湖北省HIV/AIDS病例异性性接触传播特征分析

Characteristics of reported HIV/AIDS infected by heterosexual transmission in Hubei Province

目的了解湖北省艾滋病病毒感染者和艾滋病患者(HIV/AIDS)异性性接触传播的流行特征,为制定艾滋病防制策略提供依据。方法从中国艾滋病综合防治信息系统导出湖北省2016—2017年报告的经异性性接触传播感染的HIV/AIDS病例资料,对不同性别HIV/AIDS病例的异性性接触传播特征进行描述性分析。结果湖北省2016—2017年共报告3 641例经异性性接触传播感染的HIV/AIDS病例(已排除异性性接触史分类不明12例),其中非婚非商业性性行为传播1 766例,占48.50%。男性HIV/AIDS病例2 508例,以商业性和非婚非商业性性行为传播为主,分别为1 344和1 092例,占53.59%和43.54%;女性HIV/AIDS病例1 133例,以非婚非商业性性行为和配偶/固定性伴传播为主,分别为674和333例,占59.49%和29.39%。随年龄增加,非婚非商业性性行为传播比例降低,男性经商业性性行为传播比例升高,女性经配偶/固定性伴传播比例升高;随文化程度降低,非婚非商业性性行为传播比例降低,男性经商业性性行为传播比例升高,女性经配偶/固定性伴传播比例升高(均P<0.05)。结论湖北省2016—2017年报告的异性性接触传播感染HIV/AIDS病例以非婚非商业性性行为传播为主;高年龄、低文化程度的男性经商业性性行为传播风险较高,女性经配偶/固定性伴传播风险较高。

Objective To learn the epidemic characteristics of HIV/AIDS transmitted by heterosexual contact in Hubei Province,so as to provide the basis for AIDS prevention and control strategies. Methods The data of HIV/AIDS through heterosexual transmission from 2016 to 2017 in Hubei Province were obtained from China AIDS Comprehensive Prevention Information System.Descriptive analysis of heterosexual transmission characteristics of HIV/AIDS cases was conducted according to genders. Results There were 3 641 cases of HIV/AIDS transmitted by heterosexual contact（12 cases with unknown heterosexual contact history were excluded） reported from 2016 to 2017 in Hubei Province, including 1 766 cases of extra-marital non-commercial heterosexual transmission（48.50%）. There were 2 508 male HIV/AIDS cases,who were mainly infected through commercial and extra-marital non-commercial sexual behaviors, with 1 344（53.59%） and 1 092（43.54%） cases, respectively. There were 1 133 female HIV/AIDS cases,who were mainly infected through extra-marital non-commercial sexual behaviors and sexual behaviors with spouses or regular partners,with 674（59.49%） and 333（29.39%） cases,respectively. As the age increased,the proportion of extra-marital non-commercial sexual transmission decreased,the proportion of commercial sexual transmission of male HIV/AIDS cases and spousal or regular partners’ transmission of female HIV/AIDS cases increased;while these trends with educational level were opposite（all P 〈0.05）. Conclusion The main route of HIV heterosexual transmission in Hubei Province from 2016 to 2017 were extra-marital non-commercial sexual transmission. Men with older age and lower education level were at higher risk of infecting HIV through commercial sex and women at higher risk of infecting HIV through sex with spouses or regular partners.