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[2015 - 2017年杭州市新报告非婚非商业异性传播艾滋病病毒/艾滋病病例特征]

[Characteristics of newly reported HIV/AIDS cases with non-marital but non-commercial heterosexual transmission in Hangzhou, 2015-2017].

作者信息

Chen J F, Wu H, Zhang X L, Luo Y, Ding J M

机构信息

Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Dec 10;39(12):1602-1606. doi: 10.3760/cma.j.issn.0254-6450.2018.12.012.

Abstract

To describe the characteristics of newly reported HIV/AIDS cases via non-marital or non-commercial heterosexual transmission and to find out the relative factors in Hangzhou, from 2015 to 2017. Data were collected through the national HIV/AIDS comprehensive control and prevention data system. Study subjects would include those reported HIV/AIDS cases who were residents of Hangzhou and were infected via non-marital heterosexual transmission, between January 1, 2015 and December 31, 2017. Demographic characteristics and behavioral information were collected. (2) test was used to compare different characteristics of the non-married heterosexual transmission subjects. Logistic regression was used to assess factors that associated with non-marital but non-commercial HIV heterosexual transmission with SPSS. 20 software used to analyze statistically. Non-marital HIV heterosexual transmission accounted for 38.03% (1 393/3 663) of the total new reported HIV/AIDS cases in 2015-2017. Out of the 1 393 HIV/AIDS cases, those infected through non-marital but non-commercial heterosexual transmission accounted for 50.83% (708/1 393), and those through non-martial commercial transmission was accounted for 49.17% (685/1 393). Male to female ratio was 3.51 ∶ 1 (1 084/309). Male HIV cases reported that their major way of infection was via non-marital commercial transmission (670/1 084, 61.81%), while female patients reported the way was via non-marital non-commercial (294/309, 95.1%). Results from multivariate logistic analysis showed that the related risk factors and s for non-marital but non-commercial transmission appeared as: female (a=48.25, 95: 26.94- 88.44),<30 year olds (a=2.43, 95: 1.31-4.51), 30-39 year olds (a=1.92, 95: 1.11- 3.33), 40-49 year olds (a=1.80, 95: 1.08-3.00), married or unmarried ( divorced or widowed, a=1.57, 95: 1.10-2.24; a=1.78, 95: 1.15-2.78), high school and above of education level ( primary school and under of education level, a=1.82, 95: 1.18-2.80), administrative officers or employee ( farmers, a=2.03, 95: 1.04-1.91). Number of non- marital partners less than 5 ( number of non-marital partners more than 5, a=10.65, 95: 6.41-17.42). HIV/AIDS cases with non-marital heterosexual transmission accounted for considerable proportion regarding the HIV transmission in Hangzhou from 2015 to 2017. Differences were found in the following factors as non-marital and non-commercial heterosexual transmission with diverse gender, age, marital status, educational level and occupation among of the HIV/AIDS patients.

摘要

描述2015年至2017年杭州市新报告的通过非婚或非商业异性传播感染艾滋病毒/艾滋病的病例特征,并找出相关因素。通过国家艾滋病毒/艾滋病综合防治数据系统收集数据。研究对象包括2015年1月1日至2017年12月31日期间报告的居住在杭州且通过非婚异性传播感染艾滋病毒/艾滋病的病例。收集人口统计学特征和行为信息。采用(2)检验比较非婚异性传播感染病例的不同特征。运用逻辑回归分析,采用SPSS 20软件进行统计学分析,评估与非婚非商业性艾滋异性传播相关的因素。2015 - 2017年新报告的艾滋病毒/艾滋病病例中,非婚异性传播占38.03%(1393/3663)。在这1393例艾滋病毒/艾滋病病例中,通过非婚非商业异性传播感染的占50.83%(708/1393),通过非婚商业性传播感染的占49.17%(685/1393)。男女比例为3.51∶1(1084/309)。男性艾滋病例报告其主要感染途径为非婚商业性传播(670/1084,61.81%),而女性患者报告的感染途径为非婚非商业性传播(294/309,95.1%)。多因素逻辑回归分析结果显示,非婚非商业性传播的相关危险因素为:女性(比值比=48.25,95%置信区间:26.94 - 88.44),年龄<30岁(比值比=2.43,95%置信区间:1.31 - 4.51),30 - 39岁(比值比=1.92,95%置信区间:1.11 - 3.33),40 - 49岁(比值比=1.8:0,95%置信区间:1.08 - 3.00),已婚或未婚(离婚或丧偶,比值比=1.57,95%置信区间:1.10 - 2.24;比值比=1.78,95%置信区间:1.15 - 2.78),高中及以上文化程度(小学及以下文化程度,比值比=1.82,95%置信区间:1.18 - 2.80),行政管理人员或职员(农民,比值比=2.03,95%置信区间:1.04 - 1.91)。非婚性伴数<5个(非婚性伴数>5个,比值比=10.65,95%置信区间:6.41 - 17.42)。2015年至2017年,杭州市艾滋病毒/艾滋病传播中,非婚异性传播感染病例占相当比例。艾滋病毒/艾滋病患者在非婚非商业异性传播方面,在性别、年龄、婚姻状况、文化程度和职业等因素上存在差异。

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