摘要
目的对广西壮族自治区贵港市献血人群人类免疫缺陷病毒(HIV)阳性的影响因素进行调查分析,为控制HIV经输血传播提供依据。方法分析2018年1月至2021年6月广西壮族自治区贵港市中心血站131430名无偿献血者的血液HIV初筛及确证结果,将献血人员按HIV是否阳性分为两组,分析并确定HIV阳性者危险因素。结果131430名献血者中,确认阳性例数为46例,确认阳性率为3.5/万;46例确认阳性献血者中,覃塘区阳性率最高,港北区阳性率最低。经单因素分析发现,阳性组男性、年龄、初中及以下学历、农民、献血次数0~3次、覃塘区及桂平市人数占比明显高于阴性组,差异有统计学意义(P<0.05)。logistic回归分析显示,献血次数(OR=1.800)、职业(OR=1.578)及学历(OR=1.937)是HIV阳性的独立影响因素(P<0.05)。结论2018—2021年广西壮族自治区贵港市献血人群HIV阳性感染率明显高于全国平均水平,职业、献血次数及学历等是其独立危险因素,应对高危人群重点关注,加大宣传力度,确保血液安全。
Objective To investigate and analyze the influencing factors of human immunodeficiency virus(HIV)positivity among blood donors in Guigang City,Guangxi Zhuang Autonomous Region,to provide a basis for controlling HIV transmission through blood transfusion.Methods The blood HIV screening and confirmation results of 131430 unpaid blood donors were analyzed in Central Blood Station of Guigang in Guangxi Zhuang Autonomous Region from January 2018 to June 2021.The blood donors were divided into two groups according to whether they were HIV-positive or not,and the risk factors of HIV-positive people were analyzed and determined.Results Among the 131430 blood donors,46 were confirmed positive,and the confirmed positive rate was 35/10000;among the 46 confirmed positive blood donors,the positive rate in Qintang District was the highest,and the positive rate in Gangbei District was the lowest.Univariate data analysis showed that the proportion of males,age,junior high school education and below,farmers,blood donation times 0 to 3 times,Qintang District and Guiping City in the positive group were significantly higher than those in the negative group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that the number of blood donations(OR=1.800),occupation(OR=1.578),and education(OR=1.937)were independent influencing factors of HIV positivity(P<0.05).Conclusion From 2018 to 2021,the HIV-positive infection rate of blood donors in Guigang City,Guangxi Zhuang Autonomous Region is significantly higher than the national average.Occupation,blood donation frequency and education are independent risk factors,and focus on high-risk groups and increase publicity efforts to ensure blood safety.
作者
林国奎
LIN Guokui(Central Blood Station of Guigang,Guangxi Zhuang Autonomous Region,Guigang 537100,China)
出处
《中国医药导报》
CAS
2022年第23期36-39,共4页
China Medical Herald
基金
国家卫生健康委“十四五”规划重点项目(YYWS3792)。
