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目的了解福建省老年男性感染艾滋病病毒(HIV)感染因素,为HIV防控提供依据。方法选取老年男性HIV病例较多的4个县区,用统一设计的问卷,对诊断时年龄≥50岁的男性病例进行回顾性调查。结果共调查72人,均否认吸毒史、卖血史。在诊断前有异性商业性性行为64人(88.9%),其中从未使用安全套40人(63.5%);有非婚非商业性性行为9人(12.5%),有同性性行为2人(2.8%)。结论异性商业性性行为是老年男性感染HIV的主要原因,应加强针对暗娼及有关老年男性的宣教干预力度,控制HIV在该人群中的传播。
Objective To understand the factors of HIV infection among elderly men in Fujian Province and provide basis for prevention and control of HIV. Methods Four counties with more HIV cases in older men were enrolled in this study. Retrospectively surveyed male patients aged 50 years or older at the time of diagnosis using a uniform design questionnaire. Results A total of 72 people were investigated, all denied the history of drug abuse, sell blood history. 64 (88.9%) had heterosexual commercial sexual behavior before diagnosis, of whom 40 (63.5%) never used condoms; 9 (12.5%) had non-marital non-commercial sex and 2 had homosexual sex 2.8%). Conclusions Heterosexual commercial sexual behavior is the main reason for HIV infection among older men. HIV / AIDS should be controlled in this group by strengthening the missionary intervention on female sex workers and related elderly men.