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中国初级卫生保健:2018,32(3):66-
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上海市静安区2016年新报告性传播艾滋病男性患者的 流行病学分析*
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中文摘要: 目的 了解上海市静安区新发现的经性行为感染艾滋病(Acquired immunodeficiency syndrome,AIDS)病例的流行病学特征,为制定本区艾滋病防治对策提供科学依据。方法 以2016年新发现的经性传播的男性艾滋病病毒感染者为研究对象,知情同意前提下,开展个案流行病调查,并进行统计学分析。结果 2016年新报告经同性性行为(Men who have sex with men ,MSM)感染HIV的男性病例195例,经异性性传播患者92例。同性性传播患者被报告时的平均年龄为33.46±11.84岁,未婚者占77.40%,大专及以上文化程度占57.90%,发现10名学生病例;经异性性传播患者报告时的平均年龄为40.13±14.94岁,未婚者占56.90%,初中及以下文化程度占47.20%。两组之间在年龄、婚姻状况、文化程度以及职业构成的差异具有统计学差异(P﹤0.05)。性行为特征:同性性传播者患其它性病比例为14.90%,性伴个数小于5个的比例为66.20%;异性性传播者患其它性病比例9.70%;异性性伴个数小于5个的占94.40%;两组感染者中其他性病(Sexually Transmitted Disease,STD)患病情况无统计学差异,(X2=1.20,P﹥0.05)。STD门诊报告的病例居多,占47.20%。两组病例来源的构成比之间的差异具有统计学意义(P﹤0.05)。报告后即进入艾滋病进程的病例为67例,占25.10%;结论不同性传播途径的患者在社会人口学特征及流行特征上不同,应制定针对性的干预措施;在学生和离退人员群体中,应加强艾滋病知识的宣传和教育,制定科学并有针对性的防控措施。
Abstract:Objective To understand the epidemic features of men who got infected with AIDS via sex in Jing’an district of Shanghai, and provide evidence for the prevention and control of HIV infection. Methods On the basis of informed consent,epidemiological investigation were conducted among newlyreported by sexually transmitted male HIV infection in 2016, then the data was statistics analyzed .Results In 2016, there were 195 cases of male cases infected with HIV by MSM, and 92 cases were infected by heterosexual sexually transmitted. The average age of MSM cases 33.46 ± 11.84 years old, Among them, the proportion of unmarried persons accounted for 77.4%,and 57.9% of them went through college,and 10 Students cases were found . Among those who were infected by heterosexual transmission,the average age was 40.13±14.94,56.9%of them were married and 47.2% of them had junior middle school education orbelow.There were statistically significant differences in age, marital status, educational level and occupational composition between the two groups (P﹤0.05);Sexual characteristics: The 14.9% of the MSM cases infected other STD, the number of sexual partners less than 5 accounted for 66.2%; in other sexually transmitted diseases, and the 9.7% infected other STD in the cases by heterosexual sex infection,the sexual partners with less than 5 Accounting for 94.4%; There was no significant difference in other STD infection between the two groups (X2 = 1.20, P﹥ 0.05). STD clinics reported the majority of cases, accounting for 47.2%. The difference between the two groups was statistically significant (P <0.05). (4) 67 cases (25.1%) of the cases that entered the AIDS course in the year after the report.Conclusions Social demographic characteristics and epidemiological features were different in the two groups.Targeted policies should be formulated for eachtransmission.Develop appropriate and targeted strategies,strengthen high-risk behavior intervention in students and retired personnel groupsforAIDS prevention and control.
文章编号:3201803024     中图分类号:R1-9    文献标志码:
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