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目的了解柳州市在婚HIV/AIDS的晚发现状况及其高危行为特征。方法采用横断面调查方法对2011年1月~2012年6月柳州市新报告的年龄≥15周岁的在婚HIV/AIDS病人进行问卷调查。结果共调查588例HIV/AIDS,晚发现比例为73.0%。查出感染HIV之前有异性固定性伴性行为和非固定异性性行为的比例分别为93.9%和61.7%,知道其异性固定性伴和非固定异性性伴HIV感染状况的比例分别为50.7%和1.9%;8.3%有共用针具注射吸毒史。不同特征的HIV/AIDS晚发现比例不同,其中男性、年龄>40岁、壮族、样本来源于医院就诊者检测和阳性者配偶/性伴检测、有非固定异性性行为者的晚发现比例均高于其他特征者,差异有统计学意义(均有P<0.05)。仅10.2%在查出感染HIV之前有做HIV检测的想法。结论柳州市在婚HIV/AIDS的晚发现比例已处于较高水平,并存在较高比例的非固定异性性行为和较低的个人主动检测意识,这将加剧HIV在夫妻间的传播,因此应加强主动监测力度,扩大对该类人群的艾滋病宣传和检测,促进HIV/AIDS的早期发现。
Objective To understand late detection of HIV / AIDS in Liuzhou and its characteristics of high-risk behaviors. Methods A cross-sectional survey was conducted to survey newly married HIV / AIDS patients who were over 15 years of age from January 2011 to June 2012 in Liuzhou City. Results A total of 588 HIV / AIDS cases were investigated, with a late finding of 73.0%. The percentages of those with heterosexual fixed sex and non-fixed heterosexual sex before HIV infection were 93.9% and 61.7%, respectively. The rates of HIV infection were 50.7% and 1.9%; 8.3% share a needle injection history of drug abuse. Different characteristics of the HIV / AIDS were found late different proportions, of which men, aged> 40 years, Zhuang, samples from hospital visits and positive spouse / partner detection, with non-fixed heterosexual persons were found in the proportion of late In other characteristics, the difference was statistically significant (both P <0.05). Only 10.2% had an idea of doing HIV testing before detecting HIV infection. Conclusion The late detection rate of HIV / AIDS in Liuzhou is at a high level, and there is a higher proportion of non-fixed heterosexual behaviors and a lower awareness of individual active detection, which will aggravate the HIV transmission between husband and wife. Therefore, Strengthen proactive monitoring efforts to expand AIDS awareness and detection of such groups and promote early detection of HIV / AIDS.