中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2011年
10期
987-990
,共4页
许艳%惠珊%孟晓军%明帅%丁正伟%李东民%黑发欣%王璐
許豔%惠珊%孟曉軍%明帥%丁正偉%李東民%黑髮訢%王璐
허염%혜산%맹효군%명수%정정위%리동민%흑발흔%왕로
艾滋病%性病门诊%感染状况%影响因素
艾滋病%性病門診%感染狀況%影響因素
애자병%성병문진%감염상황%영향인소
Acquired immune deficiency syndrome%Sexually transmitted disease clinic%Infection status%Risk factors
目的 了解中国6省(区)15～90岁性病门诊男性就诊者的艾滋病知识知晓、艾滋病相关行为及HIV感染等状况,分析其HIV感染的影响因素.方法 根据全国艾滋病哨点监测实施方案(试行)操作手册的要求,汇总广西、广东、河南、四川、云南和江西6省(区)2009-2010年国家级性病门诊男性就诊者哨点监测数据.对上报数据进行“清洗”,剔除不合格数据后用SPSS18.0软件进行统计分析.结果 6省(区)共汇总性病门诊男性就诊者资料64 003份,15～49岁组55 220人,≥50岁组8783人(13.7％).两组人群的艾滋病知识总知晓率(69.6％vs.80.1％)、近3个月发生过商业性行为的比例(34.1％vs.36.6％)、近3个月发生过临时性行为的比例(18.7％vs.28.4％)、发生同性肛交性行为的比例(0.7％vs.1.4％)、最近一年做过HIV抗体检测的比例(14.3％vs.17.1％)均为≥50岁组低于15 ～ 49岁组.而≥50岁组HIV抗体阳性检出率高于15 ～49岁组(1.1％vs.0.7％).对≥50岁组多因素logistic回归分析结果显示,有固定性伴(OR=0.588,P=0.034)、发生过同性肛交性行为(OR=5.226,P=0.006)与HIV抗体阳性有关.结论 发生高危性行为(包括同性肛交性行为)是≥50岁性病门诊男性就诊者感染HIV的主要危险因素.
目的 瞭解中國6省(區)15～90歲性病門診男性就診者的艾滋病知識知曉、艾滋病相關行為及HIV感染等狀況,分析其HIV感染的影響因素.方法 根據全國艾滋病哨點鑑測實施方案(試行)操作手冊的要求,彙總廣西、廣東、河南、四川、雲南和江西6省(區)2009-2010年國傢級性病門診男性就診者哨點鑑測數據.對上報數據進行“清洗”,剔除不閤格數據後用SPSS18.0軟件進行統計分析.結果 6省(區)共彙總性病門診男性就診者資料64 003份,15～49歲組55 220人,≥50歲組8783人(13.7％).兩組人群的艾滋病知識總知曉率(69.6％vs.80.1％)、近3箇月髮生過商業性行為的比例(34.1％vs.36.6％)、近3箇月髮生過臨時性行為的比例(18.7％vs.28.4％)、髮生同性肛交性行為的比例(0.7％vs.1.4％)、最近一年做過HIV抗體檢測的比例(14.3％vs.17.1％)均為≥50歲組低于15 ～ 49歲組.而≥50歲組HIV抗體暘性檢齣率高于15 ～49歲組(1.1％vs.0.7％).對≥50歲組多因素logistic迴歸分析結果顯示,有固定性伴(OR=0.588,P=0.034)、髮生過同性肛交性行為(OR=5.226,P=0.006)與HIV抗體暘性有關.結論 髮生高危性行為(包括同性肛交性行為)是≥50歲性病門診男性就診者感染HIV的主要危險因素.
목적 료해중국6성(구)15～90세성병문진남성취진자적애자병지식지효、애자병상관행위급HIV감염등상황,분석기HIV감염적영향인소.방법 근거전국애자병초점감측실시방안(시행)조작수책적요구,회총엄서、엄동、하남、사천、운남화강서6성(구)2009-2010년국가급성병문진남성취진자초점감측수거.대상보수거진행“청세”,척제불합격수거후용SPSS18.0연건진행통계분석.결과 6성(구)공회총성병문진남성취진자자료64 003빈,15～49세조55 220인,≥50세조8783인(13.7％).량조인군적애자병지식총지효솔(69.6％vs.80.1％)、근3개월발생과상업성행위적비례(34.1％vs.36.6％)、근3개월발생과림시성행위적비례(18.7％vs.28.4％)、발생동성항교성행위적비례(0.7％vs.1.4％)、최근일년주과HIV항체검측적비례(14.3％vs.17.1％)균위≥50세조저우15 ～ 49세조.이≥50세조HIV항체양성검출솔고우15 ～49세조(1.1％vs.0.7％).대≥50세조다인소logistic회귀분석결과현시,유고정성반(OR=0.588,P=0.034)、발생과동성항교성행위(OR=5.226,P=0.006)여HIV항체양성유관.결론 발생고위성행위(포괄동성항교성행위)시≥50세성병문진남성취진자감염HIV적주요위험인소.
Objective To understand the status on AIDS awareness,AIDS-related behaviors,risk factors on HIV infection status among 15-90 years or older men at the sexually transmitted disease clinics.Methods Data from the 2009 and 2010 national sentinel surveillance system,regarding men attending sexually transmitted disease clinics was collected from Guangdong,Guangxi,Henan,Sichuan,Yunnan and Jiangxi provinces,where the AIDS epidemic among 15-90 years or older population was serious.Data was uploaded to National Center for AIDS/STD Control and Prevention (NCAIDS) through the comprehensive AIDS control and prevention information system.Data was then analyzed by SPSS 18.0.Results A total of 64 003 pieces of data were collected.Among them,8783 ( 13.7％ ) were related to men at ≥ 50 years or older,and to men 15-49 years older were 55 220.The rates on the awareness of AIDS knowledge were from 69.6％ vs.80.1％,on frequently having had commercial sexual contacts in the last three months were between 34.1％vs.36.6％,on having had casual sexual contact in the last three months were 18.7％ vs.28.4％,on having had homosexual anal intercourse as 0.7％ vs.1.4％.The rates of taking HIV antibody testing in the last year (14.3％ vs.17.1％ ) among this population were all significantly lower than the rate among the 15 to 49 years age group.However,the HlV-positive rate among the older age group (fifty years of age or older) was significantly higher than the rate among 15 to 49 year age group ( 1.1％ vs.0.7％ ).Regard the fifty years of age or older men.Data from the multivariate logistic regression analysis demonstrated that factors as:having regular partner (OR=0.588,P=0.034),having homosexual anal intercourse (OR=5.226,P=0.006) were associated with positivities of HIV antibody.Conclusion High-risk sexual behaviors,including homosexual anal intercourse were the major risk factors for men at ≥50 years or older age,related to the infection of HIV.
