广东与河南HIV感染者流行病学特点分析

目的分析比较广东省与河南省两地HIV感染者的流行病学特点.方法以问卷法对广东省81例和河南省130例HIV感染者进行调查.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.广东省男女性感染比例约为2.1:1,男性明显多于女性;河南省男女性感染比例约为0.9:1.广东地区感染者中69%年龄在21～40岁;河南地区76%年龄在31～50岁.广东省感染者总体文化程度较河南省高;广东省感染者中43.2%未婚或不在婚(离异丧偶),河南省91.5%已婚.广东省54.3%感染者为性传播,23.4%为静脉吸毒传播,同时存在血液传播;河南省感染者则以血液传播为最主要的传播途径,性传播途径仅见于夫妻间性传播. 广东省感染者CD4^ 计数相对较低,57.2%低于200个/mm^3,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.结论两地不同的社会与经济因素对本地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感染者生存质量有重要意义.

Epidemiological characteristics analysis on HIV infected people in Guangdong and Henan provinces

Objective To compare the epidemiological characteristics of HI V infected people between Guangdong province and Henan province. Methods Face to face interviews with questionnaires about HIV infected people were conducted am ong 81 cases from Guangdong and 130 cases from Henan. Results There were signifi cant differences in the distribution of sex, age, education, marriage and transm ission mode between two provinces. The ratio of male to female was 2.1:1 in Gua ngdong as well as 0.9:1 in Henan. The majority of HIV infected people were f r om 21 to 40 years old, accounting for 69% in Guangdong province. In Henan provin ce, 76% were from 31 to 50 years old. The general education level of HIV infected people from Guangdong was higher than from Henan. Nearly half of whom were unmarried or divorced in Guangdong while 91.5% were married in Henan . In Guangdong 543% of HIV infected people were infected by sexual transmis sion and 23.4% were IDU, there was blood transmission too. In Henan, the blood t ransmission was the most dominant transmission, and sexual transmission was only between husband and wife. The average of CD 4 cell number were lower in Gua ngdo ng than in Henan, 57.2% of HIV infected people from Guangdong were lower than 2 0 0/mm3 while 70.6% from Henan were higher than 200/mm3.Conclusion The epidemiolo gical characters of HIV infected people were affected by social and economic factors of local regions. Taking effective measures according to these character s would be important to prevent HIV transmittion and improve the quality of life of HIV infected people.