凉山州2011-2014年女性艾滋病报告病例中新发感染情况分析
HIV recent infection among women in Liangshan Yi autonomous prefecture during 2011-2014
余刚 1姚永娜 2杨淑娟 2王启兴 1廖强 1南磊 1肖琳 1龚煜汉 1刘子贤 2王科 1王菊 1边仕超 1刘茜1
作者信息
- 1. 凉山州疾病预防控制中心,四川西昌615000
- 2. 四川大学华西公共卫生学院 健康与社会行为学系,成都610041
- 折叠
摘要
目的 了解2011-2014年凉山州彝族女性艾滋病新发感染情况,分析传播途径,探讨女性人群中艾滋病病毒(HIV)传播的影响因素.方法 收集2011-2014年凉山州各县市卫生医疗机构的病例报告数据,应用BED捕获酶免疫法(BED-CEIA)进行新发感染检测,计算凉山州女性新发感染率,采用趋势x2检验和二分类回归分析方法分析女性新发感染情况.结果 2011-2014年凉山州接受HIV检测的女性中共发现新近感染者1 246例.各年新发感染率[95％可信区间(CI)]分别为0.21(0.18～0.24)％、0.28(0.25～0.31)％、0.43(0.38～0.47)％和0.46(0.41～0.51)％.女性新发感染者以彝族(91.22％)、已婚者(65.14％)、小学以下文化水平(62.48％)、农民(76.41％)为主.4年间经异性性行为传播感染的百分比分别为31.54％、46.40％、63.45％、80.62％,呈显著上升趋势(x2 =154.737,P＜0.005).非固定性伴的性行为发生率同样呈上升趋势,分别为57.89％、71.43％、78.57％、79.27％(x2=13.467,P＜0.005).结论 凉山州女性艾滋病新发感染率呈上升趋势,经性接触传播成为最主要感染方式,艾滋病疫情亟待有效控制.
Abstract
Objective To know the recent infection rates among women in Liangshan Yi autonomous prefecture from 2011 to 2014,and analyze the epidemic situation of the women HIV infection.Methods Data was collected from medical institutions of each county in Liangshan and ‘BED HIV-1 incidence capture enzyme immunoassay (BED-CEIA)’ was used to estimate the annual infection rate.Chi-square test and logistic regression analysis was applied for influence factors of HIV infection.Results During 2011-2014,a total of 1246 women were diagnosed as HIV recent infection with the rates (95％ confidence interval) of 0.21％ (0.18-0.24),0.28％(0.25-0.31),0.43％ (0.38-0.47),and 0.46％ (0.41-0.51),respectively.The proportion of heterosexual transmission increased dramatically from 31.54％ in 2011 to 46.40％ in 2012,63.45％ in 2013 and 80.64％ in 2014.Conclusion The recent infection rates among women of Liangshan Yi autonomous prefecture show a steady increase,and the new infection data shows that sexual contact is the main mode of HIV transmission.
关键词
女性/艾滋病病毒/BED捕获酶免疫法/新发感染率Key words
Women/HIV/BED-capture enzyme immunoassay/Recent infection rates引用本文复制引用
基金项目
国家自然科学基金(81703279)
四川省卫生和计划生育委员会科研课题(16PJ259)
凉山州艾滋病防治项目(H161236)
凉山州艾滋病新发感染评估模式探索项目(2014LSCDC002)
出版年
2018
NETL
NSTL
维普
万方数据