德宏傣族景颇族自治州跨境婚姻家庭HIV感染率及影响因素分析

杨跃诚; 李自慧; 李林; 叶润华; 侯研; 汪沉波; 许所菊; 王继娇; 刘英; 王继宝; 姚仕堂; 丁盈盈; 何纳; 段松

Abstract

杨跃诚,李自慧,李林,叶润华,侯研,汪沉波,许所菊,王继娇,刘英,王继宝,姚仕堂,丁盈盈,何纳,段松.德宏傣族景颇族自治州跨境婚姻家庭HIV感染率及影响因素分析[J].Chinese journal of Epidemiology,2021,42(4):683-689

德宏傣族景颇族自治州跨境婚姻家庭HIV感染率及影响因素分析

Prevalence and correlates of HIV infection among cross-border families in Dehong Dai and Jingpo Autonomous Prefecture

Received:September 03, 2020

DOI：10.3760/cma.j.cn112338-20200903-01124

KeyWord: 跨境婚姻艾滋病病毒感染率影响因素

English Key Word: Cross-border couples HIV Infection prevalence Influencing factors

FundProject:国家艾滋病防治重点地区专项；国家科技重大专项（2018ZX10715006-001，2018ZX10721102-004）

Author Name	Affiliation	E-mail
Yang Yuecheng	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Li Zihui	Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China
Li Lin	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Ye Runhua	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Hou Yan	Mangshi City Center for Disease Control and Prevention, Mangshi 678400, China
Wang Chenbo	Ruili City Center for Disease Control and Prevention, Ruili 678600, China
Xu Suoju	Longchuan County Center for Disease Control and Prevention, Longchuan 678700, China
Wang Jijiao	Yingjiang County Center for Disease Control and Prevention, Yingjiang 679300, China
Liu Ying	Lianghe County Center for Disease Control and Prevention, Lianghe 679200, China
Wang Jibao	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Yao Shitang	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Ding Yingying	Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China
He Na	Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China	nhe@shmu.edu.cn
Duan Song	Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China

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Abstract:

目的了解德宏傣族景颇族自治州（德宏州）跨境婚姻家庭HIV感染现状及影响因素。方法 2017年5月至2018年6月，以17 594户登记在册的跨境婚姻家庭为研究对象，开展全员筛查为目标的横断面调查，以问卷形式收集调查对象的信息，并同时进行HIV抗体检测。结果有32 400名研究对象完成HIV抗体检测， HIV感染率为2.27%（736/32 400），中国籍和缅甸籍的HIV感染率分别为2.44%（375/15 372）和2.12%（361/17 028）。夫妻双方HIV检测结果均已知的13 853户跨境婚姻家庭中，双阴性、双阳性和单阳性家庭数分别为13 415（96.84%）、142（1.03%）和296户（2.13%），单阳性家庭分为仅丈夫阳性家庭167户（1.20%）和仅妻子阳性家庭129户（0.93%）。多因素logistic回归分析结果显示，跨境婚姻家庭中，丈夫感染HIV的主要危险因素为吸毒史和高危性行为史，而妻子感染HIV的主要危险因素为高危性行为史。结论德宏州跨境婚姻家庭的HIV感染率较高，需加强HIV检测、预防和行为干预工作。

English Abstract:

Objective To study the prevalence and correlations of HIV infection among cross-border couples in the Dehong prefecture. Methods A cross-sectional mass screening study with questionnaire interview and HIV testing was conducted among 17 594 registered cross-border couples from May 2017 through June 2018. Results Among 32 400 participants, the overall prevalence of HIV infection was 2.27% (736/32 400), 2.44% (375/15 372) for Chinese citizens, and 2.12% (361/17 028) for foreign spouses. Among all the 13 853 couples with both spouses receiving HIV testing, 13 415(96.84%) were seroconcordant-negative couples, 142(1.03%) were serocondordant-positive couples, and 296(2.13%) were serodiscordant couples, including 167(1.20%) couples with positive husband and negative wife and 129(0.93%) couples with positive wife and negative husband. Multiple logistic regression analyses indicated that HIV infection was associated with drug use and risky sexual behaviors for male spouses. In contrast, HIV infection was associated with risky sexual behaviors for female spouses. Conclusion The prevalence of HIV among cross-border couples in Dehong prefecture is high, underscoring the urgent need to scale up HIV testing, prevention, and behavioral intervention.

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