广西HIV/TB双重感染影响因素调查  

Investigation on the influencing factors of co-infection of HIV /TB in Guangxi

作　　者：玛杜 梁冰玉[1] 黄颉刚[1] 蒋俊俊[1] 潘沛江 苏锦明[1] 李彧[1] 杨小艺[1] 周波[1] 叶力[1] 谢志满[2] 欧汝志[2] 卢祥婵[2] 梁浩[1] 

机构地区：[1]广西医科大学公共卫生学院,广西艾滋病防治研究重点实验室,广西南宁530021 [2]南宁市第四人民医院感染科,广西南宁530023

出　　处：《中华疾病控制杂志》2014年第5期375-378,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金资助项目(81171624);广西重点实验室资助计划(桂科基字[2013]27号)

摘　　要：目的了解广西艾滋病（acquired immunodenciency syndrome，AIDS）／结核病（tuberculosis，TB）双重感染影响因素，为针对该人群的健康教育和健康策略的制定提供参考依据。方法对来自广西南宁市第四人民医院AIDS治疗门诊和感染科住院部就诊和住院的人类免疫缺陷病毒（human immunodenciency virus，HIV）单纯感染者、TB单纯感染者和HIV／TB双重感染者进行面对面问卷调查，并用Logistic回归分析双重感染的影响因素。结果174名被调查对象中，AIDS单纯感染者83人（47．7％），TB单纯感染者56人（32．2％），HIV／TB双重感染者35人（20．1％）；与HIV组比较，HIV／TB双重感染和以下因素有关：了解TB免费治疗政策（OR=2．85，95％CI：1．03～7．85）、接受过有关预防AIDS宣教咨询等服务（OR=0．17，95％CI：0．06～0．49）；与TB组比较，HIV／TB双重感染和以下因素有关：现居住地在钦州百色或其他地区（OR=3．44，95％CI：1．26—9．42）、仅通过医生、医院咨询服务了解AIDS（OR：3．68，95％CI：1．28～10．56）。结论应加强社会对AIDS和TB的宣教工作和血液的管理，注意把两种疾病联合进行预防。Objective To explore influencing factors of co-infection of HIV and TB in Guangxi, and to provide references for the promotion of health education and the formulation of health strategies. Methods A questionnaire survey was conducted at HIV treatment clinic from the city of Nanning, Baise and Qinzhou by face-to-face conversations. The re- spondents were divided into 3 groups, including single HIV-l-infected patients （HIV group） , single TB-infected patients （TB group） and HIV/TB co-infected patients （HIV/TB group）. The questionnaire was designed in term of general demo- graphic characteristics and factors that contribute to HIV and TB infection. By comparing HIV/TB group and other groups respectively, univariate and muhivariate logistic regression were used to analyze the factors associated with HIV/TB co-in- fection. Results 174 respondents were recruited, including 83 （47.7%） of single HIV-1 infection, 56 （32. 2% ） of sin- gle TB infection, and 35 （20. 1% ） including of HIV/TB co-infection. Compared with HIV group, HIV/TB co-infection was statistically significantly associated with knowledge of the policy of free TB treatment （ OR = 2. 85, 95% CI： 1.03- 7.85 ） , and having received HIV/AIDS counseling service （ OR =0. 17, 95% CI：0. 06-0.49）. Compared with TB group, HIV/TB co-infection was significantly associated with living in Qingzhou, Basise Areas （ OR = 3.44, 95% CI： 1.26- 9.42 ）, and knowledge of HIV/AIDS mostly from hospital consulting （ OR = 3.68, 95% CI： 1.28-10. 56）. Conclusions The social public health education of both AIDS and TB should be improved. The way of HIV/TB transmission via blood transfusion should be kept in heightened alertness.

关 键 词：获得性免疫缺陷综合征 广泛耐药结核 数据收集 

分 类 号：R512.91[医药卫生—内科学] R181[医药卫生—临床医学]