中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2015年
1期
31-34
,共4页
陆华湘%朱宇佳%吴兴华%陈欢欢%罗柳红%蔡开祥%李剑军%覃春伟%张世真
陸華湘%硃宇佳%吳興華%陳歡歡%囉柳紅%蔡開祥%李劍軍%覃春偉%張世真
륙화상%주우가%오흥화%진환환%라류홍%채개상%리검군%담춘위%장세진
人类免疫缺陷病毒%老年男性嫖客%商业性行为
人類免疫缺陷病毒%老年男性嫖客%商業性行為
인류면역결함병독%노년남성표객%상업성행위
Human immunodeficiency virus%Old male clients%Commercial sex behavior
目的 了解广西部分地区老年男性嫖客商业性行为的基本情况和特点,初步探索其感染HIV的相关危险因素.方法 选择广西老年男性艾滋病流行地区,在暗娼场所现场对≥60岁的嫖客开展调查,采5 ml静脉全血样本检测HIV和梅毒抗体,用logistic多因素分析相关危险因素.结果 调查共获得有效问卷1 236份,65.61％来自低档场所,53.64％的人商业性行为中从未使用安全套,47.33％的人商业性行为暴露时间≥10年,53.32％的人近30 d内商业性行为＞2次,检出HIV抗体阳性的嫖客30人(2.43％),梅毒阳性40人(3.24％);有固定性伴(OR=0.302,95％CI:0.140～ 0.650)是老年嫖客感染HIV的保护因素,商业性行为暴露时间(1～5)年(OR=2.552,95％CI:1.086～ 5.998)和近30天内发生商业性行为次数≥4次(OR=3.002,95％CI:1.047～8.607)是危险因素.结论 广西老年男性嫖客HIV、梅毒的感染率较高,以低档场所来源和低档消费为主,商业性行为有暴露起点早,时间跨度长、密度高、缺乏防护等特征,感染HIV的相关危险因素可能包括无固定性伴及频繁发生的商业性行为.
目的 瞭解廣西部分地區老年男性嫖客商業性行為的基本情況和特點,初步探索其感染HIV的相關危險因素.方法 選擇廣西老年男性艾滋病流行地區,在暗娼場所現場對≥60歲的嫖客開展調查,採5 ml靜脈全血樣本檢測HIV和梅毒抗體,用logistic多因素分析相關危險因素.結果 調查共穫得有效問捲1 236份,65.61％來自低檔場所,53.64％的人商業性行為中從未使用安全套,47.33％的人商業性行為暴露時間≥10年,53.32％的人近30 d內商業性行為＞2次,檢齣HIV抗體暘性的嫖客30人(2.43％),梅毒暘性40人(3.24％);有固定性伴(OR=0.302,95％CI:0.140～ 0.650)是老年嫖客感染HIV的保護因素,商業性行為暴露時間(1～5)年(OR=2.552,95％CI:1.086～ 5.998)和近30天內髮生商業性行為次數≥4次(OR=3.002,95％CI:1.047～8.607)是危險因素.結論 廣西老年男性嫖客HIV、梅毒的感染率較高,以低檔場所來源和低檔消費為主,商業性行為有暴露起點早,時間跨度長、密度高、缺乏防護等特徵,感染HIV的相關危險因素可能包括無固定性伴及頻繁髮生的商業性行為.
목적 료해엄서부분지구노년남성표객상업성행위적기본정황화특점,초보탐색기감염HIV적상관위험인소.방법 선택엄서노년남성애자병류행지구,재암창장소현장대≥60세적표객개전조사,채5 ml정맥전혈양본검측HIV화매독항체,용logistic다인소분석상관위험인소.결과 조사공획득유효문권1 236빈,65.61％래자저당장소,53.64％적인상업성행위중종미사용안전투,47.33％적인상업성행위폭로시간≥10년,53.32％적인근30 d내상업성행위＞2차,검출HIV항체양성적표객30인(2.43％),매독양성40인(3.24％);유고정성반(OR=0.302,95％CI:0.140～ 0.650)시노년표객감염HIV적보호인소,상업성행위폭로시간(1～5)년(OR=2.552,95％CI:1.086～ 5.998)화근30천내발생상업성행위차수≥4차(OR=3.002,95％CI:1.047～8.607)시위험인소.결론 엄서노년남성표객HIV、매독적감염솔교고,이저당장소래원화저당소비위주,상업성행위유폭로기점조,시간과도장、밀도고、결핍방호등특정,감염HIV적상관위험인소가능포괄무고정성반급빈번발생적상업성행위.
Objective To understand the current situation and characteristics of commercial sexual behavior among old male clients in Guangxi,and to explore the associated risk factors of HIV infection.Methods The areas in Guangxi where more old male HIV cases were reported followed by survey on those male clients who were over 60 years of age,were selected.A total of 5 ml blood sample was collected to test antibodies of HIV and syphilis.Risk factors were calculated by the multivariate logistic analysis method.Results A total of 1 236 questionnaires were completed in the survey.65.61％ of the old male clients were from low-grade venues with 53.64％ of them never using a condom when engaging in commercial sex behavior.47.33％ of them patronized sex workers for around 10 years.53.32％ of them patronized prostitutes not less than 2 times in the last 30 days.Thirty subjects were HIV positive (2.43％) and 40 were syphilis positive (3.24％).Factor as ‘having fixed partners’ (OR=0.302,95％ CI:0.140-0.650) appeared protective for the old male clients of HIV infection,with a history of patronizing sex workers from 1 to 5 years (OR=2.552,95％ CI:1.086-5.998).Frequency of patronizing sex workers not less than 4 times in the last 30 days (OR=3.002,95％CI:1.047-8.607) seemed the high risk factor of HIV infection.Conclusion Older-aged male clients showed high HIV and syphilis infection rates in Guangxi,and most of them were using the low-grade venues.Commercial sexual behaviors in the areas would include early and,frequent exposure,but with poor protections.High risk factors of HIV infection might relate to "no fixed sexual partners" and "frequently commercial sexual behavior".
