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目的为了解新疆HIV感染者及患者性伴告知情况及相关影响因素,为当地的性伴告知工作提供工作建议。方法对新疆10个县市(区)内所有能够随访到的HIV感染者和病人3 071例进行问卷调查。结果新疆HIV阳性者性伴告知率为81.5%(2 010/2 467),其中男性为82.2%(1 229/1 495),女性为80.3%(781/972);62.2%(1251/2 010)选择在1周内告知;52.1%(1 047/2 010)选择本人告知;59.3%(1 776/2 994)期望告知对象为配偶或性伴;多因素Logistic回归结果表明,性伴告知的影响因素为感染者家庭收入≤500元/月(OR=1.65,95%CI=1.23～2.20)、感染者确认时限(OR=1.08,95%CI=1.02～1.15)、感染者婚姻状况为已婚(OR=4.46,95%CI=2.91～6.82)、感染者有子女(OR=1.50,95%CI=1.12～2.00)及调查地区为新疆北部和南部地区(OR=4.10,95%CI=2.72～6.19;OR=2.34,95%CI=1.53～3.57)。结论新疆的HIV感染者和病人性伴告知率较高,影响因素包括当地持续深入的支持活动、感染者婚姻状况及子女状况等。
Objective To understand the situation of HIV-infected persons and their sexual partners in Xinjiang and the related influential factors, and to provide suggestions for the work of local sexual partners. Methods A total of 3 071 cases of HIV-infected persons and patients in 10 counties and cities in Xinjiang were followed up. Results The rate of HIV-positive sexual partners was 81.5% (2 010/2 467) in Xinjiang, including 82.2% (1 229/1 495) of males and 80.3% (781/972) of females, 62.2% (1251/2 010) ) Chose to be informed within 1 week; 52.1% (1047/2 010) chose to inform me; 59.3% (1776/2 994) expected to be informed of spouse or partner; multivariate Logistic regression showed that sexual partners The influencing factors were family income of infected persons ≤ 500 yuan / month (OR = 1.65, 95% CI = 1.23-2.20), time limit for infection confirmed (OR = 1.08,95% CI = 1.02-1.15), and marital status of infected persons (OR = 4.46, 95% CI = 2.91 ~ 6.82), children with infection (OR = 1.50,95% CI = 1.12-2.00) and the surveyed areas were northern and southern Xinjiang (OR = 4.10, 95% CI = 2.72 ~ 6.19; OR = 2.34, 95% CI = 1.53 ~ 3.57). Conclusion There is a high rate of sexual contact between HIV-infected persons and patients in Xinjiang. The influencing factors include continuing supportive activities in local areas, marital status of infected persons and their children’s status.