Abstract: Objective To understand the new HIV-1 infection status and distribution characteristics of unpaid donors in Fuzhou area, and provide evidence for decision-making for blood collection and supply institutions to formulate HIV prevention and control strategies. Methods Samples from unpaid donors in Fuzhou area that were confirmed to be positive for HIV-1 antibody, were tested by LAg-Avidity EIA and BED assays between 2011 and 2018, and the characteristics of the recently infected donors were analyzed. Results A total of 109 confirmed HIV positive samples were collected from 2011 to 2018, and 43 cases of new HIV infections were determined. The proportion of new infections accounted for 39.45%. Among all newly infected donors, 95.35% were males and 4.65% were females; 69.76% were under 30-year-olds, and 30.24% were over 30-year-olds; 62.79% were high school or secondary technical school or above, 37.21% were under high school, and 25.58% were college students. Conclusion sThe majority of new HIV-1 infected donors in Fuzhou area were younger males with higher education, and corresponding prevention and control strategies should be adopted for specific groups of people when pre-donation counselling and recruitment.

Key words: Human immunodeficiency virus, Recent infection, Blood donors