福州地区无偿献血人群HIV-1新近感染情况及分布特征分析

目的了解福州地区无偿献血人群HIV-1新近感染的情况与分布特征,为采供血机构制定HIV防控策略提供决策依据。方法对2011~2018年间福州地区无偿献血者血液HIV抗体确证阳性的标本进行HIV-1新近感染检测,并对经检测判定为新近感染献血者的特征进行分析。结果2011~2018年间共收集无偿者HIV确证阳性标本109例,经检测判定为HIV-1新近感染43例,新近感染比例占39.45%。在所有新近感染献血者中男性95.35%,女性占4.65%;30岁以下占69.76%,30岁以上占30.24%;高中或中专以上占62.79%,高中以下占37.21%;高校学生占25.58%。结论福州地区HIV-1新发感染无偿献血者以教育程度较高的青年男性为主,在献血前宣传招募和问询甄别时应针对特定人群采取相应防控策略。

Epidemiological Characteristics of Recent HIV-1 Infection in Blood Donors in Fuzhou Area

Objective To understand the new HIV-1 infection status and distribution characteristics of unpaid donors in Fuzhou area,and provide evidence for decision-making for blood collection and supply institutions to formulate HIV prevention and control strategies.Methods Samples from unpaid donors in Fuzhou area that were confirmed to be positive for HIV-1 antibody,were tested by LAg-Avidity EIA and BED assays between 2011 and 2018,and the characteristics of the recently infected donors were analyzed.Results A total of 109 confirmed HIV positive samples were collected from 2011 to 2018,and 43 cases of new HIV infections were determined.The proportion of new infections accounted for 39.45%.Among all newly infected donors,95.35%were males and 4.65%were females;69.76%were under 30-year-olds,and 30.24%were over 30-year-olds;62.79%were high school or secondary technical school or above,37.21%were under high school,and 25.58%were college students.Conclusions The majority of new HIV-1 infected donors in Fuzhou area were younger males with higher education,and corresponding prevention and control strategies should be adopted for specific groups of people when pre-donation counselling and recruitment.