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目的了解广西HIV-1阳性的男男性行为人群(Men Who Have Sex With Men,MSM)婚姻状况的相关因素以及婚内异性配偶HIV-1状况。方法从艾滋病信息管理系统中筛查在广西随访的所有感染途径为“男男性行为”的个案所有相关信息,进行数据处理和信息核对,用SPSS 16.0软件分析。结果共1443名MSM HIV-1阳性患者纳入分析。有过婚姻(已婚/离异)446人(30%),未婚997人(70%)。Logistic回归分析,选择结婚可能性大的是年龄31~40岁(OR=55.100,95%CI:54.260~55.960);职业中农民/民工有婚姻的可能性最大(OR=7.671,95%CI:0.000~9.900),政府事业单位工作的有婚姻的可能性最小(OR=0.443,95%CI:0.436~0.450),但是政府事业单位工作人数只占9.36%。65.42%感染群体已经进行抗病毒治疗。异性配偶HIV-1检测阳性率11.51%,异性配偶未检测率为63.00%。结论 HIV-1感染的MSM群体大部分晚婚,且以工作不固定的流动人群为主,异性配偶对HIV-1不知情及不检测比例高。
Objective To investigate the marital status of HIV-1-positive men who have sex with men (MSM) in Guangxi and the status of HIV-1 among heterosexual couples in Guangxi. Methods All the information of all cases infected with MSM in Guangxi were screened from the HIV / AIDS information management system for data processing and information verification, and analyzed by SPSS 16.0 software. A total of 1,443 MSM HIV-1 positive patients were included in the analysis. There were 446 (30%) marriages (married / divorced) and 997 (70%) unmarried. Logistic regression analysis showed that the probability of marrying was 31 to 40 years (OR = 55.100,95% CI: 54.260 ~ 55.960). The most likely marriage was in the profession (OR = 7.671, 95% CI: 0.000 ~ 9.900). Government agencies were the least likely to have a marriage (OR = 0.443, 95% CI: 0.436-0.450), but only 9.36% of government agencies worked. 65.42% of infected population have been treated with antiviral drugs. Heterosexual spouse HIV-1 test positive rate of 11.51%, non-spouse non-test rate of 63.00%. Conclusion Most HIV-1-infected MSM were late-married and were mainly migrant workers who did not work well. Heterosexual couples did not know HIV-1 and did not detect HIV-1.