2014-2021年山东省异性性接触传播HIV/AIDS病例流行特征分析

Analysis on epidemiological characteristics of reported HIV/AIDS infected by heterosexual transmission in Shandong province from 2014 to 2021

目的了解2014-2021年山东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,为制定艾滋病防治策略提供依据。方法从中国艾滋病综合防治信息系统导出2014-2021年山东省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比较分析。结果山东省2014-2021年共报告5905例经异性性接触传播感染的HIV/AIDS病例,其中非婚非商业性行为传播3298例,占55.85%。男性HIV/AIDS病例4209例,以商业性行为传播和非婚非商业性行为传播为主,分别为1715例和2285例,占40.75%和54.29%;女性HIV/AIDS病例1696例,以非婚非商业性行为和配偶/固定性伴传播为主,分别为1013例和625例,占59.73%和36.85%。随年龄增加,男性经商业性性行为传播比例升高(χ^(2)=80.164,P<0.000),女性经配偶/固定性伴传播比例升高(χ^(2)=51.554,P<0.000);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(χ^(2)=105.897,P<0.000),女性经配偶/固定性伴传播比例升高(χ^(2)=10.520,P=0.230)。结论山东省2014-2021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 analyze the epidemiological characteristics of HIV/AIDS transmitted by heterosexual transmission in Shandong province,so as to provide the basis for HIV prevention and control.Methods Data on HIV-infected people and AIDS patients(HIV/AIDS)through heterosexual transmission in Shandong province from 2014to 2021were derived fromHIV/AIDS Comprehensive Response Information Management System.A comparative analysis of the heterosexual contact transmission characteristics of HIV/AIDS cases by gender was performed.Results A total of 5905 cases transmitted by heterosexual transmission in Shandong province were reported from 2014to 2021,including 3298cases of non-marital and non-commercial heterosexual transmission(55.85%).There were 4209male cases who mainly transmitted by commercial heterosexual transmission or non-marital and non-commercial heterosexual transmission,with 1715(40.75%)and 2285(54.29%)cases respectively.There were 1696female cases who mainly transmitted with nonmarital and non-commercial heterosexual behaviors or sexual behaviors with spouses or regular partners,with 1013(59.73%)and 625(36.85%)cases respectively.With the age increased,the proportion of commercial heterosexual transmission of male cases(χ^(2)=80.164,P<0.000)and spousal or regular partners'transmission of female cases(χ^(2)=51.554,P<0.000)increased.With the level of education reduce,the proportion of commercial heterosexual transmission of male cases increased(χ^(2)=105.897,P<0.000),while the proportion of spousal or regular partners'transmission of female cases increased(χ^(2)=10.520,P=0.230).Conclusion Non-marital and non-commercial heterosexual transmission has been the main route of HIV heterosexual transmission in Shandong province from 2014to 2021.Older age and lower education was higher risk for male commercial heterosexual behaviors,while sex with spousal or regular partners were higher risk for women.