Epidemiological characteristics of HIV infectors in Dongguan voluntary blood donation population
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摘要: 目的:了解东莞市无偿献血者人类免疫缺陷病毒(HIV)感染的特征及途径,为低危献血者招募服务。方法:对2012-2013年东莞市无偿献血者标本HIV传染性标志物进行检测,对有反应性标本送疾病预防控制中心进行确证,统计HIV确证阳性数;对确证HIV感染者进行告知和首次随访,分析HIV感染者流行病学特征,包括性别、年龄、学历、职业、感染途径。结果:2012-2013年HIV的感染率分别为0.049%和0.056%;感染者绝大部分为男性,占94.0%,女性感染者占6.0%,男女性别比为15.6:1.0;感染者中年龄以21~30岁阶段为主,占45.8%, 31~40岁,占33.7%,18~20岁和41~50岁分别占6.0%和14.5%,51~60岁阶段无感染者;感染者中初中及初中以下学历者比例最高,占43.3%,高中及中专学历者占41.0%,大专及大专以上学历者占15.6%;感染者职业主要为普通务工者,占68.7%,商业、服务行业者占16.9%,学生占1.2%,医务工作者占3.6%,其他职业占9.6%;感染途径全部为性传播,其中以异性性传播为主,占55.4%,男男同性性传播占31.3%,同时有异性性行为和男男同性性行为者占13.3%,未出现女女同性性传播案例。结论:东莞市无偿献血人群HIV感染者呈多年龄段、多职业人群分布状态,感染途径为性传播,特别是男男同性性传播形势严峻,应针对性的加强献血前问询和对高危献血人群的排查,以减少经输血传播HIV的风险。Abstract: Objective:To comprehend the characteristics and infective route of human immunodeficiency virus (HIV) infection in Dongguan voluntary blood donors in order to serve the recruitment of low-risk blood donors. Method:The HIV infectious markers in specimens of Dongguan voluntary blood donors from 2012 to 2013 were detected, and the reactive specimens were sent to Center of Disease Control (CDC) to confirm. The number of positive HIV specimens confirmed was counted. The HIV infectors confirmed were informed and made first follow-up to analyze their epidemiological characteristics, including gender, age, education, occupation and infective route.Result:The infection rate of HIV in Dongguan in 2012 and 2013 was 0.049% and 0.056%, respectively, and the total infection rate was 52.54/100 thousand. The majority of the HIV infectors were male, accounting for 94.0%, and female infectors accounted for 6.0%, the sex ratio of the infection was 15.6:1. The majority ages of the infectors were from 21 to 30, accounting for 45.8%, followed by ages from 31 to 40, accounting for 33.7%, ages from 18 to 20 and from 41 to 50 accounted for 6.0% and 14.5%,respectively,and there was no infector at the ages from 51 to 60.On education, junior high school and below junior high school were the highest proportion in the infectors, accounting for 43.3%, high school and technical secondary school accounted for 41.0%, junior college and above junior college accounted for 15.6%.The main career of the infectors was ordinary worker, accounting for 68.7%, the infectors in commercial and service industries accounted for 16.9%, in students accounted for 1.2%, in medical workers accounted for 3.6%, and in other occupations accounted for 9.6%. All the infective route were sexual transmission, the main infective route was heterosexual transmission, accounting for 55.4%, homosexual transmission between men and men accounted for 31.3%,both having heterosexuality and homosexual behavior between men and men accounted for 13.3%.There was no case through homosexual transmission between women and women. Conclusion:The HIV infectors in Dongguan voluntary blood donation population showed the distribution of multiple ages and multiple occupational groups. The infective route was sexual transmission; the situation was in grim on homosexual transmission between men and men, especially. The inquiry before blood donation and the screening for high risk blood donation population should be specific strengthen to reduce the risk of HIV transmission through blood transfusion.
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