广西中老年男性人群艾滋病流行现状及相关影响因素分析

发布时间：2018-02-28 15:05

本文关键词： 艾滋病病毒中老年男性人群嫖客　出处：《中国艾滋病性病》2017年11期 　论文类型：期刊论文

【摘要】：目的了解广西中老年男性人群艾滋病流行趋势,初步探索其感染艾滋病病毒(HIV)的相关影响因素。方法从《全国艾滋病综合防治数据信息系统》中导出截至2015年12月31日定时统计数据,对新发现报告HIV感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)年龄构成进行统计,同时对3个县(区)中老年嫖客专题调查数据和20岁及以上男性人群HIV抗体检测数据进行分析。采用PASW Statistics 18.0软件分析中老年男性人群艾滋病流行趋势及相关影响因素。结果广西2006-2015年男性病例中50岁及以上病例从552例增长到了3 314例,占男性报告病例数的比例从15.7%增长到49.9%,呈现显著增长趋势(χ2=2 282.8,P0.001)。3个县(区)共观察241 195名20岁及以上男性人群,HIV血清阳转率为4.35/万·人年(180/413 549)。男性人群HIV新发感染率随着年龄增长逐渐增高,60~69岁最高(11.51/万·人年)。3个县(区)共调查50岁及以上中老年嫖客1 276人,HIV阳性检出率为1.96%(25/1 276),知道HIV检测机构[比值比(OR)=0.36,95%可信区间(CI):0.15~0.86]是感染HIV的保护因素;使用过壮阳药(OR=4.74,95%CI:1.95~11.50)、离异/丧偶/分居(OR=3.67,95%CI:1.37~9.86)和最近1个月有过性行为(OR=6.42,95%CI:1.16~35.41)是感染HIV的危险因素。结论中老年男性特别是中老年嫖客是艾滋病传播的重点高危人群,中老年男性人群艾滋病流行已对广西艾滋病防控形成新的挑战,应针对性地采取新的防控策略措施。
[Abstract]:Objective to understand the epidemic trend of AIDS among middle-aged and aged men in Guangxi. To explore the related influencing factors of HIV infection. Methods to derive from the National Comprehensive data system for AIDS Prevention and treatment (NIDSID) the regular statistical data up to December 31st 2015. The age composition of newly discovered patients with HIV / AIDS AIDS AIDS (HIV/AIDS for short) was statistically analyzed. At the same time, the special survey data of middle and old age clients in 3 counties (districts) and HIV antibody test data of male population aged 20 years and above were analyzed. The PASW Statistics 18.0 software was used to analyze the prevalence trend of AIDS and its related influence in middle and old age male population. Results from 2006 to 2015, the number of male cases aged 50 and above increased from 552 to 3,314 in Guangxi, The proportion of reported cases in males increased from 15.7% to 49.9, showing a significant increasing trend (蠂 ~ 2 / 2 282.8 / P 0.001). A total of 241,195 men aged 20 years and above were observed to have a seropositive seroconversion rate of 4.35 / 10 000 / 10 ~ (5) years. New HIV infection occurred in male population. The HIV positive rate of 1 276 clients aged 50 years old and above was 1.96% / 1276%, and the HIV detection rate [ratio was 0.3695% confidence interval (CI = 0.15595% CI = 0.150.86%]] was found to be positive in the three counties (districts) with the increasing age of 60 ~ 69 years old and the prevalence of HIV positive rate was 1.96% / 1 276% / 10 ~ 6% / person / person / person / person / person year. The results showed that the HIV detection system [ratio was 0.3695% CI = 0.150.86]. The protective factors of HIV; The risk factors of HIV infection were 4.74-95 CI: 1.95% 1.95 / 11.50, or 3.67 / 95 CI: 1.379.86 and 6.42 / 95CI1 / 35.41). Conclusion Middle-aged and aged men, especially middle-aged and elderly clients, are the key risk groups for HIV / AIDS transmission. The prevalence of AIDS among middle-aged and aged men has posed a new challenge to the prevention and control of AIDS in Guangxi.
【作者单位】：广西壮族自治区疾病预防控制中心;广西壮族自治区卫生和计划生育委员会;传染病预防控制国家重点实验室;
【基金】：国家科技重大专项(2012ZX10004910) 国家自然科学基金(81460510) 广西八桂学者艾滋病防控关键技术岗位专项~~
【分类号】：R181.3;R512.91

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