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目的分析金华地区无偿献血人群艾滋病病毒(HIV)感染状况及流行特征,探究血液安全隐患,探寻新形势下保证血液安全的策略。方法对2012年-2016年金华市无偿献血人群中HIV感染者的检出情况进行分析。结果金华市无偿献血人群2012年-2016年检测229 055人份,共检测出HIV阳性32例,不确定36例。32例HIV阳性献血者中,男性占93.75%,女性占6.25%;年龄为19岁~52岁,平均年龄为(32.34±8.99)岁;初中文化占37.5%(12/32),高中或中专占34.4%(11/32),大专及以上占18.8%(6/32)。未婚占43.8%(14/32),已婚占43.8%(14/32),离异或丧偶占12.5%(4/32);经流行病学调查,异性性传播占81.2%,同性性传播占18.8%。结论金华市无偿献血者HIV抗体阳性率逐年增高,血液安全存在隐患,应加大艾滋病知识的宣传力度,发展低危无偿献血队伍,从源头保证血液安全。
Objective To analyze the HIV status and epidemic characteristics of blood donors in Jinhua area, to explore the hidden dangers of blood and explore the strategies of ensuring blood safety in the new situation. Methods The detection of HIV-infected persons in non-compensation blood donors in Jinhua City from 2012 to 2016 was analyzed. Results A total of 229 055 people were tested in Jinhua City for blood donation from 2012 to 2016. A total of 32 HIV positive cases were detected and 36 were uncertain. Of the 32 HIV-positive donors, 93.75% were male and 6.25% were female, with a mean age of (32.34 ± 8.99) years, ranging from 19 to 52 years. Middle school cultures accounted for 37.5% (12/32) Specialized in 34.4% (11/32), college and above accounted for 18.8% (6/32). 43.8% (14/32) were married, 43.8% (14/32) married and 12.5% (4/32) divorced or widowed. According to the epidemiological survey, heterosexual transmission accounted for 81.2%, same-sex transmission accounted for 18.8%. Conclusion The positive rate of HIV antibody in unpaid blood donors in Jinhua City is increasing year by year. There is a hidden danger in blood safety. AIDS awareness should be intensified to develop a low-risk blood donation team to ensure blood safety from the source.