Li J, Xu J, Tang H L, Han J, Mao Y R
Division of Integration and Evaluation, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Feb 10;38(2):221-225. doi: 10.3760/cma.j.issn.0254-6450.2017.02.017.
To analyze the factors associated with divorce or separation when one of the spouse diagnosed and newly reported as HIV positive, in China. Data from the Chinese HIV/AIDS Comprehensive Response Information Management System, by December 31, 2015 were used for collection on newly reported HIV cases regarding their baseline information in 2014 and follow-up within one year, among couples and above 18 year olds. HIV cases were divided into divorce/separation group and married group according to their marriage dynamics in one year after being diagnosed as HIV positive. Multivariate logistic regressions were used to analyze potential factors associated with divorce or separation after the diagnoses made. A total of 31 708 HIV cases were included in this study. 22.5% (7 134/31 708) of them got divorced or separated in one year after diagnose being made. 81.6% (25 864/31 708) of them had couples tested in one year after diagnose made and 10.0% (2 599/25 864) of them got divorced or separated. Among 18.4% (5 844/31 708) of the HIV cases who did not have their couples tested in one year after the diagnoses, 77.6% (4 535/5 844) got divorced or separated. For those who did not have their couples tested in one year after the diagnose. Data from the multivariate logistic regression analysis showed that factors as those who were older than 45 (46-60 yr.: =1.28, 95: 1.03-1.58; ≥61 yr.: =1.83, 95: 1.41-2.37), with Han ethnicity (=1.56, 95: 1.34-1.83), with high school education or above (=1.55, 95: 1.27-1.90), non-farmers or non-rural laborers (=1.34, 95: 1.17-1.54), infected through injecting drug use (=1.33, 95: 1.03-1.71), men who had sex with men (=1.49, 95: 1.20-1.86), or with childless (=2.35, 95: 1.78-3.09) . were more likely to be divorced or separated after the diagnoses being made, among those who had their couples tested in one year after the diagnoses. Results from the multivariate logistic regression analysis showed that factors as those who were above 60 year olds (=1.32, 95: 1.12-1.56), with Han ethnicity (=1.27, 95: 1.13-1.44), with high school education or above (=1.26, 95: 1.11-1.43), non-farmers or non-rural labors (=1.37, 95: 1.25-1.51), infected through having sex with men (=1.38, 95: 1.25-1.54), or without a child (=1.48, 95: 1.27-1.71), were more likely to be divorced or separated after the diagnoses. A certain proportion of HIV cases got divorced or separated in one year after the diagnosis was made. The proportions of divorce or separation were different among populations. Interventions targeting reducing divorce or separation in certain populations should be integrated into routine care system to reduce the HIV transmission.
分析在中国配偶一方被诊断并新报告为HIV阳性时与离婚或分居相关的因素。使用中国HIV/AIDS综合防治信息管理系统截至2015年12月31日的数据,收集2014年新报告HIV病例的基线信息以及18岁及以上配偶一年内的随访情况。根据HIV病例被诊断为HIV阳性后一年内的婚姻状况,将其分为离婚/分居组和已婚组。采用多因素logistic回归分析诊断后与离婚或分居相关的潜在因素。本研究共纳入31708例HIV病例。其中22.5%(7134/31708)在诊断后一年内离婚或分居。81.6%(25864/31708)在诊断后一年内进行了配偶检测,其中10.0%(2599/25864)离婚或分居。在诊断后一年内未进行配偶检测的HIV病例中,18.4%(5844/31708)的病例中,77.6%(4535/5844)离婚或分居。对于诊断后一年内未进行配偶检测的人群。多因素logistic回归分析数据显示,诊断后一年内进行配偶检测的人群中,年龄大于45岁(46 - 60岁:比值比 = 1.28,95%置信区间:1.03 - 1.58;≥61岁:比值比 = 1.83,95%置信区间:1.41 - 2.37)、汉族(比值比 = 1.56,95%置信区间:1.34 - 1.83)、高中及以上文化程度(比值比 = 1.55,95%置信区间:1.27 - 1.90)、非农民或非农村劳动力(比值比 = 1.34,95%置信区间:1.17 - 1.54)、通过注射吸毒感染(比值比 = 1.33,95%置信区间:1.03 - 1.71)、男男性行为者(比值比 = 1.49,95%置信区间:1.20 - 1.86)或无子女(比值比 = 2.35,95%置信区间:1.78 - 3.09)的人群更有可能在诊断后离婚或分居。多因素logistic回归分析结果显示,诊断后,60岁以上(比值比 = 1.32,95%置信区间:1.12 - 1.56)、汉族(比值比 = 1.27,95%置信区间:1.13 - 1.44)、高中及以上文化程度(比值比 = 1.26,95%置信区间:1.11 - 1.43)、非农民或非农村劳动力(比值比 = 1.37,95%置信区间:1.25 - 1.51)、通过与男性发生性行为感染(比值比 = 1.38,95%置信区间:1.25 - 1.54)或无子女(比值比 = 1.48,95%置信区间:1.27 - 1.71)的人群更有可能离婚或分居。一定比例的HIV病例在诊断后一年内离婚或分居。不同人群的离婚或分居比例不同。应将针对减少特定人群离婚或分居的干预措施纳入常规护理体系,以减少HIV传播。