六安市HIV感染夫妻间性传播影响因素分析

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (226 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的了解夫妻间HIV性传播率和影响因素,为制定防治措施提供科学依据。方法采用回顾性研究方法,选择有稳定婚姻的HIV感染者/病人及其配偶作为调查对象。结果HIV夫妻间传播率为30.0%(39/130),男传女性传播率为33.78%(25/74),女传男性传播率为25.0%(14/56)。单因素分析显示:夫妻性行为频次(X²=19.433, p=0.000)、夫妻任一方性病史(X²=4.288,p=0.038)是夫妻间HIV性传播的影响因素。双阳组先证病例确证时CD4细胞计数均值低于单阳组(t=-2.47,p=0.015),感染与确证时间间隔长于单阳组(t=2.507,p=0.013)。多因素分析显示:先证病例性别、确证时年龄、夫妻性生活频次、感染与确证时间间隔是HIV夫妻间性传播传播的独立影响因素。结论六安市HIV夫妻传播率较高,与先证病例性别、确证时年龄、夫妻性生活频次、感染时间与HIV抗体阳性确证时间间隔等因素有关。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	陈海燕
	马功燕
	陈进

关键词 ： HIV, 性传播, 影响因素

Abstract：Objectives To investigate transmission rat of immunodeficiency virus between wives and husbands and influencing factors, and provide the scientific evidence for AIDS prevention and control. Methods A retrospective study was conducted, HIV infected persons with stable marriages and their husband or wife were selected. Results Transmission rate of HIV in spouses was 30.00%. The HIV transmission rate of male-to- female and female-to-male were 33.78% and 25.00% respectively. Univariate analysis showed that,sexual behavior frequency (χ²=19.433, P=0.000),STD history of husband or wife (χ²=4.288, P=0.038) were the influencing factors leading to HIV infection between husband and wife,the average CD4 cell count of the probands got infected with HIV in the sero discordant couples group was significantly lower than that in the sero cordant couples group (t=-2.47,P=0.015), time interval from HIV infected to HIV confirmed in the sero discordant couples group was significantly longer than that in the sero cordant couples group (t=2.507,P=0.013). Multivariate analysis showed that, sex, age, sexual behavior frequency, time interval from HIV infected to HIV confirmed were the independent influencing factors for HIV transmission between husband and wife. Conclusions The transmission rate of HIV between husband and wife were higher , and it was related to gender, age, sexual behavior frequency, time interval from HIV infected to HIV confirmed.

Key words： HIV Sexual transmission Influencing factor

收稿日期: 2013-11-12

作者简介: 陈海燕(1985~),女,汉族,六安市人,医师,预防医学学士,主要从事性病艾滋病预防控制工作。联系电话:0564-3380870,15205640224;传真:0564-3380877 E-mail:lachenhaiyan@sina.com

引用本文:

陈海燕,马功燕,陈进. 六安市HIV感染夫妻间性传播影响因素分析[J]. 实用预防医学, 2014, 21(10): 1196-1198. CHEN Hai-yan, MA Gong-yan, CHEN Jin. The analysis of influencing factors that affected HIV transmission between husband and wife in Luan. , 2014, 21(10): 1196-1198.

链接本文:

https://www.syyfyx.com/CN/ 或 https://www.syyfyx.com/CN/Y2014/V21/I10/1196

[1] 潘晓红,徐云,陈林,等.浙江省HIV-抗体阳性夫妻的流行病学特征分析［J］.中国艾滋病性病,2009,15（6）:572-574.
[2]中国疾病预防控制中心性病艾滋病预防控制中心．2011年全国艾滋病性病疫情情况及主要防治工作进展［J］．中国艾滋病性病,2012,18（2）:封二．
[3]惠珊,许艳,王璐,等．部分省市艾滋病异性性传播方式构成及特征分析［J］．疾病监测,2012,26（6）:458-462.
[4] 潘新莲,柳智豪,陈坚,等.235对夫妻HIV/AIDS感染情况调查［J］．应用预防医学,2010,16（4）:209-212.
[5] 曾亚莉,赖文红,张灵麟,等.四川省HIV配偶/固定性伴间传播现状调查［J］.中国公共卫生,2011,27（12）:1530-1531.
[6] Guthrie BL,de Bruyn G,Farquhar C．HIV-1-discordant couples in sub-Saharan Africa: explanations and implications for high rates ofdiscordancy［J］．Current HIV Research,2007,5( 4) : 416－429.
[7] 高丽, 郭巍, 李晓春,等．244 名HIV 感染者/ AIDS 病人及其性伴的性行为特征分析［J］．实用预防医学,2010,17(5):910-911.
[8] 马功燕,姜正好,陈海燕,等．安徽省六安市艾滋病夫妻间传播病例对照研究［J］.疾病监测,2013,28（10）:828-831.
[9] 陈素良,赵宏儒,张玉琪,等.HIV-1夫妻间传播回顾性队列研究［J］. 中国艾滋病性病,2009, 15 （1）: 21-23.
[10] 马功燕,陈海燕,陈进,等．艾滋病夫妻传播队列研究［J］.公共卫生与预防医学,2013,24（5）:54-56.
[11] 乔晓春,申俊萍,卫军,等．山西省家庭内夫妻间HIV性传播的流行病学研究［J］.中华预防医学杂志,2009,11（10）:121-130.
[12] Chen L, Jha p, stirling B, et al. Sexual risk factors for HIV infection in early and advanced HIV epidemics in sub-Saharan Africa: systematic overview of 68 epidemiological studies ［J］.PLoS ONF.2007,2(10):e1001.