| 刘玄华,朱秋映,孟琴,沈智勇,阮玉华,吴秀玲,周信娟,黄精华,唐帅,杨文敏.广西壮族自治区2015－2018年新报告非婚非商业异性性传播HIV/AIDS特征分析[J].Chinese journal of Epidemiology,2020,41(4):537-541 |
| 广西壮族自治区2015－2018年新报告非婚非商业异性性传播HIV/AIDS特征分析 |
| Characteristics of newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission in Guangxi Zhuang Autonomous Region, 2015-2018 |
| Received:June 25, 2019 |
| DOI：10.3760/cma.j.cn112338-20190625-00467 |
| KeyWord: 艾滋病病毒感染/艾滋病 异性性传播 非婚 非商业 |
| English Key Word: HIV/AIDS Heterosexual transmission Non-marital Non-commercial |
| FundProject:国家科技重大专项（2018ZX10721-102-006，2018ZX10715-008）；广西科技重点研发计划项目（AB16380213）；广西八桂学者艾滋病防控关键技术岗位专项 |
| Author Name | Affiliation | E-mail | | Liu Xuanhua | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Zhu Qiuying | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Meng Qin | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Shen Zhiyong | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Ruan Yuhua | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Wu Xiuling | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Zhou Xinjuan | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Huang Jinghua | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Tang Shuai | Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | | | Yang Wenmin | Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China | ywm5839@163.com |
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| Abstract: |
| 目的 了解2015-2018年广西壮族自治区(广西)新报告非婚非商业异性性传播(非婚非商性传播)HIV/AIDS特征及其相关影响因素。方法 数据来源于中国疾病预防控制信息系统艾滋病防治基本信息系统,收集2015-2018年广西新报告 ≥ 18岁HIV/AIDS相关信息,采用非条件logistic回归模型分析新报告HIV/AIDS的非婚非商性传播HIV的影响因素。结果 2015-2018年广西新报告 ≥ 18岁HIV/AIDS 35 497例,异性性传播32 648例(占92.0%),非婚非商性传播10 500例,占新报告HIV/AIDS的29.6%(10 500/35 497),占异性性传播的32.2%(10 500/32 648),男性占53.5%(5 617/10 500),男女性别比为1.2:1(5 617:4 883),已婚/有固定性伴占55.9%(5 873/10 500)。男性的商业性传播占64.4%(16 516/25 633),而女性的非婚非商性传播占49.5%(4 883/9 864)。多因素logistic回归分析结果显示,非婚非商性传播的HIV感染风险:女性是男性的3.98倍(95%CI:3.78~4.20),<50、50~59岁组分别是 ≥ 60岁组的1.35倍(95%CI:1.27~1.44)、1.13倍(95%CI:1.05~1.21),未婚/离异/丧偶是已婚/有固定性伴的1.53倍(95%CI:1.45~1.61),文化程度为初中、高中及以上的分别是小学及以下的1.22倍(95%CI:1.16~1.29)、1.18倍(95%CI:1.10~1.27)。结论 2015-2018年广西新报告HIV/AIDS中,非婚非商性传播的构成比接近30.0%,非婚非商性传播HIV的危险因素包括女性、<60岁、未婚/离异/丧偶和初中及以上文化程度,应采取精准的防控措施。 |
| English Abstract: |
| Objective To understand the characteristics and associated factors of newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission, in Guangxi Zhuang Autonomous Region (Guangxi), 2015-2018. Methods Information of newly reported HIV/AIDS cases aged ≥ 18 years in Guangxi between 2015 and 2018 was collected from the National Comprehensive HIV/AIDS Information System. Unconditional logistic regression model was used to access those factors that were associated with HIV infections through non-marital or non-commercial heterosexual contact. Results Between 2015 and 2018, a total number of 35 497 HIV/AIDS cases, aged ≥ 18 years were newly reported in Guangxi. Among them, 32 648 (92.0%) were infected heterosexually while 10 500 were infected through non-marital or non-commercial heterosexual behavior. Non-marital or non-commercial heterosexual transmission accounted for 29.6% (10 500/35 497) of the newly reported HIV/AIDS cases, and 32.2% (10 500/32 648) of those with heterosexual transmission. Males counted for 53.5% (5 617/10 500) of non-marital or non-commercial heterosexual transmission and males to females ratio was 1.2:1 (5 617:4 883). Those married or had regular sexual partners counted for 55.9% (5 873/10 500). Commercial heterosexual transmission appeared the main mode of HIV transmission for males (64.4%,16 516/25 633) while main mode for females was non-marital or non-commercial heterosexual transmission and counted for 49.5% (4 883/9 864). Results from the multivariate logistic regression analysis showed that adjusted OR of female HIV/AIDS infected HIV via non-marital or non-commercial heterosexual transmission, was 3.98 times (95%CI:3.78-4.20) hight than that of males. Among the group aged <50 years and the aged 50-59 years, the adjusted ORs were 1.35 times (95%CI:1.27-1.44) and 1.13 times (95%CI:1.05-1.21) hight than that of aged ≥ 60 years. Those who were single/divorced/widowed, the adjusted OR was 1.53 times (95%CI:1.45-1.61) hight than that of those married/regular partners. Those with junior high school education, high school education and above the adjusted ORs were 1.22 times (95%CI:1.16-1.29) and 1.18 times (95%CI:1.10-1.27), compared to those only with education levels of primary school or below. Conclusions The number of HIV/AIDS cases via non-marital or non-commercial heterosexual transmission accounted for nearly 30.0% of all the routes of HIV transmission in Guangxi, 2015-2018. Female, aged <60 years old, single/divorced/widowed and having had junior and above high school education etc., appeared as risk factors on non-marital or non-commercial heterosexual transmission, among newly reported HIV/AIDS in Guangxi. |
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