六安市艾滋病异性传播病例感染方式特征分析

目的 了解六安市艾滋病异性传播主要感染方式及不同感染方式的人群特征。方法 以国家艾滋病综合防治信息系统中现住址为六安市、传播途径为异性传播的HIV/AIDS病例为调查对象，采用自行设计的调查问卷收集调查对象的社会人口学特征及异性传播方式。结果 共调查符合纳入标准HIV/AIDS 340例，其中经商业性性行为传播占59.4%（202/340），经配偶或固定性伴传播占18.8%（64/340），非商业性临时性伴占21.8%（74/340）。性别、年龄、文化程度及婚姻状况是异性传播方式的影响因素。经商业性性行为传播比例始终维持在较高水平，非商业性临时性伴传播比例近几年上升趋势明显，配偶或固定性伴传播比例呈下降趋势，在3个传播方式中水平最低。结论 六安市艾滋病异性传播以经商业性性行为感染方式为主，但不同人群异性传播方式差异较大，需要采取有针对性的干预措施。

Characteristics of HIV/AIDS cases with heterosexual transmission in Luan Anhui province

Objective The aim of this study was to understand the characteristics of HIV/AIDS cases with heterosexual transmission in Luan. Methods The HIV/AIDS cases with heterosexual transmission reported in the China information system for disease prevention and control, and currently lived in Luan were investigated, the information about the social demographic characteristics and heterosexual transmission mode were collected. Results A total of 340 HIV/AIDS cases were recruited for study，59.4%（202/340） of them were infected by commercial sexual partners，18.8%（64/340）were infected by spouses or fixed sexual partners and 21.8%（74/340） were infected by casual sexual partners. Gender, age, culture level, and marital status were the influencing factors for heterosexual transmission patterns. The ratio of transmission through commercial sexual partners maintained at a higher level. The ratio of transmission through casual sexual partners was rising. The ratio of transmission through spouses or fixed sexual partners decreased. Conclusion HIV heterosexual transmission was mainly caused by commercial sex contact in Luan, with a big people disparity. Taking targeted interventions is necessary.