为者,男性占67.2%(273/406),25~49岁占59.1%(240/406)。调查对象自我报告在确证HIV感染前仅有临时性伴、仅有固定性伴、有临时及固定性伴的分别占36.0%(146/406)、52.0%(211/406)、12.0%(49/406)。非婚非商业异性性伴不同类型的调查对象婚姻、职业、月均收入差异均有统计学意义(均P<0.05)。多重对应分析结果显示,月均收入≤ 3 000元、个体户、已婚与仅有临时性伴存在关联;服务行业、初中以上文化程度与仅有固定性伴存在关联;企业职员、高中及以上文化程度、月收入≥ 5 000元与有临时及固定性伴存在关联。结论 2017-2019年浙江省部分新报告HIV/AIDS在确证HIV感染前发生非婚非商业异性性行为的比例较高,应采取积极干预措施,提高普通人群健康意识,降低危险性行为传播HIV风险。
英文摘要:
      Objective To understand the epidemiological characteristics and transmission routes of newly reported HIV/AIDS cases with non-martial and non-commercial (NMNC) heterosexual behaviors in Zhejiang province. Methods A retrospective survey was conducted among HIV/AIDS cases that had NMNC heterosexual behavior history and diagnosed with HIV infection in Zhejiang between January 1st, 2017 and September 30th, 2019. The multiple correspondence analysis (MCA) was used to explore the association of social demographic characteristics with NMNC heterosexual partner types in the cases. Results A total of 406 participants with NMNC heterosexual behaviors before HIV diagnoses were recruited in this study. Most of them were males (67.2%, 273/406), aged 25-49 years at HIV diagnoses (59.1%, 240/406). Prior to HIV infection confirmation, 36.0% (146/406) participants only had casual sexual partners, 52.0% (211/406) only had regular sexual partners, and 12.0% (49/406) had both. Statistical differences in marital status, occupation and income level were found among participants with different types of NMNC heterosexual partners (all P<0.05). Result of MCA indicted that monthly income ≤ 3 000 yuan RMB, self-employed, being married were only associated with casual NMNC heterosexual partner; working in service industry, education level of junior high school were only associated with regular heterosexual partner; working in enterprise, high school education level or above, monthly income ≥ 5 000 yuan RMB were associated with both casual and regular sexual partner. Conclusion The HIV/AIDS cases with NMNC heterosexual behaviors before HIV diagnoses accounted for a large proportion in Zhejiang province during 2017-2019. Active intervention efforts should be made to improve the health awareness of the public to reduce the risk behaviors for HIV transmission.
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