| 朱靖,连大帅,殷玥琪,胡丹,汪宁,陈璐斯,王蓓.云南省河口瑶族自治县2014-2015年嫖客HIV感染相关因素分析[J].Chinese journal of Epidemiology,2019,40(4):440-445 |
| 云南省河口瑶族自治县2014-2015年嫖客HIV感染相关因素分析 |
| HIV prevalence and correlated factors on male clients of female sex workers in Hekou Yao autonomous county of Yunnan province, 2014-2015 |
| Received:October 30, 2018 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.04.013 |
| KeyWord: 艾滋病病毒 嫖客 商业性性行为 |
| English Key Word: HIV Male clients Commercial sex |
| FundProject:国家科技重大专项（2012ZX10001-001）；中央高校基本科研业务费专项；江苏省普通高校研究生科研创新计划（KYZZ_0077，KYZZ15_0059）；江苏省研究生科研与实践创新计划（KYCX17_0184） |
| Author Name | Affiliation | E-mail | | Zhu Jing | School of Public Health, Southeast University, Nanjing 210009, China | | | Lian Dashuai | School of Public Health, Southeast University, Nanjing 210009, China | | | Yin Yueqi | School of Public Health, Southeast University, Nanjing 210009, China | | | Hu Dan | School of Health Policy and Management, Nanjing Medical University, Nanjing 211116, China | | | Wang Ning | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Chen Lusi | School of Public Health, Southeast University, Nanjing 210009, China | | | Wang Bei | School of Public Health, Southeast University, Nanjing 210009, China | wangbeilxb@163.com |
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| Abstract: |
| 目的 了解2014-2015年云南省红河哈尼族彝族自治州河口瑶族自治县（河口县）嫖客HIV感染、相关危险行为及相关因素。方法 2014年6月至2015年11月在云南省河口县开展4次连续横断面调查，采用方便抽样方式招募嫖客作为研究对象。调查问卷收集嫖客人口学特征、性行为及吸毒行为等信息；采集血液和尿液样本检测HIV/STD及毒品使用。多因素logistic回归与Exhaustive CHAID分类树模型分析嫖客HIV感染相关因素。采用SPSS 22.0和Clementine 12.0软件进行统计学分析。结果 4次调查共有776名嫖客，HIV感染率为2.06%（16/776），与商业性性伴发生性行为时坚持使用安全套的嫖客占68.81%（534/776）。相比中国籍嫖客，越南籍嫖客吗啡阳性率较高且最近1个商业性性伴均为越南籍暗娼。多因素logistic回归分析结果表明，年龄≥ 50岁（与<30岁者相比，OR=8.11，95% CI：1.26~52.16）和吗啡尿检阳性（与吗啡尿检阴性者相比，OR=7.35，95% CI：1.42~38.06）是嫖客HIV感染风险的危险因素。分类树模型判断年龄≥ 50岁是男性嫖客HIV感染的首要相关因素。结论 云南省河口县嫖客的HIV感染风险受到毒品与商业性性行为的双重影响；≥ 50岁嫖客HIV感染率较高，干预工作需关注嫖客年龄较大者。 |
| English Abstract: |
| Objective To assess the prevalence and related factors of HIV infection among male clients of the female sex workers in Hekou Yao autonomous county of Honghe Hani Yi autonomous prefecture (Hekou county) in Yunnan province in China, 2014-2015. Methods Serial cross-sectional survey was conducted during June 2014 to November 2015. Convenience sampling methods were used to recruit the male clients for this study. Self-reported information on social-demographic characteristics, with sexual and drug behavior patterns, was gathered. Both blood and urine samples were collected for HIV, with for opiate testing. Multivariate logistic regression and Exhaustive CHAID method were used to determine the correlated factors associated with HIV infection. Statistical analysis was used by SPSS 22.0 software and Clementine 12.0 software. Results The overall HIV prevalence of male clients was 2.06% (16/776). Male clients who keep using condom with female sex worker was estimated as 68.81% (534/776). The last commercial sexual partner of Vietnamese male clients was all Vietnamese female sex workers. Compared with Chinese male clients, Vietnamese male clients have a higher rate of morphine positive. Factors as:age ≥ 50 years vs. age <30 years (OR=8.11, 95% CI:1.26-52.16) and testing for morphine positive vs. morphine negative (OR=7.35, 95% CI:1.42-38.06) were significantly associated with HIV infection through multiple logistic regression analysis. Through Exhaustive CHAID, it confirmed that age was the primary factor that associated with HIV infection of male clients. Conclusions Relationship between morphine and HIV infection indicated that HIV prevalence of male clients in Hekou county was influenced by the combined effect of both illegal drug use and commercial sexual behavior. Special attention should be paid to male clients over 50 years of age, on HIV intervention. |
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