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目的了解许昌市无偿献血人群艾滋病病毒(HIV)感染情况。方法回顾性分析许昌市2015年1月-2016年12月88 028名无偿献血人群的相关资料,统计HIV感染率,并分析HIV感染患者人口统计学特征。结果许昌市2015年1月-2016年12月88 028名无偿献血人群中,共确证HIV阳性25例,检出率0.028%,其中18~30岁占88.0%(22例)。2015年HIV确证阳性率0.032%,其中同性传播5例,异性传播8例;2016年HIV确证阳性率0.025%,其中同性传播6例,异性传播6例。不同性别、籍贯、文化程度、职业献血人群HIV阳性率比较差异均有统计学意义(P<0.05),不同年龄、婚姻状况、献血次数人员HIV阳性率比较差异均无统计学意义(P>0.05)。结论 2015-2016年许昌市无偿献血人群HIV感染呈现年龄层低特点,传播途径中同性传播比例上升;HIV感染与献血人群性别、文化程度、职业等密切相关,需实施全民宣教结合分层教育方式以提高安全意识,同时需不断完善献血筛选机制,提高血液采集安全性。
Objective To understand the prevalence of HIV infection in Xuchang blood donors. Methods The data of 88 028 unpaid blood donors from January 2015 to December 2016 in Xuchang were retrospectively analyzed. The HIV prevalence rate was analyzed and the demographic characteristics of HIV infected patients were analyzed. Results Xuchang City, January 2015 - December 2016 88 028 blood donors were confirmed HIV positive in 25 cases, the detection rate of 0.028%, of which 18 to 30 years accounted for 88.0% (22 cases). In 2015, the HIV positive rate was 0.032%, of which 5 were same-sex transmission and 8 were heterosexual transmission. In 2016, the HIV-positive rate was 0.025%, of which 6 were same-sex transmission and 6 were heterosexual transmission. There were significant differences in the positive rates of HIV among different gender, origin, educational level and occupational blood donors (P <0.05), and there was no significant difference in HIV positive rate among different age, marital status and blood donation times (P> 0.05 ). Conclusion HIV infection in unpaid blood donors in Xuchang from 2015 to 2016 showed the characteristics of lower age and the proportion of same-sex transmission in the transmission route increased. HIV infection was closely related to sex, education and occupation of blood donors, and the implementation of universal education combined with stratified education In order to improve safety awareness, we need to constantly improve blood donation screening mechanism and improve blood collection safety.