广西农村60岁以上老年男性HIV感染因素调查

目的了解广西老年男性艾滋病病毒（HIV）感染者/病人的商业性行为特征,为老年人的艾滋病（AIDS）和性病防治策略和措施的制定提供科学依据。方法选择累计报告60岁以上老年男性HIV感染者/病人占当地所有HIV感染者和病人比例较高的某6个县作为本次调查的地区,分别对农村地区存活的60岁以上老年男性HIV感染者和病人进行问卷调查,每个县调查20例以上。结果接受调查的149名60岁以上老年男性HIV感染者和病人中,有35.4%（35/99）的人与配偶仍有性生活,26.3%（26/99）的人目前仍与配偶或同居者平均每月发生1～4次性行为,而最近1次与配偶或同居者发生性行为时48.1%（13/27）的人没有使用安全套。90.6%（135/149）的老年男性HIV感染者和病人曾与商业性伴发生过性行为,81.5%（110/135）的人在与商业性伴发生性行为时从未使用安全套。30.2%（45/149）的人使用过壮阳药。结论在广西农村老年男性人群中,商业性性行为是最主要的HIV感染途径,发生商业性行为时不使用安全套是感染HIV的主要原因,服用壮阳药在一定程度上增加了农村老年男性发生商业性行为的次数,同时也增加了感染HIV的风险。

Investigation and analysis on AIDS related infection factors of elderly men over 60years living in rural areas in Guangxi

Objective To understand the commercial sexual behavior characteristics of the older males living with human immunodeficiency virus/acquired immunodeficiency syndrome（HIV/AIDS）of Guangxi,and to provide a scientific basis for AIDS and sexually transmitted diseases（STD）prevention and control strategies and measures formulation aiming at the elder people.Methods Six counties reporting cumulatively a higher proportion of elderly men over 60years living with HIV/AIDS to all local HIV/AIDS patients were selected as the survey areas,more than 20 cases from each county were investigated.Results Of that 149elderly men over the age of 60living with HIV/ AIDS patients,35.4%（35/99）still had sexual behavior with spouse,of them 26.3%（26/99）had 1-4times sexual behavior monthly with spouse or cohabitant,and 48.1%（13/27）did not use condoms.90.6%（135/149）had commercial sex behaviors,81.5%（110/135）never used condoms.30.2%（45/149）used aphrodisiac.Conclusion Commercial sexual behavior is a most important route of HIV infection in elderly men of Guangxi,and is the main cause of HIV infection having commercial sexual behavior without using condoms.aphrodisiac increases a frequency commercial sexual behavior,and also increases the risk of HIV infection.