Objective:To assess the sero-positivity rate of HIV infection among clinically suspected subjects of reproductive age group(15-49 years),biological and behavioral characteristics of the subjects gender specific variat...Objective:To assess the sero-positivity rate of HIV infection among clinically suspected subjects of reproductive age group(15-49 years),biological and behavioral characteristics of the subjects gender specific variation of sero-positivity rale,and the differentials of the sero-positivity rate for the history of blood transfusion or blood products or other organs,history of needle exposure and symptoms of morbidity.Methods:Study is based on the retrospective data of the calendar year 2005 obtained from Voluntary Counseling and Testing Centre(VCTC)(now renamed as ICTC),Department of Microbiology,I.M.S.,B.H.U..Varanasi.These cases were either referred by the consultants of different OPD'S of Sir Sunderlal Hospital or came voluntarily for knowing their HIV status.About 2-3 mL of blood samples were collected in a plain vial and tested for HIV status by strategy Ⅱ/Ⅲ as per WHO/NACO guidelines.Results:Overall sero-positivity of HIV was 15.3%(18.1%in males and 12.2%in females) which increased 6-7 folds in the age group 35-49 years as compared to 15-24 years in both the sexes.Sero-positivity rate in male migrants was 43.1%,while in female migrants it was 18.7%.The history of multiple sexual contacts was about 3 times higher in males as compared to females;predominantly it was very high in male migrants(67.7%) as compared to male non-migrants(15.8%).History of multiple sexual contacts was not uncommon in females and it was 25.0%in female migrants and 9.7%in non-migrant females.The sero-positivity rate with the history of multiple sexual contacts was 45.4%in males and 60.3%in females,while without history of multiple sexual contacts these were only 2.8%and 5.3%respectively.Sero-positive cases had on an average 3.6±1.7 various morbidity symptoms as compared to 0.7±1.1 in sero-negatives.It is to be noted that sero-positivity rate was more in those females who seemed apparently healthy compared to those presenting with some of the symptoms;vice versa,in males presenting with some symptoms HIV infection was 7 times higher than those without symptoms.Conclusions:The findings indicate a high sero-positivity among both the genders.Multiple heterosexual contacts,especially,in migrants are the main root of transmission of HIV.These are causing spread of HIV to their spouses.The multiple sexual contacts in the society,especially,among non migrant females of this region are indicating the distortion of traditions and cultures which are a serious concern and may lead to HTV infection on the rise.Awareness program to the susceptible group is the need to reduce further spread of HIV.展开更多
目的分析广州地区男男性接触者（men who have sex with men,MSM）人类免疫缺陷病毒抗体（抗-HIV）检测的相关情况,为开展艾滋病防治提供依据。方法检测2010年1月~2010年12月参加艾滋病自愿咨询检测的MSM的抗-HIV,并采用χ2检验分析其...目的分析广州地区男男性接触者（men who have sex with men,MSM）人类免疫缺陷病毒抗体（抗-HIV）检测的相关情况,为开展艾滋病防治提供依据。方法检测2010年1月~2010年12月参加艾滋病自愿咨询检测的MSM的抗-HIV,并采用χ2检验分析其阳性率在性角色、文化程度、安全套使用、有无合并梅毒感染等方面的差异。结果共调查1526名MSM,确认HIV感染的人数87例、阳性率为5.70%。最近3个月内接受过HIV检查的有占27.36%（406/1484）,知道自己的HIV检查结果的占83.00%（337/406）,其阳性率达7.12%。MSM主动肛交者的抗-HIV阳性率为3.54%、被动肛交者为7.14%、两者兼有为6.70%,在性角色方面抗-HIV阳性率差异有统计学意义（χ2=6.450,P=0.040）。已婚的MSM其抗-HIV阳性率为9.45%,高于未婚的4.92%与离异的4.17%,其差异有统计学意义（χ2=7.184,P=0.028）。文化程度越低,抗-HIV阳性率越高,其差异有统计学意义（χ2=8.901,P=0.012）。如MSM合并梅毒则其抗-HIV阳性率为21.31%,无梅毒感染者其阳性率仅为5.06%,其差异有统计学意义（χ2=25.770,P〈0.001）。近3个月每次均使用安全套与最近1次使用安全套的MSM其抗-HIV阳性率虽然高于未使用者,但其差异无统计学意义（P〉0.05）。结论广州市MSM的抗-HIV阳性率较高,不安全性行为较高,特别是肛交时被动方MSM年纪轻,安全套使用率低,HIV感染率高,自我保护能力弱,成为MSM内HIV传播的高危人群。展开更多
