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[2015 - 2018年广西壮族自治区新报告非婚或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 or non-commercial heterosexual transmission in Guangxi Zhuang Autonomous Region, 2015-2018].

作者信息

Liu X H, Zhu Q Y, Meng Q, Shen Z Y, Ruan Y H, Wu X L, Zhou X J, Huang J H, Tang S, Yang W M

机构信息

Institute of HIV/AIDS Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning 530028, China.

National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Apr 10;41(4):537-541. doi: 10.3760/cma.j.cn112338-20190625-00467.

Abstract

To understand the characteristics and associated factors of newly reported HIV/AIDS cases with non-marital or non-commercial heterosexual transmission, in Guangxi Zhuang Autonomous Region (Guangxi), 2015-2018. Information of newly reported HIV/AIDS cases aged ≥18 years in Guangxi between 2015 and 2018 was collected from the National Comprehensive HIV/AIDS Information System. Unconditional logistic regression model was used to access those factors that were associated with HIV infections through non-marital or non-commercial heterosexual contact. Between 2015 and 2018, a total number of 35 497 HIV/AIDS cases, aged ≥18 years were newly reported in Guangxi. Among them, 32 648 (92.0) were infected heterosexually while 10 500 were infected through non-marital or non-commercial heterosexual behavior. Non-marital or non-commercial heterosexual transmission accounted for 29.6 (10 500/35 497) of the newly reported HIV/AIDS cases, and 32.2 (10 500/32 648) of those with heterosexual transmission. Males counted for 53.5 (5 617/10 500) of non-marital or non-commercial heterosexual transmission and males to females ratio was 1.2∶1 (5 617∶4 883). Those married or had regular sexual partners counted for 55.9 (5 873/10 500). Commercial heterosexual transmission appeared the main mode of HIV transmission for males (64.4,16 516/25 633) while main mode for females was non-marital or non-commercial heterosexual transmission and counted for 49.5 (4 883/9 864). Results from the multivariate logistic regression analysis showed that adjusted of female HIV/AIDS infected HIV via non-marital or non-commercial heterosexual transmission, was 3.98 times (95: 3.78-4.20) hight than that of males. Among the group aged<50 years and the aged 50-59 years, the adjusted s were 1.35 times (95: 1.27-1.44) and 1.13 times (95: 1.05-1.21) hight than that of aged ≥60 years. Those who were single/divorced/widowed, the adjusted was 1.53 times (95: 1.45-1.61) hight than that of those married/regular partners. Those with junior high school education, high school education and above the adjusted s were 1.22 times (95: 1.16-1.29) and 1.18 times (95: 1.10-1.27), compared to those only with education levels of primary school or below. The number of HIV/AIDS cases via non-marital or non-commercial heterosexual transmission accounted for nearly 30.0 of all the routes of HIV transmission in Guangxi, 2015-2018. Female, aged<60 years old, single/divorced/widowed and having had junior and above high school education ., appeared as risk factors on non-marital or non-commercial heterosexual transmission, among newly reported HIV/AIDS in Guangxi.

摘要

为了解2015 - 2018年广西壮族自治区新报告的非婚或非商业异性传播艾滋病病毒/艾滋病(HIV/AIDS)病例的特征及相关因素,从国家综合艾滋病病毒/艾滋病信息系统收集了2015年至2018年广西年龄≥18岁的新报告HIV/AIDS病例信息。采用非条件逻辑回归模型分析与通过非婚或非商业异性接触感染HIV相关的因素。2015年至2018年,广西共新报告35497例年龄≥18岁的HIV/AIDS病例。其中,32648例(92.0%)通过异性传播感染,10500例通过非婚或非商业异性行为感染。非婚或非商业异性传播占新报告HIV/AIDS病例的29.6%(10500/35497),占异性传播病例的32.2%(10500/32648)。男性占非婚或非商业异性传播病例的53.5%(5617/10500),男女比例为1.2∶1(5617∶4883)。已婚或有固定性伴侣者占55.9%(5873/10500)。商业异性传播是男性感染HIV的主要途径(64.4%,16516/25633),而女性的主要感染途径是非婚或非商业异性传播,占49.5%(4883/9864)。多因素逻辑回归分析结果显示,经调整后,女性通过非婚或非商业异性传播感染HIV/AIDS的可能性是男性的3.98倍(95%CI:3.78 - 4.20)。在年龄<50岁组和50 - 59岁组中,经调整后的可能性分别是年龄≥60岁组的1.35倍(95%CI:1.27 - 1.44)和1.13倍(95%CI:1.05 - 1.21)。单身/离异/丧偶者经调整后的可能性是已婚/有固定伴侣者的1.53倍(95%CI:1.45 - 1.61)。初中文化程度者、高中及以上文化程度者经调整后的可能性分别是小学及以下文化程度者的1.22倍(95%CI:1.16 - 1.29)和1.18倍(95%CI:1.10 - 1.27)。2015 - 2018年,广西通过非婚或非商业异性传播的HIV/AIDS病例数占所有HIV传播途径的近30.0%。在广西新报告的HIV/AIDS病例中,女性、年龄<60岁、单身/离异/丧偶以及初中及以上文化程度是非婚或非商业异性传播的危险因素。

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