CAJ | 학술논문

目的了解河南省报告的艾滋病配偶间性传播者的流行病学特征，为制定更有针对性的干预措施提供依据。方法采用自行设计的调查问卷，对2011年1月至2012年6月，河南省189个县区通过国家艾滋病网络直报系统报告的感染途径是“异性传播”且接触史是“配偶 HIV 阳性”的配偶间性传播者进行面对面调查。结果共调查557例 HIV 配偶间性传播感染者，其中男性占37.7％，女性占62.3％，70.7％的 HIV 感染者是40岁以上；49.7％的感染者感染前配偶间性生活频次在2～3次/月，得知配偶感染后73.4％的感染者性行为次数减少；46.9％的感染者从未使用过安全套；58.3％的感染者不习惯使用安全套，13.3％的感染者由于不知道配偶感染而没有使用安全套；38.4％的配偶间性传播者其配偶属于异性传播，59.3％的配偶间性传播者的配偶因既往采供血或输血感染 HIV；50.3％的感染者是由医务人员告知其配偶感染 HIV，73.6％的配偶双方 HIV 检测确认时间差值在3个月内。结论报告的 HIV 配偶间性传播者中属于配偶双方同时检测确认的比例较高，应采取定期随访检测、早期抗病毒治疗等综合干预措施预防 HIV 配偶间性传播。
목적료해하남성보고적애자병배우간성전파자적류행병학특정，위제정경유침대성적간예조시제공의거。방법채용자행설계적조사문권，대2011년1월지2012년6월，하남성189개현구통과국가애자병망락직보계통보고적감염도경시“이성전파”차접촉사시“배우 HIV 양성”적배우간성전파자진행면대면조사。결과공조사557례 HIV 배우간성전파감염자，기중남성점37.7％，녀성점62.3％，70.7％적 HIV 감염자시40세이상；49.7％적감염자감염전배우간성생활빈차재2～3차/월，득지배우감염후73.4％적감염자성행위차수감소；46.9％적감염자종미사용과안전투；58.3％적감염자불습관사용안전투，13.3％적감염자유우불지도배우감염이몰유사용안전투；38.4％적배우간성전파자기배우속우이성전파，59.3％적배우간성전파자적배우인기왕채공혈혹수혈감염 HIV；50.3％적감염자시유의무인원고지기배우감염 HIV，73.6％적배우쌍방 HIV 검측학인시간차치재3개월내。결론보고적 HIV 배우간성전파자중속우배우쌍방동시검측학인적비례교고，응채취정기수방검측、조기항병독치료등종합간예조시예방 HIV 배우간성전파。
Objective To study the epidemiological characteristics of AIDS /HIV infected via sexually transmission between spouses,and provide effective basis for intervening measures development.Methods A face-to-face interview sur-vey was conduct among the cases whose route of infection were heterosexual transmission and their spouse were HIV-positive reported from 189 counties in national HIV /AIDS reporting system since 2011 to the end of June,2012.Results 557 cases were investigated,including 37.7% in male and 62.3% in female.70.7% of them were older than 40 years old,49.7% of them had 2 -3 times sexual behaviors with their spouse every month.After they knew their spouse were HIV-positive person, 73.4% of them had decreased sexual behaviors.46.9% of them had never used condom,58.3% of them did not like to use condom.13.3% of them did not use condom because they did not know their spouse were HIV-positive person.38.4% of their spouse were heterosexual transmission,59.3% of their spouse were blood transmission,50.3% of them were informed the infection status of their spouse by the doctors,73.6% of the interval of HIV confirm time between the couples were lower than 3 months.Conclusion The larger proportion of HIV confirmation simultaneously appeared in the newly reported sexual-ly transmission between spouses.Some measures such as regular follow-up,antiviral therapy should be taken to protect the couples from HIV transmission.