Ning T L, Guo Y, Zheng M N, Bai J Y, Zhao X, Zhou N, Gong H, Cheng S H
Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Prevention and Control, Tianjin 300011, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Mar 6;53(3):323-326. doi: 10.3760/cma.j.issn.0253-9624.2019.03.017.
The newly reported HIV infected cases was collected, and HIV blood samples were detected to identify recent HIV infection in Tianjin during 2008-2015. Factors associated with HIV-1 infection were analyzed by the univariate and multivariate unconditional logistic regression. The recent HIV-1 infection proportion of homosexuals increased from 37.70% in 2008 to 83.68% in 2015. Those cases who aged ≤30 years (1.53, 95: 1.30-1.79), in han ethnic group (1.40, 95: 1.02-1.91), students (1.79, 95: 1.28-2.51) were more likely to be recent infected. The cases who had a high school education (1.28, 95: 1.05-1.56) or collage education (1.23, 95: 1.00-1.50) were more likely to be recent infected than those who had a primary school education. Compared with patients identified by hospitals, the recent HIV infections were more likely to be found through voluntary counseling and testing (VCT), STD outpatients, men who have sex with men (MSM) investigation and unpaid blood donors. Homosexual transmission has become the major route of HIV-1 recent infection in Tianjin.
收集了新报告的HIV感染病例，并对HIV血样进行检测，以确定2008 - 2015年期间天津市近期的HIV感染情况。通过单因素和多因素非条件logistic回归分析与HIV-1感染相关的因素。同性恋者近期HIV-1感染比例从2008年的37.70%上升至2015年的83.68%。年龄≤30岁（1.53，95%：1.30 - 1.79）、汉族（1.40，95%：1.02 - 1.91）、学生（1.79，95%：1.28 - 2.51）的病例更易近期感染。高中文化程度（1.28，95%：1.05 - 1.56）或大专文化程度（1.23，95%：1.00 - 1.50）的病例比小学文化程度的病例更易近期感染。与医院确诊的患者相比，近期HIV感染更易通过自愿咨询检测（VCT）、性病门诊、男男性行为者（MSM）调查和无偿献血者发现。同性传播已成为天津市近期HIV-1感染的主要途径。
