四川省雅安市嫖客HIV和梅毒感染状况及相关行为调查

李培龙; 李东民; 葛琳; 岳潇; 梁莉; 郭巍; 崔岩

Abstract

李培龙,李东民,葛琳,岳潇,梁莉,郭巍,崔岩.四川省雅安市嫖客HIV和梅毒感染状况及相关行为调查[J].Chinese journal of Epidemiology,2018,39(3):329-332

四川省雅安市嫖客HIV和梅毒感染状况及相关行为调查

Prevalence of HIV infection and syphilis and related behaviors in clients in Ya'an of Sichuan province

Received:August 10, 2017

DOI：10.3760/cma.j.issn.0254-6450.2018.03.015

KeyWord: 艾滋病病毒梅毒嫖客感染状况

English Key Word: Human immunodeficiency virus Syphilis Client Infection status

FundProject:

Author Name	Affiliation	E-mail
Li Peilong	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Li Dongmin	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Ge Lin	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Yue Xiao	Institute of Epidemiology, Ya'an Prefecture Center for Disease Control and Prevention, Ya'an 625000, China
Liang Li	Institute of AIDS/STD Control and Prevention, Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
Guo Wei	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Cui Yan	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China	ycui@chinaaids.cn

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Abstract:

目的了解四川省雅安市嫖客人群HIV和梅毒感染状况及相关危险行为。方法 2014年4月至2015年12月，在雅安市开展横断面调查，滚雪球法招募708例嫖客作为调查对象，通过面对面问卷调查收集嫖客基本人口学、艾滋病有关知识和行为学等信息，抽取调查对象5 ml静脉血进行HIV和梅毒抗体检测，利用SPSS 18.0统计学软件进行数据整理和分析。结果 708名嫖客中，≥50岁年龄组人数占51.27%（363/708）；汉族占99.72%（706/708）；初中及以下文化程度占90.11%（638/708）；在婚/同居占74.15%（525/708）；每次均使用安全套占27.40%（194/708）。HIV抗体阳性7例，其中4例年龄≥50岁；检出梅毒抗体阳性病例7例，年龄均≥50岁；HIV和梅毒抗体阳性率均为0.99%（95% CI：0.30%～1.70%）；未发现HIV和梅毒合并感染病例。多因素logistic回归分析显示，首次发生商业异性性行为年龄<30岁（OR=6.61，95% CI：1.09～40.18）的嫖客其HIV抗体阳性率较高。结论雅安市嫖客人群安全套使用率较低，自我保护意识较弱，尤其是≥50岁的嫖客文化程度较低，其经商业性行为感染HIV和梅毒的风险较高，应给予足够的重视。

English Abstract:

Objective To understand the prevalence of HIV infection and syphilis in clients in Ya'an of Sichuan province. Methods A survey was conducted in clients recruited through snowball method in Ya'an of Sichuan from April 2014 to December 2015. The information of the clients, including basic demography characteristics, AIDS knowledge awareness, high-risk behaviors and others, were collected through face-to-face interviews. Blood sample (5 ml) was taken from each client to test antibodies against HIV and syphilis. Statistical software SPSS 18.0 was used for data analysis. Results Among the 708 clients, the constituent ratio of those aged ≥ 50 years was 51.27% (363/708), those in Han ethnic group was 99.72% (706/708), those with junior high school educational level or below was 90.11% (638/708), those who got married or cohabitated with others was 74.15% (525/708), and those who used condoms at each sex was 27.40% (194/708). Seven HIV positive cases were detected and 4 cases were aged ≥ 50 years. Seven syphilis cases were detected and all the cases were aged ≥ 50 year. No HIV-syphilis co-infection case was detected. The prevalence of HIV infection and syphilis were all 0.99% (95%CI:0.30%-1.70%). Results from the multivariate logistic regression analysis showed that the clients who had their first commercial sex behavior at age <30 years (OR=6.61, 95%CI:1.09-40.18) would have higher HIV positive rate. Conclusion The rate of condom use was low in the clients in Ya'an and they didn't pay enough attention to their self-protection in sexual activities. Especially the clients aged ≥ 50 years were with low educational level and had high risk commercial sexual behaviors for HIV infection and syphilis. Close attention needs to be paid to them.

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