德宏州2012-2015年婚检人群的HIV感染率及其影响因素

发布时间：2018-04-13 20:07

本文选题：婚前检查 + 艾滋病病毒感染率　；参考：《中国艾滋病性病》2017年05期

【摘要】：目的了解云南省德宏州2012-2015年间,婚前体检人群中艾滋病病毒(HIV)的感染状况,并分析其影响因素。方法利用德宏州2012-2015年所有参加婚前体检者的婚检资料,统计其HIV感染率,并采用单因素和多因素非条件Logistic回归分析其影响因素。结果 2012-2015年,全州93 744名婚前体检者中共发现HIV抗体阳性594例,HIV抗体阳性率为0.63%。其中男性HIV抗体阳性率为0.64%(302/47 232),女性为0.63%(292/46 506)。2012-2015年婚检人群的HIV感染率依次为0.78%、0.61%、0.64%、0.48%。多因素非条件Logistic回归分析显示:不同年份、不同县市以及不同社会人口学特征的婚检人群的HIV感染率有差异,2013、2014、2015年均低于2012年,且呈逐年下降趋势(χ2趋势=14.206,P0.01);瑞丽市高于其他县市(P0.001);30岁以上者高于30岁以下者[比值比(OR)=10.92,95%可信区间(CI):1.52~78.29,P=0.017];景颇族人显著高于汉族人(OR=2.31,95%CI:1.83~2.93,P0.001);有吸毒行为者高于无吸毒行为者(OR=77.86,95%CI:46.28~130.98,P0.001)。2012-2015各年婚检发现的HIV感染者中,属于首次新报告阳性者所占比例依次分别为23.08%、25.85%、24.46%和25.00%。结论德宏州2012-2015年婚前体检人群HIV感染率仍较高但呈下降趋势,首次新报告阳性者的构成比例维持并达到该州历史最低水平,婚前检查仍然是目前在艾滋病严重流行区发现HIV感染者、了解艾滋病疫情以及预防HIV婚内性传播及母婴传播的有效手段之一,应持续在艾滋病流行地区大力推广。
[Abstract]:Objective to investigate HIV / AIDS infection in premarital physical examination population in Dehong Prefecture, Yunnan Province from 2012 to 2015, and to analyze its influencing factors.Methods based on the data of premarital check-up in Dehong from 2012 to 2015, the infection rate of HIV was counted, and the influencing factors were analyzed by univariate and multivariate conditional Logistic regression analysis.Results from 2012 to 2015, the positive rate of HIV antibody was 0.63 in 93,744 premarital checkups.Among them, the positive rate of HIV antibody was 0.64% in male, 0.63% in female, 0.78% 0.61% 0.64 and 0.48% in 2012-2015, respectively.Multivariate conditional Logistic regression analysis showed that there were differences in HIV infection rate among premarital examination population in different years, different counties and different social demographics. The HIV infection rate in 2015 was lower than that in 2012.Among the people infected with HIV found by premarital examinations in different years,The percentage of those who were positive in the first report was 23.08%, 25.85% and 25.00%, respectively.Conclusion the infection rate of HIV in the premarital check-up population in Dehong from 2012 to 2015 is still high but decreasing. The proportion of positive people in the first new report is maintained and reaches the lowest level in the history of the state.Pre-marital examination is still one of the effective means to find out HIV infection in the AIDS epidemic area and to prevent HIV from sexually transmitted in marriage and mother-to-child transmission. It should continue to be popularized in AIDS-endemic areas.
【作者单位】：德宏州疾病预防控制中心;中国疾病预防控制中心性病艾滋病预防控制中心;
【基金】：国家重点地区艾滋病防治项目国家科技重大专项(2013zx10004-906)~~
【分类号】：R181.3;R512.91

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