少数民族流动人口艾滋病高危性行为与流动模式  

High-risk sexual behaviors for HIV/AIDS and migration mode among minority floating population

作　　者：胡健[1] 雷世光[2] 薛婧[1] 

机构地区：[1]贵州财经大学公共管理学院公共事业管理教研室,贵州贵阳550025 [2]贵州省疾病预防控制中心,贵州贵阳550025

出　　处：《现代预防医学》2014年第14期2578-2581,2587,共5页Modern Preventive Medicine

基　　金：教育部人文社科规划项目(11YJAZH034)

摘　　要：目的 了解少数民族流动人口艾滋病高危性行为现况，分析流动模式对艾滋病高危性行为的影响。方法 2012年7-10月，采用分阶段抽样方法，在贵州省兴义市、七星关区、威宁县少数民族流动人口就业集中的工厂、建筑工地、服务场所随机抽取845名有性交行为的流动人口进行艾滋病高危性行为一对一面访匿名问卷调查，统计分析采用多元Logistic逐步回归方法。结果 少数民族流动人口艾滋病高危性行为（商业性行为或临时性伴侣性行为或多性伴性行为）构成比为66.8%，高于汉族流动人口49.8%的艾滋病高危性行为构成比（P＜0.01）。不同民族、性别、年龄、婚姻状况、迁移类型、流动城市（镇）数等特征的流动人口艾滋病高危性行为比较，差异有统计学意义。苗族、布依族流动人口较汉族流动人口易发生艾滋病高危性行为，OR值分别为3.88，2.08；男性流动人口较女性流动人口、迁移类型为跨县或跨乡流动人口较跨省流动人口、流动城市（镇）数3个的流动人口较流动城市（镇）数1个的流动人口易发生艾滋病高危性行为，OR值分别为2.37，1.75，2.27，2.17；年龄≥35岁的流动人口较15～24岁的流动人口不易发生艾滋病高危性行为，OR值为0.55。结论 少数民族流动人口发生艾滋病高危性行为的概率高于汉族流动人口；迁移类型、流动城市（镇）数对艾滋病高危性行为有影响。Objective The aim of the study was to assess the current status on high-risk sexual behaviors for HIV/AIDS among minority floating population and to analyze the influence of migration mode on those behaviors. Methods Between July-October of 2012, stage-wise sampling was used to randomly select 845 sexually active temporary residents employed in minority concentrated factories, construction sites, and service establishments in Xingyi City, Qixingguan District, and Weining County in Guizhou Province. The subjects were one-on-one interviewed and surveyed anonymously on their high-risk sexual behaviors for HIV/AIDS. The results were statistically analyzed by multiple logistic stepwise regression. Results The constituent ratio of high-risk sexual behaviors for HIV/AIDS （including commercial sex or sex with temporary or multiple sex partners） among the minority temporary residents was 66.8%, higher than the 49.8% among the Han temporary residents （P〈0.01）. Statistically significant differences in high-risk sexual behaviors were observed between different ethnics, gender, ages, marital status, type of migration, and the number of migrated cities （towns）. Miao and Bouy temporary residents were more likely to conduct high-risk sexual behaviors for HIV/AIDS than Han temporary residents, with an OR value of 3.88 and 2.08, respectively. High-risk sexual behaviors for HIV/AIDS occurred more often in male over female temporary residents, in floating population migrated cross-county or cross-town over those migrated cross-province, and in floating population migrated to three different cities （towns） over those migrated only once, with the OR value being 2.37, 1.75, 2.27, and 2.17, respectively. Temporary residents over the age of 35 were less likely to conduct high-risk sexual behaviors for HIV/AIDS than those between the age of 15-24, with an OR value of 0.55. Conclusion Minority floating population has a higher tendency than Han floating population in conducting high-risk sexual behaviors for HIV/AIDS, and

关 键 词：少数民族 流动人口 艾滋病高危性行为 流动模式 

分 类 号：R183[医药卫生—流行病学]