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目的了解广西专项示范区HIV/AIDS阳性检出前、后商业性行为变化及后续发生商业性行为情况,初步探索HIV阳性病例传出风险的影响因素。方法在广西艾滋病专项示范区内对HIV阳性嫖客病例开展专题调查,使用PASW Statistics 18.0软件进行统计分析。结果调查共获得有效问卷193份,其中≥50岁占59.59%(115/193),小学及以下文化占50.78%(98/193),无固定性伴占52.85%(102/193)。阳性检出前、后与固定性伴和商业性伴发生性行为在“经常使用安全套”上差异有统计学意义(P<0.001);阳性检出后63.21%的嫖客已经戒嫖,阳性检出前、后在商业性行为频率上差异有统计学意义(P<0.001)。非农民(OR=2.20,95%CI:1.03~4.70)、非专项检测(OR=2.97,95%CI:1.44~6.12)和既往发现的HIV(OR=2.40,95%CI:1.18~4.90)病例检出后继续招嫖的风险较高。结论尽早有效地发现HIV病例,可以降低商业性行为频率,提高安全套的使用率。同时应加强对非农民及早期检测发现的HIV病例的干预和管理,降低艾滋病的二代传播。
Objective To understand the changes of commercial behavior before and after HIV / AIDS positive detection in Guangxi special demonstration area and the subsequent commercial behavior, and to explore the influencing factors of the outbreak risk of HIV positive cases. Methods A case-specific survey of HIV-positive clients was conducted in Guangxi HIV / AIDS demonstration area and statistical analysis was conducted using PASW Statistics 18.0 software. Results A total of 193 valid questionnaires were obtained, of which ≥50 accounted for 59.59% (115/193), primary and lower cultures accounted for 50.78% (98/193) and non-sex partners accounted for 52.85% (102/193). Before and after positive detection, sexual partners with fixed partners and commercial partners had statistically significant differences (P <0.001) in “regular use of condoms”; 63.21% of the clients were positive, The frequency of commercial sex was significantly different between before and after the detection (P <0.001). Non-specific testing (OR = 2.97, 95% CI: 1.44-6.12) and previously detected HIV (OR = 2.40, 95% CI: 1.18-4.90) The risk of continuing prostitution after the detection of cases is high. Conclusions As soon as possible to effectively detect HIV cases, can reduce the frequency of commercial sex and improve condom use. In the meantime, the intervention and management of non-peasant and early detection of HIV cases should be strengthened to reduce the second-generation transmission of AIDS.