摘要
目的了解艾滋病家庭中,配偶告知及检测情况与配偶间性传播的相关关系。方法采用病例对照的方法对病例组家庭和对照组家庭的夫妻双方进行了回顾性问卷调查,相关内容包括一般人口学特征、配偶告知及检测情况等。用Epidata3.1软件建立数据库,采用SPSS 21.0统计软件进行数据分析。结果2类家庭夫妻双方性别、年龄构成比较差异无统计学意义(P>0.05),2类家庭先阳方文化程度、常驻地、职业分布比较差异有统计学意义(P<0.05)。两类家庭配偶告知方式差异有统计学意义(P<0.05),单阳家庭的对方告知和朋友及亲属告知方式高于双阳家庭,医生告知低于双阳家庭。经多因素logistic回归分析,相对于农民、长卡司机、工人、家务及待业等,公务员或事业单位、退休人员及其他职业为保护因素,OR(95%CI)值为-0.841(0.223~0.835);在告知方式里,朋友及亲属告知是保护因素,OR(95%CI)值为0.190(0.048~0.743)。结论加强职业为农民、长卡司机、工人、家务及待业人群的艾滋病单阳家庭配偶间性传播的宣传和预防工作,在艾滋病单阳家庭的告知方式里,建议采用朋友及亲属告知的方式,提高艾滋病患者配偶1个月内检测率,加强艾滋病家庭先阳方与配偶讨论预防艾滋病夫妻间传播并提高安全套的使用。
Objective To understand the correlation of spouse notification and HIV testing with sexual transmission among spouses in HIV/AIDS families.Methods A retrospective questionnaire survey was conducted on both spouses in the case group and control group families using a case-control method,including general demographic characteristics,spouse notification and HIV testing status.Epidata 3.1 software was used to establish the database,and SPSS 21.0 statistical software was used for data analysis.Results There was no statistical difference in gender and age composition between the two families(P>0.05).There were statistical differences in education level,residence and occupation distribution between the two families(P<0.05).There was statistical difference between the two types of families in the way of spouse notification(P<0.05).The way of spouse notification,friends and relatives notification in single positive families was higher than that in double positive families,and the way of doctor notification was lower than that in double positive families.The results of multivariate analysis showed that civil servants,retirees and other occupations were protective factors that compared with farmers,long truck drivers,workers,housework and unemployed,OR(95%CI)value was-0.841(0.223~0.835).In the notification mode,friends and relatives were the protective factor,OR(95%CI)value was 0.190(0.048~0.743).Conclusion Strengthen the publicity and prevention of spousal sexual transmission among spouses of HIV/AIDS single positive families whose occupations are farmers,drivers,workers,housework and unemployed people.It is suggested to inform friends and relatives of HIV single positive families,so as to improve the detection rate of AIDS patients′spouses within one month and to promote the discussion between AIDS families and their spouses to prevent the transmission of AIDS between spouses and improve the use of condoms.
作者
陈晓颖
蒋岸
宋玲
赵立华
张蕴慧
王雪敏
CHEN Xiaoying;JIANG An;SONG Ling;ZHAO Lihua;ZHANG Yunhui;WANG Xuemin(Ningxia Hui Autonomous Region Center for Disease Control and Prevention,Yinchuan 750004,China)
出处
《宁夏医学杂志》
CAS
2023年第12期1115-1119,共5页
Ningxia Medical Journal
基金
宁夏自然科学基金项目(2020AAC03435)
宁夏卫生健康系统科研课题(2021NW053)。
