摘要
目的分析上海市HIV感染者和艾滋病患者性伴告知、性伴HIV抗体检测情况及性伴告知的影响因素。方法以1998年7月1Et至2014年7月30日艾滋病疫情归属上海市嘉定区、徐汇区、静安区年龄≥16岁的HIV感染者和艾滋病患者为调查对象，排除因依从性差、不愿合作、精神障碍、聋哑等因素不能正常回答问题者，共307例。采用自行设计调查问卷，对其进行一对一调查，收集其一般人口学特征、艾滋病相关知识知晓情况、确诊前拥有性伴情况、性伴告知及检测情况等信息。采用x。检验比较不同类型性伴被告知情况及HIV阳性率差异。采用非条件二分类logistic回归模型分析性伴告知的影响因素，计算0R（95％CI）值。结果307例HIV感染者和艾滋病患者中，男性276例（89．9％），女性31例（10．1％）。配偶、同性固定性伴、异性固定性伴、异性非固定非商业性伴、同性非固定非商业性伴和商业性伴被告知率分别为68．2％（105／154）、44．7％（119／266）、21．4％（22／103）、5．8％（3／52）、5．5％（43／787）和0．4％（1／235）（x2=5．22，P〈0．001）。被告知后进行HIV检测的性伴有277名，阳性率为32．5％（90／277）。与确诊时间〉24个月相比，≤12个月者性伴告知的0R（95％CI值为0．37（0．16～0．86）；与未动员性伴检测相比，动员性伴检测者性伴告知的0R（95％C#值为9．63（3．77～24．55）；与告知时无人在场相比，有人在现场者性伴告知的0R（95％CI）值为5．57（1．96～15．78）；与拥有不固定性伴相比，拥有固定性伴者和固定、不固定性伴皆有者性伴告知的OR（95％c，1值分别为28．55（7．93～102．75）和14．13（4．87～41．02）。结论上海市HIV感染者和艾滋病患者的性伴被告知率较低，接受检测性伴中HIV抗体阳性率较高；确诊时间较短、未动员性伴检测、告知时无人�
Objective To investigate the situation of notification and HIV antibody testing of sexual partners of people who lived with HIV, and to analyze the factors which could influence the rate of sexual partner notification of Shanghai. Methods HIV-positive people were recruited from Jiading, Jinan and Xuhui District in Shanghai, all of them were diagnosed with HIV from July 1, 1998 to July 30, 2014, and all of them were ≥ 16 years old, ruled out poor compliance, unwillingness to cooperate, mental disorders, deaf and other factors that could not properly answer questions. Face to face questionnaires were used to collect demographics, HIV related knowledge, testing of HIV, status of sexual partners before they have been diagnosed with HIV, notification of sexual partners. These questionnaires were self-designed. The differences of notification situation and the HIV-positive rate among different sexual partners were compared by chi-square tests. The factors which would influence the rate of sexual partner notification were analyzed by logistic regression, and the 0R（95%CI） value was calculated. Results A total of 307 people living with HIV were surveyed, of these 276（89.9% ）were males and 31 （10.1%） were females. The rates of different sexual partner been notified from spouses, homosexual regular partners, heterosexual regular partners, heterosexual no-regular no-commercial partners, homosexual no-regular no-commercial partners to commercial sexual partners were 68.2% （105/154）, 44.7% （119/266）, 21.4% （22/103）, 5.8% （3/52）, 5.5% （43/787）,and 0.4% （1/235） （X2=5.22, P〈0.001）. Among these been notified sexual partners 277 of them have had HIV antibody tested, 90 persons was HIV-positive, the rate was 32.5%. Confirmed time （0R：0.37, 95% Ch 0.16-0.86）, whether inform staff allowed the HIV-positive people mobilize their sexual partners have HIV-antibody test （OR： 9.63, 95% Ch 3.77- 24.55）,whether someone else was present during notification （ OR ： 5.57,95 %Ch 1.96-15
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2015年第11期956-961,共6页
Chinese Journal of Preventive Medicine
关键词
获得性免疫缺陷综合征
HIV
性伴告知
影响因素
Acquired immunodeficiency syndrome
HIV
Sexual partner notification
Influence factor
