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埃塞俄比亚西南部吉马大学专科医院献血者中艾滋病毒血清流行趋势

HIV Sero-Prevalence Trend among Blood Donors in Jimma University Specialized Hospital, Southwest Ethiopia.

作者信息

Gezahegn Melese, Woldemichael Kifle, Godesso Ameyu

机构信息

Shashemane Hospital.

出版信息

Ethiop J Health Sci. 2012 Mar;22(1):37-43.

Abstract

BACKGROUND

HIV/AIDS epidemics continue unchecked in African countries at all level of society bearing the heaviest burden of the scourge. Different researches have been done to see the progress of disease from time to time However, information that shows the trend of HIV among the healthy population over a period of time in Ethiopia is very limited.

METHODS

A descriptive retrospective cross-sectional study was carried out to see the trend of HIV Sero-positivity and associated socio-demographic factors. The data was retrieved from records of people who donated blood during the period of January 2007 to December 2010, at Jimma University Specialized Hospital (JUSH). Data on socio-demographic variables and serologic status of the subjects were abstracted from their records using structured format. Then the data were cleaned, edited and entered into computer and analyzed by Microsoft Excel sheet. Then Chi-Square (X(2)) Statistical test was used for testing associations and P value less or equal to five percent (P ≤ 0.05) was considered significant.

RESULTS

A total of 3788 subjects had donated blood from 2007 to 2010 of which 3034 (80.1 %) were males. Thirty nine (1%) of the donors were positive for HIV upon screening by Enzyme Linked Immuno Sorbent Assay (ELISA) method. The prevalence of HIV infection was 1.2% for males and 0.5% for females. The age specific prevalence was highest in the age group 30-39 years (2.2%) followed by 40 - 49 (1.4%). HIV sero-prevalence was higher among rural dwellers (1.4%) than urban (0.8%); drivers and their assistants (2.8%), and daily laborers (2.6%) had higher prevalence. Similarly, those who donated blood for replacement purpose had higher sero-prevalence (1.5%) as compared to those on voluntary basis (0.3%).

CONCLUSION

There is decreasing trend of sero-positivity over the years, with higher prevalence among sexually active age groups and rural dwellers.

摘要

背景

在非洲国家,艾滋病毒/艾滋病疫情在社会各阶层持续肆虐,负担最为沉重。人们不时开展不同研究以了解疾病进展情况。然而,在埃塞俄比亚,能显示一段时间内健康人群中艾滋病毒感染趋势的信息非常有限。

方法

开展一项描述性回顾性横断面研究,以了解艾滋病毒血清阳性率趋势及相关社会人口学因素。数据取自2007年1月至2010年12月期间在吉姆马大学专科医院(JUSH)献血者的记录。使用结构化格式从受试者记录中提取社会人口学变量和血清学状态数据。然后对数据进行清理、编辑,输入计算机并用Microsoft Excel工作表进行分析。接着使用卡方(X(2))统计检验来检验关联性,P值小于或等于5%(P≤0.05)被视为具有统计学意义。

结果

2007年至2010年共有3788名受试者献血,其中3034名(80.1%)为男性。采用酶联免疫吸附测定(ELISA)法筛查时,39名(1%)献血者艾滋病毒检测呈阳性。男性艾滋病毒感染率为1.2%,女性为0.5%。特定年龄组中,30 - 39岁年龄组感染率最高(2.2%),其次是40 - 49岁年龄组(1.4%)。农村居民艾滋病毒血清阳性率(1.4%)高于城市居民(0.8%);司机及其助手(2.8%)和日工(2.6%)的感染率较高。同样,为替代目的献血者的血清阳性率(1.5%)高于自愿献血者(0.3%)。

结论

多年来血清阳性率呈下降趋势,性活跃年龄组和农村居民中的患病率较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a026/3437978/8d1ac3b2406d/EJHS2201-0037Fig1.jpg

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