文摘Objective:To assess the sero-positivity rate of HIV infection among clinically suspected subjects of reproductive age group(15-49 years),biological and behavioral characteristics of the subjects gender specific variation of sero-positivity rale,and the differentials of the sero-positivity rate for the history of blood transfusion or blood products or other organs,history of needle exposure and symptoms of morbidity.Methods:Study is based on the retrospective data of the calendar year 2005 obtained from Voluntary Counseling and Testing Centre(VCTC)(now renamed as ICTC),Department of Microbiology,I.M.S.,B.H.U..Varanasi.These cases were either referred by the consultants of different OPD'S of Sir Sunderlal Hospital or came voluntarily for knowing their HIV status.About 2-3 mL of blood samples were collected in a plain vial and tested for HIV status by strategy Ⅱ/Ⅲ as per WHO/NACO guidelines.Results:Overall sero-positivity of HIV was 15.3%(18.1%in males and 12.2%in females) which increased 6-7 folds in the age group 35-49 years as compared to 15-24 years in both the sexes.Sero-positivity rate in male migrants was 43.1%,while in female migrants it was 18.7%.The history of multiple sexual contacts was about 3 times higher in males as compared to females;predominantly it was very high in male migrants(67.7%) as compared to male non-migrants(15.8%).History of multiple sexual contacts was not uncommon in females and it was 25.0%in female migrants and 9.7%in non-migrant females.The sero-positivity rate with the history of multiple sexual contacts was 45.4%in males and 60.3%in females,while without history of multiple sexual contacts these were only 2.8%and 5.3%respectively.Sero-positive cases had on an average 3.6±1.7 various morbidity symptoms as compared to 0.7±1.1 in sero-negatives.It is to be noted that sero-positivity rate was more in those females who seemed apparently healthy compared to those presenting with some of the symptoms;vice versa,in males presenting with some symptoms HIV infection was 7 times higher than those without symptoms.Conclusions:The findings indicate a high sero-positivity among both the genders.Multiple heterosexual contacts,especially,in migrants are the main root of transmission of HIV.These are causing spread of HIV to their spouses.The multiple sexual contacts in the society,especially,among non migrant females of this region are indicating the distortion of traditions and cultures which are a serious concern and may lead to HTV infection on the rise.Awareness program to the susceptible group is the need to reduce further spread of HIV.
文摘目的分析广州地区男男性接触者（men who have sex with men,MSM）人类免疫缺陷病毒抗体（抗-HIV）检测的相关情况,为开展艾滋病防治提供依据。方法检测2010年1月~2010年12月参加艾滋病自愿咨询检测的MSM的抗-HIV,并采用χ2检验分析其阳性率在性角色、文化程度、安全套使用、有无合并梅毒感染等方面的差异。结果共调查1526名MSM,确认HIV感染的人数87例、阳性率为5.70%。最近3个月内接受过HIV检查的有占27.36%（406/1484）,知道自己的HIV检查结果的占83.00%（337/406）,其阳性率达7.12%。MSM主动肛交者的抗-HIV阳性率为3.54%、被动肛交者为7.14%、两者兼有为6.70%,在性角色方面抗-HIV阳性率差异有统计学意义（χ2=6.450,P=0.040）。已婚的MSM其抗-HIV阳性率为9.45%,高于未婚的4.92%与离异的4.17%,其差异有统计学意义（χ2=7.184,P=0.028）。文化程度越低,抗-HIV阳性率越高,其差异有统计学意义（χ2=8.901,P=0.012）。如MSM合并梅毒则其抗-HIV阳性率为21.31%,无梅毒感染者其阳性率仅为5.06%,其差异有统计学意义（χ2=25.770,P〈0.001）。近3个月每次均使用安全套与最近1次使用安全套的MSM其抗-HIV阳性率虽然高于未使用者,但其差异无统计学意义（P〉0.05）。结论广州市MSM的抗-HIV阳性率较高,不安全性行为较高,特别是肛交时被动方MSM年纪轻,安全套使用率低,HIV感染率高,自我保护能力弱,成为MSM内HIV传播的高危人群。
