杭州市2015-2017年非婚非商业的异性性传播新报告艾滋病病毒感染者特征分析

Characteristics of newly reported HIV/AIDS cases with non-marital but non-commercial heterosexual transmission in Hangzhou,2015-2017

目的了解2015--2017年杭州市经非婚非商业异性性传播的新报告HIV感染者特征及其相关因素。方法利用我国艾滋病综合防治基本信息系统,研究对象为2015年1月1日至2017年12月31日新报告HIV感染者,且现住址为杭州市、传播途径为非婚异性性传播。采用SPSS.20软件统计分析,比较不同特征的感染者经非婚异性性传播的比例,采用多因素logistic回归模型分析非婚非商业异性性传播感染HIV的相关因素。结果新报告HIV感染者中的非婚异性性传播占38.03%(1393/3663),其中,非商业性传播占非婚异胜性传播的50.83%(708/1393),商业性传播占非婚异性性传播的49.17%(685/1393)。男女性别比为3.51:1(1084/309)。男性以非婚商业性传播为主(61.81%,670/1084),女性以非婚非商业性传播为主(95.1%,294/309)。多因素分析结果显示,非婚非商业异性传播的相关影响因素包括女性(aOR=48.25,95%CI:26.94~88.44)、年龄<30岁组(aOR=2.43,95%I:1.31—4.51)、30~岁组(aOR=1.92,95%CI:1.11~3.33)、40~岁组(aOR=1.80,95%CI:1.08~3.oo)、已婚和未婚(与离异或丧偶相比,aOR=1.57,95%CI:1.10~2.24;aOR=1.78,95%CI:1.15~2.78)、高中及以上文化程度(与小学及以下相比,aOR=1.82,95%CI:1.18~2.80)、职业为干部/职员(与农民相比,aOR=2.03,95%C/:1.04~1.91)、非婚瞄祥数<5个(与爿融昏阻拌数≥5个相比,aOR=10.65,95%CI:6.41—17.42)。结论2015--2017年杭州市非婚异性性传播HIV感染者比例高,不同性别、年龄、婚姻状况、文化程度和职业的HIV感染者在非婚非商业异性性传播的风险上存在差异,应采取针对性的防治措施。

Objective To describe the characteristics of newly reported HIV/AIDS cases via non-marital or non-commercial heterosexual transmission and to fred out the relative factors in Hangzhou,from 2015to 2017.Methods Data were collected through the national HIV/AIDS comprehensive control and prevention data system.Study subjects would include those reported HIV/ AIDS cases who were residents of Hangzhou and were infected via non-marital heterosexual transmission,between January 1,2015and December 31,2017.Demographic characteristics and behavioral information were collected.X2test was used to compare different characteristics of the non-married heterosexual transmission subjects.Logistic regression was used to assess factors that associated with non-marital but non-commercial HIV heterosexual transmission with SPSS.20 software used to analyze statistically.Results Non-marital HIV heterosexual transmission accounted for 38.03%(1393/3663)of the total new reported HIV/AIDS cases in 2015-2017.Out of the 1393 HIV/AIDS cases,those infected through non-marital but non-commercial heterosexual transmission accounted for 50.83%(708/1393),and those through non-martial commercial transmission was accounted for 49.17%(685/1393).Male to female ratio was 3.51:1(1084/309).Male HIV cases reported that their major way of infection was via non-marital commercial transmission (670/1084, 61.81%),while female patients reported the way was via non-marital non-commercial (294/309, 95.1%).Results from multivariate logistic analysis showed that the related risk factors and ORs for non-marital but non-commercial transmission appeared as:female (aOR=48.25,95%CI:26.94- 88.44),<30year olds (aOR=2.43,95%CI:1.31-4.51),30-39year olds (aOR=1.92,95%CI:1.11- 3.33),40-49year olds (aOR=l.80,95%CI:1.08-3.00),married or unmarried (vs.divorced or widowed,aOR=1.57,95%CI:1.10-2.24;aOR=l.78,95%CI:1.15-2.78),high school and above of education level (vs.primary school and under of education level,aOR=l.82,95%CI:1.18-2.80), administrative officers or employee (vs.farmers,aOR=2.03,95%CI:1.04-1.91).Number of non- marital partners less than 5(vs.number of non-marital partners more than 5,aOR=10.65,95%CI: 6.41-17.42).Conclusions HIV/AIDS cases with non-marital heterosexual transmission accounted for considerable proportion regarding the HIV transmission in Hangzhou from 2015to 2017. Differences were found in the following factors as non-marital and non-commercial heterosexual transmission with diverse gender,age,marital status,educational level and occupation among of the HW/AIDS patients.