广西南宁50岁及以上老年人感染艾滋病危险因素分析

发布时间：2018-08-13 09:38

【摘要】：目的探索50岁及以上老年人感染艾滋病社会行为学特征的危险因素。方法对广西南宁50岁以上老年病例开展病例对照研究,采取单因素、多因素Logistic回归模型分析老年人感染艾滋病的危险因素。结果调查病例组245人、对照组502人,调查对象年龄最小50岁,最大84岁,平均年龄(63.00±0.75)岁。以男性、汉族、文化程度为初中及以下和农民为主。多因素分析结果显示居住状况(OR=0.437,95%CI:0.246~0.777)、最近半年内性行为对象为配偶(OR=0.307,95%CI:0.112~0.843)、无商业性性行为(OR=0.106,95%CI:0.067~0.168)为老年人HIV感染的保护因素,最近半年内性生活有时或从未使用安全套(OR=24.431,95%CI:5.616~106.281),不知晓艾滋病知识(OR=2.018,95%CI:1.326~3.070)、每月可支配收入中等(OR=2.037,95%CI:1.117~3.714)是危险因素。结论关注老年人孤独感及其性需求、性健康,加强防病知识宣传,推广安全套使用,减少高危行为是预防老年人感染艾滋病的有效途径。
[Abstract]:Objective to explore the risk factors of social behavior characteristics of HIV infection in the elderly aged 50 years and over. Methods A case-control study was carried out on the elderly over 50 years old in Nanning, Guangxi. The single factor and multivariate Logistic regression model was used to analyze the risk factors of AIDS infection in the elderly. Results 245 patients were investigated in the case group and 502 in the control group. The subjects were the youngest 50 years old and the oldest 84 years old, with an average age of (63.00 卤0.75) years. With male, Han nationality, education level is junior high school and below and farmer is dominant. The results of multivariate analysis showed that living conditions (ORO 0.437 / 95 CI: 0.246 / 0.777), sexual intercourse with spouses (OR0.307 / 95CI: 0.1120.843) and non-commercial sex (OR0.106 / 95CI0.067 / 0.168) were the protective factors of HIV infection in the elderly in the last half year. In the last six months, sex has sometimes or never used a condom (OR 24.431C 95 CI: 5.616 / 106.281), lack of knowledge of AIDS (OR2.018 / 95CI: 1.3263.070), and a moderate monthly disposable income (OR 2.037 / 95CIW 1.1173.714) are risk factors. Conclusion it is an effective way to prevent the elderly from contracting AIDS by paying attention to the loneliness and sexual needs of the elderly, strengthening the publicity of disease prevention knowledge, popularizing condom use and reducing high risk behaviors.
【作者单位】：南宁市防治艾滋病办公室;
【基金】：南宁市科技项目(20133140)
【分类号】：R181.3;R512.91

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