唐山市HIV自愿咨询检测者感染的影响因素

STUDY ON HIV INFECTION AND ITS INFLUENCING FACTORS OF TANGSHAN

目的唐山市HIV自愿咨询检测者感染的影响因素。方法选取2017年1月—2019年12月于唐山市5所三甲医院皮肤科艾滋病检测咨询者,对自愿接受HIV抗体检测中HIV阳性者101例为病例组,HIV阴性者1246例为对照组,采用自行设计问卷对患者进行评测。结果多因素分析结果显示,年龄≥60岁(OR=29.375,P<0.001)、配偶/固定性伴阳性(OR=97.845,P=0.000)、家族阳性史(OR=14.614,P<0.001)、非商业性非固定异性性行为(OR=4.876,P=0.001)是影响艾滋病感染的危险因素(P<0.05);主动寻求咨询(OR=0.210,P<0.001)是HIV自愿咨询检测者感染的保护因素(P<0.05)。结论唐山市2017—2019年新报告的艾滋病感染率较高,年龄≥60岁、求询来源为转介寻求、非商业性非固定异性性行为、配偶/固定性伴阳性、家族阳性史是HIV自愿咨询检测者感染的危险因素。

Objective This work was to investigate to investigate the HIV infection and its influencing factors in Tangshan.Methods HIV/AIDS testing consultants were selected from the dermatology department of Five top three hospitals in Tangshan from January 2017 to December 2019.Among the voluntary HIV antibody testing,one hundred one cases were HIV positive and one thousand two hundred and forty six cases were HIV negative.The voluntary HIV antibody testing counseling patients.Results Multivariate analysis showed that age over 60 years(OR=29.375,P<0.001),spouse/fixed partner positive(OR=97.845,P=0.000),family positive history(OR=14.614,P<0.001),non-commercial non-fixed heterosexual behavior(OR=4.876,P=0.001)were risk factors for HIV infection(P<0.05).Actively seek advice(OR=0.210,P<0.001),was the protective factors of risk factors for HIV infection(P<0.05).Conclusion The newly reported HIV infection rate in Tangshan from 2017 to 2019 is relatively high.More than 60 years old,referral seeking,non-commercial and non-fixed heterosexual behavior,positive spouse/fixed partner and family positive history are the risk factors of HIV infection.