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目的 了解夫妻间HIV传播情况。方法 对某艾滋病高发农村有偿供浆员及其配偶作询问调查并采静脉血作HIV检测 ,对其中一方为供浆员且HIV阳性 ,配偶为非供浆员的 5 4对夫妻作分析研究。结果 5 4对夫妻中 6对发生HIV传播 ,传播率为 11 1% (6 / 5 4 )。HIV由丈夫传给妻子占 8 3% (2 / 2 4 ) ,妻子传给丈夫占 13 3% (4/ 30 ) ,无明显差异 ,P >0 0 5。艾滋病 (AIDS)和艾滋病相关综合征 (ARC)病人HIV传播率 (2 3 8% )显著高于HIV携带者(3 0 % ) ,P <0 0 5。结论 在艾滋病高发地区 ,夫妻间HIV传播是造成AIDS进一步蔓延的重要原因之一。但HIV婚内性传播率比较有多个性伴侣者低 ,提示家庭内一般接触造成HIV传播并不常见
Objective To understand the HIV transmission between husband and wife. Methods A survey was conducted on an HIV-positive rural paid farm worker and their spouse. Blood samples were collected for HIV testing. Fifty-four couples whose partners were positive for HIV and HIV positive and their spouses were non-pregnant were analyzed. Results Five out of 54 married couples reported HIV transmission at 11 1% (6/544). There were no significant differences in the rate of HIV transmission from husband to wife, 83% (2/2 4), and wife to husband (13/30%), P> 0.05. The HIV transmission rate in AIDS and AIDS patients was significantly higher (23.8%) than that in HIV carriers (30%), P <0.05. Conclusion In HIV-infected areas, transmission of HIV between husband and wife is one of the important causes of AIDS further spread. However, the relatively low rate of sexual transmission of HIV among couples with multiple sexual partners suggests that it is not uncommon for general HIV transmission to occur within the family