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

陈珺芳; 吴虹; 张兴亮; 罗艳; 丁建明

Abstract

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].Chinese journal of Epidemiology,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

Received:July 04, 2018

DOI：10.3760/cma.j.issn.0254-6450.2018.12.012

KeyWord: 艾滋病病毒感染者异性性传播非婚非商业

English Key Word: HIV/AIDS cases Heterosexual transmission Non-marital Non-commercial

FundProject:

Author Name	Affiliation	E-mail
Chen Junfang	Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China	cjf_wang@163.com
Wu Hong	Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China
Zhang Xingliang	Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China
Luo Yan	Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China
Ding Jianming	Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China

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Abstract:

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。

English Abstract:

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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