2010年湘西州部分老年艾滋病病毒感染者调查

目的]了解老年艾滋病病毒(HIV)感染者的感染因素,为老年艾滋病防治提供科学依据。方法]在知情同意的原则下,2010年5月,对湘西州部分50岁以上老年HIV感染者的家庭状况、高危行为史、艾滋病防治知识和相关的态度等进行调查。结果]调查40例老年HIV感染者,其中艾滋病(AIDS)病人8例。40例中,男性21例,女性19例;吉首市24例,凤凰县9例,永顺县7例;土家族27例,苗族7例,汉族6例;51～59岁19例,60～69岁15例,70～84岁6例;文化程度文盲、小学28例,初中8例,高中及以上4例;已婚的20例,分居1例,丧偶19例;农民23例,干部5例,工人5例,其他7例;均否认既往有过卖血、输血史及吸毒史;22例因为其他疾病就诊被发现,18例为HIV感染者配偶在流行病学调查HIV抗体检测时被发现。21例男性中,20例与商业性伴有过性行为,其中14例在出租屋,只有1例使用安全套。19例女性均否认婚外性行为和卖淫史,其中18例配偶为HIV感染者,性行为时均未使用安全套。调查时知道艾滋病通过性传播的26例,血液传播的23例,母婴传播的10例;22例不知道怎样预防艾滋病。结论]老年HIV感染者缺乏HIV防治知识,主要通过在低档场所嫖娼和夫妻间无保护的性行为受到感染。

Analysis on HIV/AIDS Infection Data in Xiangxi Autonomous Prefecture,2010

Objective]To analyze the infection factors of the elderly patients with HIV/AIDS in Xiangxi,so as to provide scientific basis for AIDS prevention and control for elderly patients with AIDS.Methods]Following the principle of informed consent,in May 2010,a series of investigations and analysis were made for elderly patients ≥50 years old with HIV/AIDS,including family status,history of high-risk behavior,AIDS knowledge and related attitudes,etc.Results]A total of 40 older people with HIV/AIDS participated in this study and 8 of them were AIDS patients.Among the 40 elderly with HIV/AIDS,21 cases were male and 19 cases were female,24 of them were from Jishou,9 cases were from Fenghuang and 7 from Yongshun,27 of them were Tujia ethnics,7 cases were Miao ethnics and 6 were Han ethnics,19 cases aged from 51-59 years old,15 cases aged from 60-69 and 6 from 70-84.28 of them were illiteracy or primary education,8 cases received junior middle school education,4 cases were high school education.20 of them were married,1 case was separated and 19 were widowed.23 of them were farmers,5 cases were cadres and workers.They all denied blood-selling,blood transfusion and drug history.22 cases were found through other disease clinic,18 were HIV spouses,who were found by epidemiological investigation in HIV antibody test.In 21 men,20 of them had commercial sexual behaviour,14 in rented hoses,only one patient used the condoms.19 women denied sex outside marriage and prostitution history,18 of them whose husbands were HIV infection.They were not using condoms during sex.26 of them knew sex transmission,23 cases knew blood transmission and 10 cases knew mother-to-child transmission.However,22 patients didn’t know how to prevent HIV/AIDS.Conclusion]Lack of knowledge on HIV prevention among the eiderly with HIV/AIDS,the main routes of infection are through the low-grade place and unprotected sex between husband and wife.