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云南省德宏傣族景颇族自治州2015年新报告缅甸籍HIV感染者高危行为调查
  • ISSN号:0254-6450
  • 期刊名称:《中华流行病学杂志》
  • 时间:0
  • 分类:R512.91[医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]德宏州疾病预防控制中心艾滋病性病防治科,芒市678400, [2]复旦大学公共卫生学院流行病学教研室、公共卫生安全教育部重点实验室,上海200032
  • 相关基金:国家重点地区艾滋病防治项目;国家科技重大专项(2013ZX10004-906,2012ZX10001001-004);国家自然科学基金(81373062)
中文摘要:

目的 了解云南省德宏傣族景颇族自治州(德宏州)缅甸籍HIV感染者相关人口统计学与高危行为特征。方法 以德宏州2015年新报告的缅甸籍感染者为研究对象,开展横断面调查,收集其入境德宏地区的目的、住宿地点、停留时间等社会人口统计学信息以及艾滋病高危行为发生情况。结果 共调查489例缅甸籍感染者,其中男性367例(75.1%);初中以下文化程度者407例(83.2%);371例(75.9%)来自与德宏州相邻的克钦邦和掸邦; 339例(69.3%)为务工/经商进入德宏州。23.3%(113/485)的感染者存在无保护性行为,多因素logistic回归分析显示,感染者发生无保护性行为的危险因素包括有配偶/固定性伴(OR=12.98,95%CI:6.53~25.83,P〈0.001),居住在打工场所(OR=2.88,95%CI:1.09~7.61,P=0.033)、出租屋(OR=5.36,95%CI:1.94~14.84,P=0.001)和自己家(OR=5.14,95%CI:1.36~19.35,P=0.016)。32.0%(156/487)的感染者有吸毒行为,多因素logistic回归分析结果显示,感染者发生吸毒行为的危险因素包括男性(OR=15.61,95%CI:6.47~37.69,P〈0.001),文盲(OR=2.89,95%CI:1.44~5.84,P=0.003),来自克钦邦(OR=3.01,95%CI:1.50~6.04,P=0.002)、掸邦(OR=5.30,95%CI:2.66~10.58,P〈0.001),经便道/其他方式入境(OR=1.93,95%CI:1.18~3.14,P=0.009),居住在亲友家(OR=5.78,95%CI:2.01~16.61,P=0.001)、打工场所(OR=6.67,95%CI:3.06~14.53,P〈0.001)、出租屋(OR=11.84,95%CI:4.76~29.47,P〈0.001)、自己家(OR=6.77,95%CI:1.84~24.85,P=0.004)。结论 德宏州内缅甸籍HIV感染者流动性大,感染状态知晓比例低而艾滋病相关高危行为发生率较高,给德宏州艾滋病防治工作带来巨大挑战,相关机构需积极探索有效的随访管理办法。

英文摘要:

Objective To study the AIDS-related socio-demographic characteristics and high risk behaviors of Burmese HIV-infected individuals, in Dehong prefecture, Yunnan province. Methods A cross-sectional study with questionnaire interview, was conducted. Results Features of the 489 HIV-infected individuals appearfed as:367(75.1%) males, 407(83.2%) illiterate or with primary education, 371(75.9%) from Kachin State or Shan State, 306(62.6%) visited Dehong twice or more per year, 238(48.7%) entered Dehong illegally, 339(69.3%) came to the city looking for jobs or working on cargo transportation, 309(63.2%) of them living in working place/rented house/own house, and 313(64.0%) with the length of stay shorter than six months. Only 36(7.4%) of the interviewees were aware of their HIV sero-positive status, with 23.3% of them (113/485) reported having had unprotected sex experiences in Dehong. Results from the multivariate logistic regression model analysis showed that HIV-infected individuals with the following characteristics:having spouses/regular sexual partners (OR=12.98, 95%CI:6.53-25.83, P〈0.001), living in working place (OR=2.88, 95%CI:1.09-7.61, P=0.033), living in rented houses (OR=5.36, 95%CI:1.94-14.84, P=0.001). Those living in their own houses (OR=5.14, 95%CI:1.36-19.35, P=0.016) were more likely to engage in unprotected sex. 32.0% (156/487) of the interviewees clained that they ever used drugs in Dehong, with 9.7% (47/487) of them sharing syringe. Data also showed that HIV-infected individuals who had the following feartures as:being male (OR=15.61, 95%CI:6.47-37.69, P〈0.001), illiterate (OR=2.89, 95%CI:1.44-5.84, P=0.003), coming from Kachin State (OR=3.01, 95%CI:1.50-6.04, P=0.002) or Shan State (OR=5.30, 95%CI:2.66-10.58, P〈0.001), illegal visiters (OR=1.93, 95%CI:1.18-3.14, P=0.009), living with friends/relatives (OR=5.78, 95%CI:2.01-16.61, P=0.001), living in working place (OR=6.67, 95%CI?

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期刊信息
  • 《中华流行病学杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中华医学会
  • 主编:
  • 地址:北京昌平区昌百路155号传染病所B115
  • 邮编:102206
  • 邮箱:lxbonly@public3.bta.net.cn
  • 电话:010-58900730
  • 国际标准刊号:ISSN:0254-6450
  • 国内统一刊号:ISSN:11-2338/R
  • 邮发代号:2-73
  • 获奖情况:
  • 1999年预防医学会优秀期刊一等奖,1996年中华医学会中华预防医学会优秀期刊奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),美国生物医学检索系统,日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:62798