郑轶玲, 梁敏红, 何春燕, 肖霜, 傅洁, 周磊明, 张泽彧, 岳清, 宁镇. 2018—2022年上海地区HIV感染者及艾滋病患者配偶HIV检测阳性的影响因素[J]. 上海预防医学, 2023, 35(11): 1053-1057. DOI: 10.19428/j.cnki.sjpm.2023.23487
引用本文: 郑轶玲, 梁敏红, 何春燕, 肖霜, 傅洁, 周磊明, 张泽彧, 岳清, 宁镇. 2018—2022年上海地区HIV感染者及艾滋病患者配偶HIV检测阳性的影响因素[J]. 上海预防医学, 2023, 35(11): 1053-1057. DOI: 10.19428/j.cnki.sjpm.2023.23487
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ZHENG Yiling, LIANG Minhong, HE Chunyan, XIAO Shuang, FU Jie, ZHOU Leiming, ZHANG Zeyu, YUE Qing, NING Zhen. Prevalence of HIV seropositivity and associated factors among the spouses of HIV/AIDS patients in Shanghai， 2018‒2022[J]. Shanghai Journal of Preventive Medicine, 2023, 35(11): 1053-1057. DOI: 10.19428/j.cnki.sjpm.2023.23487
Citation: ZHENG Yiling, LIANG Minhong, HE Chunyan, XIAO Shuang, FU Jie, ZHOU Leiming, ZHANG Zeyu, YUE Qing, NING Zhen. Prevalence of HIV seropositivity and associated factors among the spouses of HIV/AIDS patients in Shanghai， 2018‒2022[J]. Shanghai Journal of Preventive Medicine, 2023, 35(11): 1053-1057. DOI: 10.19428/j.cnki.sjpm.2023.23487
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2018—2022年上海地区HIV感染者及艾滋病患者配偶HIV检测阳性的影响因素

Prevalence of HIV seropositivity and associated factors among the spouses of HIV/AIDS patients in Shanghai， 2018‒2022

    摘要
  • 摘要:
    目的 分析上海地区人类免疫缺陷病毒（HIV）感染者及艾滋病（AIDS）患者配偶HIV检测阳性情况及其影响因素。
    方法 收集中国疾病预防控制中心艾滋综合防治信息系统中2018年1月—2022年7月上海地区新报告、已婚有配偶的HIV/AIDS患者的人口学、行为学、流行病学和配偶HIV检测等相关信息。描述性分析患者配偶HIV检测阳性情况，并对其影响因素进行单因素和多因素logistic回归分析。
    结果 共调查1 233人，HIV/AIDS患者配偶首次HIV检测阳性率为29.3%（361/1 233）。不同年龄、性别、文化程度、职业类别、传播途径、非婚性行为人数、同性性行为人数、基线CD4细胞计数水平的HIV感染者，其配偶HIV检测的阳性检出差异有统计学意义（均P<0.05）。年龄≥65岁、女性、传播途径为异性性传播、非婚性行为人数少、无同性性行为史的HIV/AIDS患者其配偶HIV检测阳性率相对较高；≥65岁组患者配偶HIV阳性检出率是<45岁组的1.81倍，女性组患者配偶的HIV阳性检出率是男性组的3.66倍，感染途径为同性性传播组患者的配偶HIV阳性检出率是异性性传播组的0.25倍。
    结论 应提高已婚有配偶人群HIV感染的风险意识，对报告者为女性、传播途径为异性性传播等特征的人群进行重点关注，尽早动员其配偶进行HIV检测。

     

    Abstract:
    Objective To analyze the HIV infection characteristics and influencing factors among the spouses of HIV/AIDS patients in Shanghai.
    Methods A cross-sectional survey was conducted to collect demographic， behavioral， epidemiological and spousal HIV detection information of newly reported and married patients with HIV/AIDS in Shanghai from January 2018 to July 2022 in the comprehensive HIV prevention and control information system of Chinese Center for Disease Prevention and Control. Descriptive analysis was used to analyze the HIV positivity rate of the spouses of HIV patients and the influencing factors were analyzed by univariate and multivariate logistic regression models.
    Results A total of 1 233 subjects were investigated， and the first HIV-testing positivity rate of the spouses of HIV/AIDS patients was 29.3% （361/1 233）. There were statistically significant differences in the HIV-testing positivity rate among spouses of HIV/AIDS patients by different age， gender， education level， occupation， transmission route， quantity of non-marital sexual activities， quantity of homo-sexual activities， and baseline CD4 cell count level （P<0.05）. Spouses of the HIV/AIDS patients aged ≥65 years old， female， heterosexual transmission， less non-marital sex， and no history of homosexual sex had relatively high HIV positive rate. The HIV-positive detection rate of spouses in the ≥65 age group was 1.81 times higher than that in the <45 age group. The HIV-positive detection rate of spouses in the female group was 3.66 times higher than that in the male group， and the HIV-positive detection rate of spouses in the homosexual transmission group was 0.25 times higher than that of the heterosexual transmission group.
    Conclusion Risk awareness of HIV infection among married people with spouses should be improved. The key populations with the characteristics such as females as the first HIV-positive reporter， and heterosexual transmission should be paid special attention.Their spouses should be mobilized to conduct HIV-testing as early as possible

     

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