An Observational Study on HIV and Syphilis Rates and Associated Risk Factors among Elderly Men in Wuxi, China.

IF 0.8 4区医学 Q4 IMMUNOLOGY

Current HIV Research Pub Date : 2023-01-01 DOI:10.2174/1570162X21666230123154718

Hao Huang, Yuxin Cao, Min Li, Yining Bao, Sarah Robbins, Minjie Chu, Jing Gu, Xiaojun Meng, Xun Zhuang

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引用次数: 0

Abstract

Background: Acquired Immune Deficiency Syndrome (AIDS) remains a nationwide health problem in China; there were a reported 1,045,000 people living with Human immunodeficiency virus (HIV)/AIDS by the end of October 2020, and the proportion of individuals aged 50 years and older living with HIV has also increased from 8% to 24% over the past two decades.

Methods: A cross-sectional study and an 1:2 matched case-control study were conducted from July to August 2016, in Wuxi city, eastern China. A total of 1,000 men aged 50 years and older completed a face-to-face interview regarding their AIDS-related knowledge and attitudes, as well as risk behaviors.

Results: Prevalence was 0.1% for HIV and 2% for syphilis. The awareness rate of AIDS-related knowledge among elderly men was 48.9% (range 40.7%-63.9%). The 1꞉2 matched case-control study indicated that only the AIDS-related attitudes were different between the two groups (χ²=8.726, P=0.013), the conditional logistic regression analysis indicated that scores of AIDS health knowledge were the only significant prognostic factor for the infection (HR=0.754 (0.569- 0.999), P=0.049).

Conclusion: It was crucial to prevent HIV/AIDS and syphilis infections by improving the awareness of AIDS-related knowledge and changing related attitudes among the elderly. Further research aimed at identifying how these factors impact their sexual decision-making can shed valuable insight into further prevention program in this population.

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无锡市老年男性HIV和梅毒感染率及相关危险因素的观察性研究

背景:获得性免疫缺陷综合征(AIDS)在中国仍然是一个全国性的健康问题。据报告，截至2020年10月底，有1,045,000人感染了人类免疫缺陷病毒(艾滋病毒)/艾滋病，在过去二十年中，50岁及以上人群感染艾滋病毒的比例也从8%增加到24%。方法:2016年7 - 8月在中国东部无锡市进行横断面研究和1:2匹配病例对照研究。共有1000名年龄在50岁及以上的男性完成了一项面对面的访谈，内容涉及他们的艾滋病相关知识和态度，以及风险行为。结果:HIV感染率为0.1%，梅毒感染率为2%。老年男性艾滋病相关知识知晓率为48.9%(40.7% ~ 63.9%)。1 2配对病例对照分析结果显示，两组间仅艾滋病相关态度存在差异(χ2=8.726, P=0.013);条件logistic回归分析结果显示，艾滋病健康知识得分是影响感染的唯一显著因素(HR=0.754 (0.569 ~ 0.999)， P=0.049)。结论:提高老年人艾滋病相关知识的认识，改变老年人对艾滋病和梅毒的态度，是预防艾滋病和梅毒感染的关键。进一步的研究旨在确定这些因素是如何影响他们的性决策的，可以为这一人群的进一步预防计划提供有价值的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV Research 医学-病毒学

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current HIV Research covers all the latest and outstanding developments of HIV research by publishing original research, review articles and guest edited thematic issues. The novel pioneering work in the basic and clinical fields on all areas of HIV research covers: virus replication and gene expression, HIV assembly, virus-cell interaction, viral pathogenesis, epidemiology and transmission, anti-retroviral therapy and adherence, drug discovery, the latest developments in HIV/AIDS vaccines and animal models, mechanisms and interactions with AIDS related diseases, social and public health issues related to HIV disease, and prevention of viral infection. Periodically, the journal invites guest editors to devote an issue on a particular area of HIV research of great interest that increases our understanding of the virus and its complex interaction with the host.