论文部分内容阅读
目的分析红河州艾滋病病毒(HIV)抗体双阳夫妻的流行病学特征,为开展夫妻间HIV传播的预防控制工作提供依据。方法根据红河州艾滋病(AIDS)信息系统中,HIV感染者/AIDS病人(简称HIV/AIDS病人)的个案信息和配偶信息登记表,建立HIV-1抗体双阳夫妻数据库并进行分析。结果截至2014年,红河州共报告2429对(4858例)HIV-1抗体双阳夫妻,占红河州HIV/AIDS病人报告总病例数的26.4%。双阳夫妻中61.7%的病例发现时即是AIDS病人,33.3%的夫妻HIV检测前后间隔超过三个月。37.3%的阳性者通过自愿咨询检测发现,31.4%是在医院临床就诊时检出。32对夫妻为随访阴性后阳转,阳转时间平均为2.80年。双阳夫妻大部分为本州户籍人员(占95.8%)。52.4%的阳性者自报传播途径为婚外异性性传播,28.3%为夫妻性传播,17.2%为注射吸毒传播。结论红河州预防夫妻间HIV传播工作仍需加强,艾滋病检测不够及时,覆盖面需要进一步扩大。建议进一步扩大HIV抗体检测人群范围,加大医务人员主动检测力度,加大夫妻间预防控制的力度,提高配偶检测的效率,尽早发现HIV感染者,减少夫妻间传播。
Objective To analyze the epidemiological characteristics of HIV / AIDS dual positive couple in Honghe Prefecture and provide evidence for the prevention and control of HIV transmission among couples. Methods According to the case information and spouse registration form of HIV / AIDS patients (HIV / AIDS patients) in Honghe Prefecture AIDS information system, the HIV-1 antibody Shuangyang couples database was established and analyzed. Results As of 2014, Honghe Prefecture reported 2429 pairs (4858 cases) of HIV-1 antibody Shuangyang couples, accounting for 26.4% of the total reported cases of HIV / AIDS in Honghe Prefecture. 61.7% of Shuangyang couples were found to be AIDS patients and 33.3% of couples were tested before and after HIV testing for more than three months. 37.3% of the positive persons through voluntary counseling and testing found that 31.4% were detected at the hospital clinic. 32 pairs of couples for follow-up after the negative Yang Yang, Yang transfer time average of 2.80 years. Shuangyang couples mostly state-owned household registration staff (95.8%). 52.4% of the reported positive self-reported transmission of heterosexual transmission of extra-marital sex, 28.3% for marital sex and 17.2% for injecting drug use. Conclusion Honghe prefecture still needs to strengthen its efforts to prevent HIV transmission among couples, AIDS testing is not timely enough and the coverage needs to be further expanded. Proposes to further expand the scope of HIV antibody testing, increase medical staff to take the initiative to detect, increase the intensity of prevention and control between husband and wife and improve the efficiency of spouse detection, early detection of HIV infection, reduce the spread of couples.