福建省异性性途径感染HIV者确诊后的性行为特征及其影响因素

发布时间：2018-07-16 23:12

【摘要】：目的了解福建省异性性传播的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病例(简称HIV/AIDS病例),在确诊后的性行为特征及其影响因素。方法抽取福建省部分地区新近确诊的异性性传播HIV/AIDS病例,采用统一问卷面对面地调查,收集人口学信息和确诊后的性行为信息。对确诊后的性行为特征的影响因素进行单因素和多因素Logistic回归分析。结果共调查148例HIV/AIDS病例,10.1%(15例)存在一种或一种以上的非婚异性性行为;在婚病例中,56.5%(48/85)的病例仍与配偶发生性行为,与固定异性性伴和配偶发生性行为时仍然是未每次都使用安全套;确诊后有15.3%(13/85)感染者未告知配偶,10.6%(9/85)的配偶未完成检测。在婚、年龄35~49岁、样本来源于羁押人群或重点人群、未进行CD4+T淋巴细胞(简称CD4细胞)检测,是发生二代传播风险性行为的危险因素;年龄35岁、样本来源于重点人群,是发生二代传播高风险性行为的危险因素。结论确诊HIV抗体阳性后仍有部分病例存在二代传播的风险,应加强对中青年感染者的宣传教育,提高CD4细胞检测比例,强化配偶与性伴的主动告知与检测的干预技巧。
[Abstract]:Objective to investigate the characteristics of sexual behavior of heterosexual HIV / AIDS (HIV / AIDS) cases in Fujian Province and its influencing factors. Methods the newly diagnosed cases of heterosexual transmission of HIV / AIDS in some areas of Fujian Province were selected and investigated face to face with a unified questionnaire to collect demographic information and confirmed sexual information. Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of sexual behavior after diagnosis. Results among 148 HIV / AIDS cases, 10.1% (15 cases) had one or more non-marital heterosexual behaviors, 56.5% (48 / 85) of them still had sex with their spouses. Condom was still not used every time when having sex with a fixed heterosexual partner or spouse, and 10.6% (9 / 85) of the spouses had not completed the test after the diagnosis of 15. 3% (13 / 85) of infected persons. In marriage, the age of 35 to 49 years old, the sample comes from the people in custody or the key population, does not carry on the CD4 T lymphocyte (referred to as the CD4 cell) examination, is the risk factor which the second generation spreads the risk behavior; the age 35 years old, the sample comes from the key population, It is the risk factor of the second generation high risk behavior. Conclusion there is still a risk of second generation transmission in some cases after HIV antibody positive diagnosis. It is necessary to strengthen the propaganda and education of young and middle-aged infected people, increase the percentage of CD4 cell detection, and strengthen the skills of active informing and testing of spouses and sexual partners.
【作者单位】：福建省疾病预防控制中心;
【分类号】：R512.91

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