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目的核实2007年后新报告采供血途径感染人类免疫缺陷病毒(HIV)的真实感染途径,查清该现象产生的原因。方法采用面对面入户问卷调查,问卷内容主要包括:确诊HIV阳性前高危行为暴露信息、有偿献血员大筛查参加情况,重新推断可能的感染途径。结果调查191例,核实后168例为有偿采供血途径感染,23例为非采供血途径感染。采供血途径感染者以农民、男性、40～50岁为主,有偿供血时间多在15 a以前,无吸毒和男男性行为史,HIV确诊前后婚外性行为差异有统计学意义,P=0.006 3。非采供血途径感染者自述隐瞒原因主要为有卖血史,自认为卖血感染、担心歧视。结论有既往有采供血史但大普查时外出是新报告采供血途径感染的主要原因,感染途径歧视和人群对不同感染途径艾滋病感染者的态度是造成新报告采供血途径艾滋病感染者隐瞒的主要原因。
Objective To verify the true pathways of infection and infection of human immunodeficiency virus (HIV) in the new report after 2007, and to find out the causes of this phenomenon. Methods The face-to-face questionnaire survey was conducted. The contents of the questionnaire mainly included the exposure information of high-risk behaviors before the diagnosis of HIV-positive and the screening of paid blood donors to re-estimate the possible infection ways. Results 191 cases were investigated. After verification, 168 cases were infected with blood supply and 23 cases were infected with non-blood supply. There were no drug addiction and men’s and men’s sexual histories before HIV / AIDS was paid for blood supply for more than 40 years. The difference in sexual behavior before and after HIV diagnosis was statistically significant (P = 0.006 3) . Non-collection and delivery of blood donors The main reason for self-reported concealment is selling blood history, consider themselves selling blood infection, fear of discrimination. Conclusions There is a history of taking blood supply and blood supply but when going out at a large census, the main reason for the new report of blood supply and blood supply infection is the main reason for the discrimination between the infection route and the population on HIV / AIDS patients with different routes of infection. the reason.