Abstract:Objective To analyze the characteristics and influencing factors of the newly diagnosed cases locally infected with HIV through sexual contact in Jinhua,so as to provide reference for AIDS prevention and control. Methods An epidemiological survey was conducted among the HIV/AIDS cases diagnosed in 2017 in Jinhua to collect the information about demographic characteristics,local infection and sexual behaviors. The logistic regression model was used to analyze the related factors for local HIV infection. Results A total of 438 HIV/AIDS cases infected through sexual contact were recruited,with 272(62.10%)cases infected in Jinhua. The proportion of local infection was 86.67%,79.47%,63.04%,69.09%,77.46% and 77.97%,respectively,among those people aged 60 years or over,permanent residents in Jinhua,employees / students,farmers,those who had lived in Jinhua for more than five years,and those who had a HIV testing in one year. The Results of the multivariate logistic regression analysis showed that heterosexual transmission cases who were permanent residents in Jinhua(OR=3.437,95%CI:1.250-9.451),who had lived in Jinhua for more than five years(OR=3.609,95%CI:1.403-9.284),who had commercial heterosexual behaviors in Jinhua(OR=5.463,95%CI:2.529-11.803)were more likely to be infected with HIV in Jinhua;homosexual transmission cases who were permanent residents in Jinhua(OR=4.812,95%CI:1.744-13.275)and who had non-commercial,temporary homosexual behaviors in Jinhua(OR=10.641,95%CI:4.369-25.916)were more likely to be infected with HIV in Jinhua. Conclusion Among the HIV/AIDS cases diagnosed in 2017 infected through sexual contact in Jinhua,having permanent residence,long-term residence,commercial heterosexual behaviors and non-commercial,temporary homosexual behaviors were risk factors for local infection.
唐慧玲, 蒋均, 罗明宇, 金屡华, 王凤英, 潘晓红. 金华市2017年新确诊性接触传播HIV/AIDS本地感染病例特征及影响因素分析[J]. 预防医学, 2020, 32(4): 355-360.
TANG Huiling, JIANG Jun, LUO Mingyu, JIN L hua, WANG Fengying, PAN Xiaohong. Characteristics and influencing factors of the newly diagnosed cases locally infected with HIV through sexual contact in Jinhua. Preventive Medicine, 2020, 32(4): 355-360.
[1] 中国疾病预防控制中心,性病艾滋病预防控制中心,性病控制中心.2014年12月全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2015,21(2):87. [2] 秦倩倩,王璐,丁正伟,等.中国2008—2011年流动人群艾滋病疫情分析[J].中华流行病学杂志,2013,34(1):41-43. [3] 金华市统计局.金华市2010年第六次人口普查主要数据公报[R].2011. [4] 浙江省疾病预防控制中心.浙江省2017年疾控工作业务技术报告[R].2017. [5] 唐慧玲,张子根,张涛,等.金华市艾滋病传播方式的调查分析[J].中国农村卫生事业管理,2017,37(11):1364-1366. [6] European Centre for Disease Prevention and Control. Migrant health: Epidemiology of HIV and AIDS in migrant communities and ethnic minorities in EU/EEA countries[R/OL].[2020-01-19]. http://b.aids-bg.com/files/downloads/statistics/TQ3010303ENC_002.pdf. [7] 蒋均,查琏琦,阮建军,等.浙江省义乌市2015—2016年新报告艾滋病病毒感染者和艾滋病患者感染来源及特征分析[J].中华流行病学杂志, 2018, 39(1): 21-26. [8] 王大勇,赵丽娜,叶振淼,等.温州市中老年HIV/AIDS流行特征分析[J].浙江预防医学, 2014, 26(4): 372-376. [9] 叶振淼,王大勇,赵丽娜,等.2012—2016年温州市50岁及以上艾滋病病毒感染者/艾滋病患者流行特征分析[J].现代预防医学, 2018, 45(5):776-780. [10] ANGLEWICZ P, VAN LANDINGHAM M, MANDA-TAYLOR L, et al.Migration and HIV infection in Malawi[J]. AIDS, 2016, 30(13): 2099-2105. [11] 李培龙,王丽艳,郭巍,等. 2013年中国HIV感染者和艾滋病患者流动情况及影响因素分析[J].中华预防医学杂志, 2014, 48(11):934-937. [12] 王科坤,李小燕,黄小林,等.恩施州不同场所暗娼安全套使用及相关因素分析[J].预防医学, 2019, 31(3): 280-283. [13] 成慧,刘登来,刘家虹,等.江西省某县嫖客人群艾滋病流行病学分析[J].中国公共卫生, 2018, 34(9): 1295-1298. [14] YAM E A,MNISI Z,SITHOLE B,et al.Association between condom use and use of other contraceptive methods among female sexworkers in Swaziland:a relationship-1evel analysis of condom and contraceptive use[J]. Sex Transm Dis, 2013, 40(5): 406-412. [15] 张宝方. 青岛大龄女性性工作者组织结构及高危性行为影响因素的定性研究[D]. 济南:山东大学,2013. [16] 张枭, 陈盼盼, 付文捷, 等. MSM人群艾滋病相关社会环境、性伴网络、健康需求的定性分析[J]. 实用预防医学, 2016, 23(5):523-525. [17] 杨晴,廖清华,龚正华,等. 江西≥50岁男性HIV/AIDS病人确诊前后高危行为研究[J].中国艾滋病性病, 2018, 24(7):656-659. [18] 张燕,何晓茜,廖清华,等.2009—2018年深圳市新报告50岁及以上HIV/AIDS病例流行特征分析[J].预防医学, 2019,31(9): 911-913.