文章摘要
何林,潘晓红,杨介者,马瞧勤.浙江省有HIV传播风险的HIV感染者梅毒感染情况及影响因素[J].中华流行病学杂志,2023,44(9):1358-1362
浙江省有HIV传播风险的HIV感染者梅毒感染情况及影响因素
Prevalence of syphilis in HIV-infected patients with transmission risk and influencing factors in Zhejiang Province
收稿日期:2023-01-30  出版日期:2023-09-14
DOI:10.3760/cma.j.cn112338-20230130-00046
中文关键词: 艾滋病病毒  传播风险  梅毒
英文关键词: HIV  Transmission risk  Syphilis
基金项目:浙江省医药卫生科技计划(2023KY632,2021RC048);浙江省基础公益研究计划(LGF18H260006)
作者单位E-mail
何林 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
浙江省性病艾滋病防治协会, 杭州 310005 
xhpan@cdc.zj.cn 
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  
马瞧勤 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
浙江省性病艾滋病防治协会, 杭州 310005 
 
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中文摘要:
      目的 了解浙江省有HIV传播风险的HIV感染者梅毒感染情况及相关因素。方法 资料来源于中国疾病预防控制信息系统截至2018年12月31日浙江省现存活、HIV确证时间>1年、未接受抗病毒治疗或HIV病毒载量≥50拷贝数/ml、年龄≥15岁的HIV感染者,收集其人口学特征、性行为特征、抗病毒治疗和梅毒血清学检测结果等信息,采用logistic回归模型分析梅毒感染及影响因素。采用SPSS 19.0软件进行统计学分析。结果 浙江省HIV感染者中,2 275例有HIV传播风险,75.5%(1 717/2 275)进行了梅毒血清学检测,梅毒感染率为8.7%(150/1 717)。在梅毒感染的HIV感染者中,未接受抗病毒治疗占11.3%(17/150),病毒载量为50~999拷贝数/ml占38.7%(58/150)和≥1 000拷贝数/ml占50.0%(75/150)。多因素分析结果显示,男性(aOR=2.04,95%CI:1.06~3.96)、同性性传播(aOR=1.53,95%CI:1.04~2.27)、HIV确证前性病史(aOR=1.98,95%CI:1.35~2.92)和病毒载量≥1 000拷贝数/ml(aOR=1.90,95%CI:1.09~3.30)为梅毒感染危险因素,已婚(aOR=0.47,95%CI:0.29~0.76)是梅毒感染的保护因素。结论 浙江省有HIV传播风险的HIV感染者的梅毒感染率较高,亟须开展HIV感染者分类管理和针对性强化干预,探索开展多病共防共治,加强HIV感染者梅毒筛查和治疗,降低HIV和梅毒传播风险。
英文摘要:
      Objective To investigate the prevalence of syphilis in HIV-infected patients with transmission risk and influencing factors in Zhejiang Province. Method The information about the HIV-infected patients, who were alive, had been diagnosed with HIV for >1 year, had received no antiviral treatment or had HIV viral load ≥ 50 copies/ml, and were aged ≥ 15 years, reported in Zhejiang as of December 31, 2018 were collected from China Information System for Disease Control and Prevention. The information included general demographic characteristics, sexual behavior characteristics and antiretroviral therapy and syphilis serological test results. The prevalence of syphilis and the influencing factors were analyzed by logistic regression model. The SPSS 19.0 software was used for statistical analysis. Results A total of 2 275 HIV-infected patients were at risk of HIV transmission, and 75.5% (1 717/2 275) of them were tested for syphilis, the prevalence rate of syphilis was 8.7% (150/1 717). Among the HIV-infected patients with syphilis, 11.3% (17/150) received no antiviral treatment, 38.7% (58/150) had viral load of 50-999 copies/ml and 50.0% (75/150) had ≥ 1 000 copies/ml. Multivariate logistic regression analysis showed that being men (aOR=2.04, 95%CI:1.06-3.96), homosexual transmission (aOR=1.53, 95%CI:1.04-2.27), history of sexually transmitted diseases (STDs) before HIV diagnosis (aOR=1.98, 95%CI:1.35-2.92) and HIV viral load ≥ 1 000 copies/ml (aOR=1.90, 95%CI:1.09-3.30) were the risk factors for syphilis. Marriage (aOR=0.47, 95%CI:0.29-0.76) was a protective factor for syphilis. Conclusions The prevalence of syphilis was high in HIV-infected patients with transmission risk in Zhejiang. It is urgent to carry out classified management and targeted intervention in HIV-infected patients, explore multi-disease prevention and treatment mechanism, strengthen syphilis screening and treatment in HIV-infected patients to reduce the transmission of HIV and syphilis.
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