Analysis of Related Factors for HIV Transmission among 263 Pairs of Male Spouses with Positive HIV Antibodies in Zhejiang Province
OBJECTIVE:
To
identify the status and risk factors of transmission in couples which males was
HIV-positive in Zhejiang province.
METHODS:
A
cross-sectional study was conducted among HIV-serodiscordant couple (male
positive) and HIV-seroconcordant couple (male first infected). A self-designed
questionnaire was complimented containing basic information, the awareness of
infection and HIV-testing, sexual relationship power, self-efficacy of condom
use, sex. The univariated and multivariate logistic regression methods were
used to analyze the influence factors.
RESULTS:
A total
of 263 couples were enrolled in this study, including 210 HIV
HIV-serodiscordant couples and 53 HIV-seroconcordant couples.
- HIV-positive males
aged 30-50 accounted for 57.8%
- and females under junior high school
accounted for 79.1%
- HIV/AIDS accounted for 41.1%
The
proportion of man who were diagnosed as HIV, MSM and ever heard HIV were 61.9%
(130 cases), 38.3% (80 cases) and 81.9% (172 cases), which were higher than
that in HIV positive 47.2% (25 cases), 7.5% (4 cases), 64.2% (34 cases);
χ(2)=3.80, 18.33, 7.86;P=0.051, 0.001, 0.005.
The results revealed that AIDS
patients had high risk to infect their spouse than HIV patients. Male patients who had ever heard " HIV" before
were less likely pass virus to their wives than those who had never heard
" HIV". Compared with heterosexuality
man, homosexuality man' wives had high risk to get virus from their husbands. Female infected with STIs was the independent
factors for HIV infection.
CONCLUSION:
Among
the couples of male HIV-positive in Zhejiang Province, the risk of spouses
infected with HIV virus has relationship with male disease progression, sexual
orientation and awareness of AIDS knowledge. For females who infected with
sexual diseases in last 6 months might be infected by their spouses.
- 1Department of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou 310051, China.
- Zhonghua Yu Fang Yi Xue Za Zhi. 2016 Feb 6;50(2):158-62. doi: 10.3760/cma.j.issn.0253-9624.2016.02.011.
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