广东省与河南省HIV感染者调查结果的比较分析

目的　比较分析广东省与河南省两地HIV感染者的感染特点。方法　采用调查表对广东省 81例和河南省 130例HIV感染者进行问卷调查并分析。结果　两地患者在性别、年龄、文化程度、婚姻状况、传播途径分布等方面均存在明显差异。(1)广东省男女感染比率约为 2. 1: 1,男性明显多于女性;河南省男女感染比率约为 0. 9: 1。(2)广东地区感染者中 69%年龄分布在 21-40岁间;河南地区 76%的感染者年龄分布在 31-50岁间。(3)广东省感染者总体文化程度较河南地区高。(4)广东省感染者中近一半(43. 2% )未婚或不在婚,河南省 91. 5%感染者已婚。 ( 5 )在广东以性传播 ( 54. 3% )、静脉吸毒 ( 23.4% )为主,同时存在血液传播。在河南血液传播是最主要的传播途径,性传播途径仅见于夫妻间性传播。(6)广东省感染者CD+4 计数相对较低, 57. 2%低于 200个,病情较重;河南省 70. 6%的感染者CD4+计数高于 200个,病情相对较轻。结论　经过分析,发现两地社会、经济因素对两地HIV感染特点有一定影响。根据感染特点实施干预措施,对进一步预防疾病传播及提高HIV感染者的生存质量有重要意义。

Analysis of investigative results of HIV infected people in Guangdong province and Henan province

Objective To compare the epidemiological characters of HIV infected people between Guangdong province and Henan province. Methods Face to face interviews were conducted with questionnaires among 81 cases HIV infected people from Guangdong province and 130 cases from Henan province. Results There was significant difference in the distribution of sex, age, education, marriage and transmission between two provinces. Firstly, the ratio of male to female was 2.1:1 in Guangdong province as well as the ratio in Henan province was 0.9:1. Secondly, the majority of HIV infected people were from 21 to 40 years old, accounting for 69% in Guangdong province. In Henan province, 76% of them were from 31 to 50 years old. The third, the general education level of HIV infected people higher in Guangdong than in Henan. Nearly half of them were unmarried or divorced in Guangdong while 91.5% of them were married in Henan. The fifth, in Guangdong 54.3% of HIV infected people were infected by sexual transmission and 23.4% were IDU, blood transmission as well. In Henan, the blood transmission was the most dominant transmission, and sexual transmission was only in family. At last, the average of CD 4 + cell number were lower in Guangdong than in Henan, 57.2% in Guangdong were lower than 200 while 70.6% in Henan were higher than 200. Conclusion The epidemiological characters of HIV infected people were effected on by social and economic factors of local regions. Taking effective measures according to these characters would be important to prevent HIV transmitting and improve the quality of life of HIV infected people.