河南省驻马店市新发现经异性性传播HIV/AIDS病例性行为特征及安全套使用情况

Sexual behavior characteristics and condom use of newly discovered HIV/AIDS cases with heterosexual transmission in Zhumadian of Henan

目的核实国家艾滋病信息系统中驻马店市已经上报的艾滋病病毒感染者/艾滋病患者(human immunodeficiency virus/acquired immune deficiency syndrome,HIV/AIDS)中异性性传播病例高危行为暴露史相关信息,甄别异性性接触感染HIV的方式,分析异性传播病例行为特征和人群特征,为制定有针对性的干预措施提供依据。方法采用横断面回顾性调查方法,设计统一问卷,由各县区艾滋病随访管理工作人员一对一访谈方式进行调查。结果报告的217例异性性传播病例,通过调查甄别,现存活且能正常参与调查的异性性传播病例166例,男女性别比2.32∶1;经阳性配偶/固定性伴传播病例18例(10.84%),经非婚商业性伴传播病例94例(56.63%),经非婚非商业性伴传播病例54例(32.53%),传播方式构成在不同性别、外出务工史有无之间差异均具有统计学意义(χ2=54.716、15.229,P<0.001)。男性以非婚商业性伴传播为主(75.00%),女性以非婚非商业性伴传播为主(60.00%);有外出务工史病例以非婚商业性伴传播为主(70.00%);不同年龄组男性发生商业性行为场所差异具有统计学意义(χ2=18.260,P<0.05)。在低档场所中以60岁以上年龄组为主(31.17%),在中高档场所中以20岁~年龄组(20.00%),随着年龄增长在低档场所中发生商业性行为比例逐渐增加。结论驻马店市异性性传播方式主要以非婚商业性伴传播为主,根据对不同性伴社会人口学特点分析发现,驻马店市针对HIV/AIDS性传播人群的重点防治工作要放在加强健康教育和安全套使用干预方面。

Objective To verify high-risk behavior exposure history information of human immunodeficiency virus/acquired immune deficiency syndrome(HIV/AIDS)cases with heterosexual transmission reported from Zhumadian in the National HIV/AIDS Information system,identify the mode of HIV/AIDS infection through heterosexual sexual contact,and analyze the behavior and population characteristics of HIV/AIDS cases with heterosexual transmission so as to provide evidence for formulating the targeted intervention measures.Methods A cross-sectional retrospective survey was conducted with a unified questionnaire designed and an one-to-one interview by the staff of HIV/AIDS follow-up management in each county.Results Of the 217 cases of HIV/AIDS reported through heterosexual transmission,166(male to female ratio=2.32:1)were alive and could participate in the investigation normally after investigation and screening.There were 18 cases(10.84%)of positive spouse/fixed sex partner transmission,94 cases(56.63%)of non-marital commercial sex partner transmission(NMCSPT),and 54 cases(32.53%)of non-marital and non-commercial sex partner transmission(NMNCSPT).There were statistically significant differences in the mode of transmission between different gender and between the history of migrant work(χ2=54.716、15.229,P<0.001 all).The majority of transmissions in male and female cases were NMCSPT(75.00%)and NMNCSPT(60.00%).Cases with a history of out-migrating for work were mainly transmitted by non-marital commercial partners(70.00%).There were statistically significant differences in the places where men of different age groups having commercial sex(χ2=18.260,P<0.05).The age group was mainly over 60 years old(31.17%)in the low-end places,and 20 years and older(20.00%)in the middle and high-end places.As the age increasing,the proportion of commercial sex in low-end places increased gradually.Conclusion Heterosexual transmission in Zhumadian is mainly spread by non-marital commercial sex partners.Based on the analysis of the socio-demographic characteristics of different sex partners,it is found that the key prevention and control work for HIV/AIDS sexually transmitted population in Zhumadian should focus on strengthening health education and condom use intervention.