摘要
目的 了解来宾市HIV/AIDS患者配偶HIV感染现状及其影响因素,为今后当地艾滋病随访管理中促进与完善配偶检测相关工作、控制配偶间HIV传播提供依据。方法 选取2019-2020年报告的、现住址为来宾市、能随访到的、已婚有配偶的HIV/AIDS患者配偶纳入监测对象,调查其HIV抗体检测情况,应用单因素和多因素logistic回归模型分析HIV/AIDS患者配偶感染HIV的影响因素。结果 共调查411例HIV/AIDS患者配偶,HIV抗体阳性率为52.31%。性别以女性为主(63.99%),年龄以60岁及以上为主(46.47%),教育程度以小学为主(46.96%),民族以壮族为主(74.70%)。单因素分析显示,HIV/AIDS患者配偶感染HIV与性别、年龄、知道获得免费咨询与检测情况、知道需要定期检测HIV以及知道早治疗能提高生活质量等因素均存在统计学关联(P值均<0.05)。多因素logistic回归分析显示,HIV/AIDS患者配偶感染HIV的风险:女性是男性的0.362倍(95%CI:0.226-0.580),20~39岁、40~59岁分别是60岁及以上的0.293倍(95%CI:0.122-0.701)、0.275倍(95%CI:0.169-0.450),不知道获得免费咨询与检测者是知道者的11.372倍(95%CI:3.484-37.118),不知道早治疗能提高生活质量者是知道者的28.380倍(95%CI:8.098-99.455)。结论 来宾市配偶间传播是造成艾滋病经异性传播的重要途径之一,应针对重点人群扩大筛查,对配偶进行咨询检测,早发现、早干预、早治疗,减少配偶间HIV的传播。
Objective To understand the status and influencing factors of HIV infection in spouses of HIV/AIDS patients in Laibin city,and to provide scientific basis for promoting and improving spouse testing and controlling HIV transmission between spouses in future local AIDS follow-up management.Methods The spouses of HIV/AIDS patients who reported from 2019 to 2020,with current address at Laibin city,could be followed up,married,and had a spouse were included in the monitoring targets.Their HIV antibody detection status were investigated,and univariate and multivariable logistic regression models were used to analyze the influencing factors of HIV infection in the spouses of HIV/AIDS patients.Results A total of 411 spouses of HIV/AIDS patients were investigated,and the positive rate of HIV antibody was 52.31%.Most of them were female,accounting for(63.99%).The majority were over 60 years old or above(46.47%).The education level was mainly primary school(46.96%),and the ethnic group was mainly Zhuang(74.70%).The results of univariate analysis showed that there was a statistical associations between HIV infection in the spouse of HIV/AIDS patients and gender,age,knowledge of access to free counseling and testing,knowledge of the need for regular HIV testing,and knowledge that early treatment can improve quality of life(P<0.05).Multivariable logistic regression analysis showed the risk of HIV infection in the spouse of HIV/AIDS patients:females were 0.362 times(95%CI:0.226-0.580)than males,20-39 years old and 40-59 years old were 0.293 times(95%CI:0.122-0.701)and 0.275 times(95%CI:0.169-0.450)than those over 60 years old,respectively.Lack knowledge of access to free counseling and testing was 11.372 times higher than those who acknowledge(95%Cl:3.484-37.118),and lack knowledge of early treatment can improve the quality of life was 28.380 times higher than those acknowledge(95%Cl:8.098-99.455).Conclusions The transmission between spouses in Laibin city is one of the important ways of heterosexual transmission of AIDS,screen
作者
邓鑫晖
谢世英
王少芬
李映月
韦钊
DENG Xinhui;XIE Shiying;WANG Shaofen;LI Yingyue;Wei Zhao(Laibin Center for Disease Control and Prevention,Laibin,Guangxi 546100,China)
出处
《应用预防医学》
2024年第1期9-13,共5页
Applied Preventive Medicine
基金
来宾市科学研究与技术开发计划项目(来科转182220)。
