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杨莉, 方清艳, 马艳玲, 杨志芳, 陈玲, 陈会超, 施玉华, 贾曼红. 自愿咨询检测人群艾滋病新发感染危险因素分析[J]. 中国公共卫生, 2012, 28(10): 1294-1296. DOI: 10.11847/zgggws2012-28-10-11
引用本文: 杨莉, 方清艳, 马艳玲, 杨志芳, 陈玲, 陈会超, 施玉华, 贾曼红. 自愿咨询检测人群艾滋病新发感染危险因素分析[J]. 中国公共卫生, 2012, 28(10): 1294-1296. DOI: 10.11847/zgggws2012-28-10-11
YANG Li, FANG Qing-yan, MA Yan-ling, . Analysis of HIV-1 incidence risk factors in voluntary counselling and testing population in Yunnan province, 2009-2010[J]. Chinese Journal of Public Health, 2012, 28(10): 1294-1296. DOI: 10.11847/zgggws2012-28-10-11
Citation: YANG Li, FANG Qing-yan, MA Yan-ling, . Analysis of HIV-1 incidence risk factors in voluntary counselling and testing population in Yunnan province, 2009-2010[J]. Chinese Journal of Public Health, 2012, 28(10): 1294-1296. DOI: 10.11847/zgggws2012-28-10-11

自愿咨询检测人群艾滋病新发感染危险因素分析

Analysis of HIV-1 incidence risk factors in voluntary counselling and testing population in Yunnan province, 2009-2010

  • 摘要: 目的用BED-捕获酶联免疫技术(BED-CEIA)在云南省自愿咨询检测(VCT)人群中开展人类免疫缺陷病毒Ⅰ型(HIV-1)新发感染检测,了解危险因素,为有针对性地开展艾滋病防治工作提供科学依据。方法收集2009—2010年云南省VCT人群样本,对血清学检测新确认为HIV-1抗体阳性的样本进行BED-CEIA检测,结合人口学及流行病学资料进行危险因素分析。结果研究样本共计4 882人,检出HIV-1抗体阳性1 500例(含既往感染231例),检出率为30.7%(1 500/4 882),其中,男性853例,检出率为27.5%,女性647例,检出率为36.3%;判为新发感染者145例,其中男性84例,女性61例;新发感染者年龄为17~80岁,平均为35.7岁;多因素logistic回归分析结果表明,初中以下、女性、已婚或同居人群发生新发感染的危险性分别高于初中及以上、男性、未婚/离异/丧偶人群,差异均有统计学意义(P<0.05);吸毒和男性同性性行为发生新发感染的风险分别是异性性行为的2.502倍和5.551倍(OR=2.502、5.551)。结论不同性别、婚姻状况、文化程度和求检原因面临HIV新发感染危险性有明显差异,特别是初中以下文化程度吸毒或同性性行为人群HIV-1新发感染危险性较大。

     

    Abstract: ObjectiveTo detect new infection of human immunodeficiecy virus type 1(HIV-1)among voluntary counselling and testing population in Yunnan province and to explore the risk factors of the infection for implementation of AIDS prevention and control.MethodsBED-capture enzyme immunoassay(BED-CEIA)was performed for positive samples of HIV-1 antibody collected from voluntary counselling and testing(VCT)population in 2009-2010,and BED-CE1A results were analyzed combined with demographic and epidemiological data.Results Among 4 882 examinees,1 500 were HIV-1 antibody positive(including 231 previous infections)and the positive rate was 30.7% (1 500/4 882).There were 853 men with a positive rate of 27.5% and 647 women with a positive rate of 36.3%.Totally 145 new infections were ascertained by BED,among which 84 were male and 61 were female with an average age of 35.7 years(17-80).Multivariate logistic analyses showed that the risk of new infection among the participants with the education lower than junior high school,of female,and married was higher than those with junior high school education or higher,of male and unmarried or divorced or widowed with statistically significant differences(P<0.05 for all).Risks of new infection among drug users and men who have sex with men(MSM)were 2.502 times and 5.551 times higher than that of among heterosexual participants.ConclusionThe risks of HIV new infections are significantly different among the populations of different sex,marital status,educational level,drug use,and the reasons for seeking VCT.The risk of new infection is higher among people with low education level MSM and drug users.

     

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