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目的分析HIV/AIDS患者的配偶或固定性伴HIV检测的影响因素,为促进艾滋病防治工作提供理论依据。方法从中国疾病预防控制信息系统艾滋病综合防治信息系统下载历史卡片,使用Excel建立数据库,并使用SPSS19.0进行数据处理和统计分析。结果 2 762例HIV/AIDS患者的配偶或固定性伴HIV检测率为88.7%;非条件Logistic回归分析显示,病程处于HIV感染阶段(OR=1.668,P=0.000,95%CI:1.290~2.158)、同性感染(OR=4.783,P=0.001,95%CI:1.882~12.156)、农民(OR=1.537,P=0.000,95%CI:1.399~2.723)、样本源于其他就诊者检测(OR=2.318,P=0.000,95%CI:1.646~3.265)这四个因素是配偶或固定性伴HIV未检测的危险因素(OR﹥1),而随访(OR=0.154,P=0.000,95%CI:0.080~0.295)是配偶或固定性伴HIV检测的促进因素(OR﹤1)。结论应加强农民、病程处于HIV感染阶段、同性性接触感染、样本源于其他就诊者检测病例的随访干预,以提高配偶或固定性伴HIV检测率,防止家庭内传播。
Objective To analyze the influencing factors of spouse or sex partner HIV test in HIV / AIDS patients and provide theoretical basis for AIDS prevention and control work. Methods Download historical cards from AIDS prevention and control information system in China, set up database by Excel, and use SPSS19.0 for data processing and statistical analysis. Results The 2 762 HIV / AIDS patients had a spouse or fixed sex HIV test rate of 88.7%. Unconditional Logistic regression analysis showed that the course of HIV infection was in the HIV infection stage (OR = 1.668, P = 0.000, 95% CI: 1.290-2.1580) (OR = 4.783, P = 0.001,95% CI: 1.882-12.156), farmer (OR = 1.537, P = 0.000,95% CI: 1.399-2.723) (OR = 0.154, P = 0.000, 95% CI: 2.318, P = 0.000, 95% CI: 1.646-3.265). These four factors were the risk factors of spouses or fixed sexual partners without HIV (OR> : 0.080 ~ 0.295) were the contributing factors of spouse or sex-fixed HIV test (OR <1). Conclusion Farmers should be strengthened, the course of HIV infection is same as that of HIV infection, and the samples are from follow-up interventions of other patients in order to improve HIV detection rate of spouses or sex partners and prevent transmission within the family.