Jiang J, Zha L Q, Ruan J J, Yang J Z, Zhu B X, Chen L, He L, Chen W J, Fu T, Pan X H
Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Yiwu County Center for Disease Control and Prevention, Yiwu 322000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Jan 10;39(1):21-26. doi: 10.3760/cma.j.issn.0254-6450.2018.01.004.
To understand the sources and characteristics of newly reported HIV/AIDS cases in Yiwu, Zhejiang province, from 2015 to 2016. From January 1, 2015 to December 31, 2016, newly reported HIV/AIDS cases in Yiwu were recruited in the study and they were asked to complete an in-depth field epidemiology questionnaire. Information related to their previous sexual behaviors and infection sources or routes were collected in the survey. The data were processed and analyzed with EpiData 3.0 and SPSS 19.0 software. A total of 320 participants from 393 newly reported HIV/AIDS cases in Yiwu during this period were surveyed and recruited in the study. Most of them were males (268, 83.8%), unmarried (141, 44.1%), aged between 25-44 years (166, 51.9%), had census register in other provinces (217, 67.8%) and educational level of junior high school (128, 40.0%). Among 305 cases whose infection times could be determined, 107 (35.1%) were newly infected within one year, and among 267 cases whose infection location could be determined, 200 (74.9%) were infected in Yiwu. New infections were mainly detected in those who had homosexual behaviors or causal sex partners (during the past year) and through active detection approach. Local infections were mainly among those who had local residence and commercial heterosexual behavior in Yiwu. Most newly reported HIV/AIDS cases in Yiwu from 2015-2016 were infected for more than one year and locally infected. Census registration of other provinces, homosexual sexual behavior, and casual sexual behavior give major contribution to HIV/AIDS epidemic in Yiwu.
为了解2015年至2016年浙江省义乌市新报告艾滋病病毒(HIV)/获得性免疫综合征(AIDS)病例的来源及特征。选取2015年1月1日至2016年12月31日在义乌市新报告的HIV/AIDS病例纳入研究,并要求其填写一份深入的现场流行病学调查问卷。调查收集了与他们既往性行为及感染源或感染途径相关的信息。采用EpiData 3.0和SPSS 19.0软件对数据进行处理和分析。在此期间,义乌市393例新报告HIV/AIDS病例中共有320名参与者接受调查并纳入研究。他们中大多数为男性(268例,占83.8%),未婚(141例,占44.1%),年龄在25 - 44岁之间(166例,占51.9%),外省户籍(217例,占67.8%),初中文化程度(128例,占40.0%)。在305例可确定感染时间的病例中,107例(35.1%)在1年内新感染;在267例可确定感染地点的病例中,200例(74.9%)在义乌市感染。新感染主要见于有男男性行为或临时性性伴(过去1年)者,且通过主动检测途径发现。本地感染主要见于在义乌市有本地居住史及商业异性性行为者。2015 - 2016年义乌市新报告的HIV/AIDS病例大多感染超过1年且为本地感染。外省户籍、男男性行为及临时性性行为对义乌市HIV/AIDS流行起主要作用。