Prevalence of HIV seropositivity and associated factors among the spouses of HIV/AIDS patients in Shanghai， 2018‒2022
10.19428/j.cnki.sjpm.2023.23487
- VernacularTitle:2018—2022年上海地区HIV感染者及艾滋病患者配偶HIV检测阳性的影响因素
- Author:
Yiling ZHENG
1
;
Minhong LIANG
2
;
Chunyan HE
1
;
Shuang XIAO
1
;
Jie FU
1
;
Leiming ZHOU
1
;
Zeyu ZHANG
1
;
Qing YUE
1
;
Zhen NING
1
Author Information
1. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
2. Shanghai Hongkou Center for Disease Control and Prevention, Shanghai 200082, China
- Publication Type:Journal Article
- Keywords:
human immunodeficiency virus;
acquired immune deficiency syndrome;
spouse HIV-testing;
test positive;
influencing factor
- From:
Shanghai Journal of Preventive Medicine
2023;35(11):1053-1057
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the HIV infection characteristics and influencing factors among the spouses of HIV/AIDS patients in Shanghai. MethodsA cross-sectional survey was conducted to collect demographic， behavioral， epidemiological and spousal HIV detection information of newly reported and married patients with HIV/AIDS in Shanghai from January 2018 to July 2022 in the comprehensive HIV prevention and control information system of Chinese Center for Disease Prevention and Control. Descriptive analysis was used to analyze the HIV positivity rate of the spouses of HIV patients and the influencing factors were analyzed by univariate and multivariate logistic regression models. ResultsA total of 1 233 subjects were investigated， and the first HIV-testing positivity rate of the spouses of HIV/AIDS patients was 29.3% （361/1 233）. There were statistically significant differences in the HIV-testing positivity rate among spouses of HIV/AIDS patients by different age， gender， education level， occupation， transmission route， quantity of non-marital sexual activities， quantity of homo-sexual activities， and baseline CD4 cell count level （P<0.05）. Spouses of the HIV/AIDS patients aged ≥65 years old， female， heterosexual transmission， less non-marital sex， and no history of homosexual sex had relatively high HIV positive rate. The HIV-positive detection rate of spouses in the ≥65 age group was 1.81 times higher than that in the <45 age group. The HIV-positive detection rate of spouses in the female group was 3.66 times higher than that in the male group， and the HIV-positive detection rate of spouses in the homosexual transmission group was 0.25 times higher than that of the heterosexual transmission group. ConclusionRisk awareness of HIV infection among married people with spouses should be improved. The key populations with the characteristics such as females as the first HIV-positive reporter， and heterosexual transmission should be paid special attention.Their spouses should be mobilized to conduct HIV-testing as early as possible
