Abstract：Objective To explore the epidemiological characteristics of young students with HIV/AIDS in Hangzhou and to provide scientific basis for AIDS prevention and control in school settings. Methods Data on HIV/AIDS patients was collected from HIV Comprehensive Prevention and Control Information System,and retrospective survey was conducted to those who were students and whose current residential address was Hangzhou. Results A total of 132 HIV/AIDS student cases were surveyed. The average age was（21.42±2.65）years,and 98.48% were male. The proportion of homosexual transmission was 83.33%. Before positive confirmation,55.45% had homosexual partners both from students and non-students,90.91% had temporary sexual behavior,five cases had heterosexually fixed partners and two cases had heterosexually temporary partners.The proportions of condom use in all types of sexual partners ranged from 0.00%-50.00%. Seventy-two（54.55%）HIV/AIDS student cases thought they were impossible to be infected by HIV. Only 23.48% of cases did HIV antibody test before positive confirmation. The proportion of HARRT was 80.30%. The proportion of co-infected with syphilis was 18.03%. Conclusion Homosexual behavior is the main route of transmission for HIV infection among young students in Hangzhou. Dangerous behaviors are prevalent,and the situation of AIDS prevention and control among students is severe.
[1] 王岚,丁正伟,阎瑞雪,等.中国2006—2009年青年学生艾滋病疫情状况分析[J].中华流行病学杂志,2010,31(9):1017-1021. [2] 吴尊友. 我国学校艾滋病防控形势及策略[J].中国学校卫生,2015,36( 11) :1604-1605. [3] 蒋健敏,潘晓红.倾斜的世界——大学生艾滋病感染案例分析[M]. 杭州:浙江科学技术出版社,2017:6. [4] 陈树昶,罗艳,许珂,等.男男性行为人群艾滋病流行趋势及安全套使用影响因素分析[J].浙江预防医学,2013,25(12):25-28. [5] LUO Y,ZHU C Y,CHEN S C,et al.Risk factors for HIV and syphilis infection among male sex workers who have sex with men:a cross-sectional study in Hangzhou,China,2011[J].BMJ Open,2015,5(4):e006791. [6] 杨中荣,金玫华,董正全,等.中国内地大、中学生中男男性行为者HIV感染率的Meta分析[J].卫生研究,2013,42(4):689-692. [7] 彭中,吴学庆,刘芳,等.成都市大中学生2011—2015年艾滋病流行特征分析[J].中国学校卫生,2016,37( 10):1526-1528. [8] 李道苹,徐娟,王春荣,等.湖北省中学生预防艾滋病知识态度行为调查[J].中国艾滋病性病,2012,18(5):313-315. [9] 陈忠海,黄秀敏.中学生艾滋病预防知识知晓率及影响因素调查[J].中国地方病防治杂志,2015,30(1):54. [10] 张俊梅. 上海市高校大学生艾滋病防治知识态度行为调查[J].中国公共卫生,2015,31(10):1352-1353. [11] 孙昕,史宇晖,王培玉,等. 我国大学生艾滋病相关知识态度行为及其影响因素分析[J].中国学校卫生,2010,31(3):270-273. [12] 陈莲芬,陈朱,唐贤龙,等. 三亚市高校学生男男性性为人群艾滋病知识及相关疾病流行现状[J].中国学校卫生,2013, 34(9):1036-1038. [13] 游继存,张喜琴,夏咸琴,等.大一学生艾滋病防治知识、态度、行为调查[J].预防医学,2017,29(3):309-310,313. [14] ROTTINGEN J A,CAMERON D W,GARNETT G P.A systematic review of the epidemiologic interactions between classic sexually transmitted diseases and HIV:how much really is known[J].Sex Transm Dis,2000,28(10):579-597. [15] 张兴亮,陈芳,李西婷,等.杭州市大学生艾滋病疫情分析[J].预防医学,2017,29(2):161-164. [16] LICHTENSTEIN K A,ARMON C,BUCHACZ K,et al.Initiation of antiretroviral therapy at CD4 cell counts≥350 cells/mm3 does not increase incidence or risk of peripheral neuropathy,anemia,or renal insuficiency[J].J Acquir Immune Defic Syndr,2008,47(1):27-35. [17] UY J,ARMON C,BUCHACZ K,et al.Initiation of HAART at higher CD4 cell counts is associated with a lower frequency of antiretroviral drug resistance mutations at virologic failure[J].J Acquir Immune Defic Syndr,2009,51(4):450-453. [18] COHEN M S,CHEN Y Q,MCCAULEY M,et al.Antiretroviral therapy for the prevention of HIV-1 transmission[J].N Engl J Med,2016,375(9):830-839.
