河南省新报告HIV感染者中丙型肝炎病毒感染状况及其影响因素分析

目的 了解河南省新报告HIV感染者中丙型肝炎病毒（HCV）感染情况及其相关影响因素。方法 对2012年7月1日至2013年6月30日河南省所有新确证上报的HIV-1感染者进行信息整理、HIV-1 BED新发感染检测和HCV抗体检测。结果 河南省该期间新确证上报2 049例HIV-1感染者中HCV抗体阳性率为14.87%（271/1 887）,BED阳性比例（新发感染比例）为26.34%（497/1 887）。新发HIV-1感染者中HCV抗体阳性率较既往HIV-1感染者低,20～39岁组HIV-1感染者的HCV抗体阳性率较其他年龄组低,个别地区HIV-1感染者的HCV抗体阳性率较高,经注射吸毒感染HIV-1者中HCV抗体阳性率较高。结论 新发感染、年龄、传播途径和地区分布是河南省新报告HIV-1感染者中HCV感染率的影响因素,应有针对性地开展此人群的丙型肝炎防治工作。

Analysis on hepatitis C virus infection and related factors among newly reported HIV infections in Henan province

Objective To study hepatitis C virus infection and related factors among newly reported HIV infections in Henan province. Methods Both HIV-1 BED incidence and anti-HCV tests were applied on newly reported HIV-1 infections between 1 Jul 2012 to 30 Jun 2013 in Henan province. Results 2 049 HIV-1 infections were newly reported between 1 July 2012 to 30 June 2013 in Henan province,with the positive rate of anti-HCV as 14.87% (271/1 887) and the proportion of BED positives was 26.34% (497/1 887). The recent HIV-1 infections appeared lower HCV prevalence than non-recent HIV-1 infection. Among 20-39 age group,HIV-1 infections had a lower HCV prevalence than among the other age groups. Patients carrying HIV-1 through injecting drug use showed higher HCV prevalence. Conclusion Under results on BED;age,infection route and area were influencing factors of HCV prevalence in newly reported HIV-1 infections in Henan province,suggesting that corresponding prevention programs should be targeted.