云南省德宏州外出务工返乡人员HIV感染及相关卫生服务状况  

HIV Prevalence and Related Health Services Among Returning Migrant Workers in Dehong Prefecture, Yunnan Province

作　　者：杨玲[1] 许娟[2] 濮永成[3] 曹东冬 李维美[5] 杨忠桔[6] 聂永英 杨世江[1] 叶润华[1] 杨跃诚[1] 邵晓丹[8] 段松[1] 何纳[8] 

机构地区：[1]德宏州疾病预防控制中心,云南德宏州678400 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [3]陇川县疾病预防控制中心,云南陇川678700 [4]芒市疾病预防控制中心,云南芒市678400 [5]梁河县疾病预防控制中心,云南梁河679200 [6]瑞丽市疾病预防控制中心,云南瑞丽678600 [7]盈江县疾病预防控制中心,云南盈江679300 [8]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

出　　处：《中国初级卫生保健》2011年第11期12-15,共4页Chinese Primary Health Care

基　　金：国家"十一五"传染病科技重大专项重点人群减少艾滋病感染预防技术研究(2008ZX10001-003)

摘　　要：目的了解云南省德宏州外出务工人群的艾滋病病毒(HIV)感染状况及危险因素,为制订艾滋病防治策略提供依据。方法 2010年以乡镇为单位,随机抽取返乡的外出务工人员进行问卷调查和HIV血清学检测。结果 2260名外出返乡务工人员的HIV感染率为0.9%,过去一年未获得艾滋病防治卫生服务的比例为43.5%。多因素分析显示,景颇族HIV感染风险高于汉族,小学及以下文化程度者HIV感染风险高于初中及以上者,外出务工时间超过半年者感染HIV风险高于未超过半年者,曾经有性病史的研究对象HIV感染风险高于无性病史者。结论云南省德宏州外出返乡务工人员特别是景颇族、文化程度低、外出务工时间长及有性病史者HIV感染率较高;外出务工人员未获得艾滋病防治服务的比例较高。今后要加强对外出务工人员的艾滋病防治工作,并强化对其中感染风险高的亚风险人群的干预力度。OBJECTIVE To investigate the prevalence of HIV infection and AIDS-related health services among returning migrant workers in Dehong Prefecture. METHODS Participants were recruited from all of the five counties using a stratified random sampling method. A face-to-face anonymous questionnaire interview was administrated and HIV antibody testing and counseling were provided. RESULTS Among the total of 2 260 participants, 0.9% were HIV-infected and 43.5% did not receive any AIDS-related health services in the past year. Multiple logistic regression analysis indicated that HIV prevalence was higher among Jingpo minority people, illiterates or those with primary school education, those having a half year or longer period of migration, and those having history of sexually transmitted diseases. CONCLUSION The HIV prevalence among returning migrant workers in Dehong Prefecture was relatively high, especially among certain subgroups. However, the proportion of receiving AIDS-related health services was relatively low. More efforts are needed for AIDS prevention and intervention targeting at migrant workers and certain subgroups in particular.

关 键 词：外出务工人员 艾滋病 感染 卫生服务 

分 类 号：R512.91[医药卫生—内科学]