| 浙江省843对HIV单阳夫妻危险行为及血清检测 |
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| 引用本文： | 陈琳, 潘晓红, 杨介者, 徐云, 郑锦雷. 浙江省843对HIV单阳夫妻危险行为及血清检测[J]. 中国公共卫生, 2011, 27(1): 63-64. DOI: 10.11847/zgggws2011-27-01-29 |
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| 作者姓名： | 陈琳 潘晓红 杨介者 徐云 郑锦雷 |
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| 作者单位： | 1.浙江省疾病预防控制中心, 杭州 310051 |
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| 基金项目： | 第三轮全国艾滋病基金课题 |
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| 摘 要： | 目的 了解人类免疫缺陷病毒(HIV)单阳夫妻的流行病学特征及配偶HIV血清阳转情况.方法 对浙江省艾滋病疫情网络数据库进行整理,选取2008年底之前报告且配偶首次检测结果为阴性的H IV单阳夫妻为研究对象,研究内容包括一般特征、感染危险行为和性病史、夫妻间安全套使用、配偶H IV血清阳转情况及阳转时间的影响因素.结果 共843对HIV单阳夫妻纳入本研究;感染者中男性占61.7%,文化程度为初中及以下者占78%.感染危险行为以非婚异性性接触史为主,占75.4%;截止2009年底,首次随访和末次随访夫妻间安全套坚持使用率为28.4%,94.5%,差异有统计学意义(P=0.000);配偶H IV血清阳转率为0.74/100人年;配偶阳转的危险因素是诊断为AIDS,保护性因素包括随访次数多和坚持使用安全套.结论 HIV单阳夫妻初次诊断时存在夫妻间HIV传播的危险,随着诊断时间的延长,传播的危险性有所降低,及早发现夫妻间HIV阳性方感染状况,及时开展感染者及配偶干预工作可能有利于预防夫妻间艾滋病传播.
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| 关 键 词： | 人类免疫缺陷病毒(HIV) 感染状况不一致 夫妻 队列研究 |
| 收稿时间： | 2010-05-26 |
Risk behavior and incidence of HIV infection among 843 HIV discordant couples in Zhejiang province |
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| CHEN Lin, PAN Xiao-hong, YANG Jie-zhe, . Risk behavior and incidence of HIV infection among 843 HIV discordant couples in Zhejiang province[J]. Chinese Journal of Public Health, 2011, 27(1): 63-64. DOI: 10.11847/zgggws2011-27-01-29 |
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| Authors: | CHEN Lin PAN Xiao-hong YANG Jie-zhe |
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| Affiliation: | 1.Zhejiang Provincial Center for Disease Control and Prevention Hangzhou 310051, China |
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| Abstract: | Objective To identify the epidemic character istics and HIV transmission in HIV discordant couples.Methods HIV/AIDS database down loaded from HIV website system was used for analysis.HIV/AIDS discordant couples confirmed before 2009 were selected.Information on soc iodemog raphic character istics, risk behavior, history of sexually transmitted disease, condomuse, incidence rate and risk factors of HIV infection among the couples were collected and analyzed.Results A total of 843 ouples were enrolled in the study.Among the participants with HIV/AIDS, 61.7% were male; 78% were with education under senior high school and 57.1% were local residents.The major risk behavior was extramarital sexbehavior(75.4%).The condom use rates were 28.4%, 94.5% at the time of first and last followup.Thirteen couples were turned to HIV positive with a sero incidence rate of 0.74 per 100 person year.The risk factor of HIV infection in the couples was with spouse of AIDS and the protective factors included times of followup and continuous condomuse.Conclusion HIV discordant couples had high risk of HIV transmission between the spouses.Having HIV test timely and improving intervention might prevent the HIV transmission between discordant couples. |
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| Keywords: | HIV discordant infection couple cohort study |
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