CAJ | 학술논문

目的：了解 HIV 在重庆市沙坪坝区无偿献血人群中的感染情况及流行特征，以加强血液管理，并为相关决策提供证据。方法对2007～2013年无偿献血者的血液检测标本145171人份，进行 HIV 传染性标志物检测，统计 HIV 感染率并分析人群特征。结果2007～2013年重庆市沙坪坝区无偿献血人群中 HIV 感染率为0．054％（79／145171），各年检出率分别为0．011％（2／17684）、0．054％（10／18554）、0．070％（14／19902）、0．068％（14／20578）、0．051％（12／23709）、0．056％（13／23268）和0．065％（14／21476）。异性传播占68．4％（54／79），男性占88．6％（70／79），20～＜30岁年龄段占54．4％（43／79），未婚者占60．8％（48／79）。不同传播方式、性别、年龄组、婚姻状况及文化程度之间 HIV 阳性率的差异有统计学意义（P＜0．05）。结论沙坪坝区无偿献血人群中 HIV 感染处于高流行平稳趋势，HIV 阳性率逐年增加，而感染主要是通过性行为传播，应加强对未婚年轻男子艾滋病防治宣传工作。
목적：료해 HIV 재중경시사평패구무상헌혈인군중적감염정황급류행특정，이가강혈액관리，병위상관결책제공증거。방법대2007～2013년무상헌혈자적혈액검측표본145171인빈，진행 HIV 전염성표지물검측，통계 HIV 감염솔병분석인군특정。결과2007～2013년중경시사평패구무상헌혈인군중 HIV 감염솔위0．054％（79／145171），각년검출솔분별위0．011％（2／17684）、0．054％（10／18554）、0．070％（14／19902）、0．068％（14／20578）、0．051％（12／23709）、0．056％（13／23268）화0．065％（14／21476）。이성전파점68．4％（54／79），남성점88．6％（70／79），20～＜30세년령단점54．4％（43／79），미혼자점60．8％（48／79）。불동전파방식、성별、년령조、혼인상황급문화정도지간 HIV 양성솔적차이유통계학의의（P＜0．05）。결론사평패구무상헌혈인군중 HIV 감염처우고류행평은추세，HIV 양성솔축년증가，이감염주요시통과성행위전파，응가강대미혼년경남자애자병방치선전공작。
Objective To investigate the human immunodeficiency virus(HIV) infection situation and epidemi‐ological characteristics of the unpaid blood donors in Shapingba district for strengthening blood management and pro‐viding evidence for relevant decision‐making .Methods A total of 145171 blood test samples of unpaid blood donors from January 2007 to December 2013 were tested for HIV infectious markers .The HIV infection rate and population characteristics were statistically analyzed .Results The HIV infection rate of volunteer blood donors in Shapingba district of Chongqing city during 2007 - 2013 was 0 .054% (79/145 171 ) ,the each annual rate was 0 .011% (2/17 684) ,0 .054% (10/18 554) ,0 .070% (14/19 902 ) ,0 .068% (14/20 578) ,0 .051% (12/23 709 ) ,0 .056% (13/23 268) and 0 .065% (14/21 476) ,respectively .Among them ,heterosexual transmission accounted for 68 .4% (54/79) ,males accounted for 88 .6% (70/79) ,the age group of 20 - 29 years old accounted for 54 .4% (43/79) ,unmarried accounted for 60 .8% (48/79) .There were statistically significant differences among different transmission modes , genders ,age groups ,marital status and educational levels(P < 0 .05) .Conclusion The HIV prevalence of volunteer unpaid blood donors in Shapingba district showed high steady trend .The HIV positive rate is increased year by year , and the infection mainly occurs through homosexual behaviors .HIV/AIDS infection prevention and control should be strengthened among unmarried young men .