沧源县女性与男性HIV感染途径对比调查  

The investigation about the route of infection among male and female HIV positives, Cangyuan County

作　　者：刘文骏[1,2] 赵娅萍 罗志 杨佳 陈怡蓉[1,2] 杨麟[1,2] 李洪[4] 朵林[5] 

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]昆明云迪行为与健康研究中心,云南昆明650228 [3]沧源县艾滋病防治办公室,云南沧源677400 [4]云南省疾病预防控制中心,云南昆明650021 [5]云南省第二人民医院,云南昆明650021

出　　处：《现代预防医学》2015年第7期1316-1318,共3页Modern Preventive Medicine

基　　金：艾滋病亚洲区域项目(HAARP);云迪减少伤害网络(YDHR)支持

摘　　要：目的了解沧源县女性与男性HIV感染途径异同点,为考虑性别策略条件下的干预措施提供依据。方法横断面调查,2005年11月-2013年9月,沧源县医院所有接受抗病毒治疗者整群抽样。问卷收集人口学信息,感染途径,配偶HIV感染情况等,结合个人深入访谈。数据结果用Excel进行录入,用SPSS17.0进行数据分析。结果共调查784人,其中女性410人(占52.3%),女性中佤族占80.7%,按民族指标男女对比χ2=4.44,P>0.05,差异无统计学意义;女性72.9%已婚,小学及以下学历49.3%,农民60.5%,89.3%女性经性途径感染,按感染途径指标男女对比χ2=130.51,P<0.001;女性接受治疗者中,32.4%男性配偶为HIV阳性,与男性感染者配偶对比P>0.05,无统计学差异。结论沧源县少数民族普通人群中不安全高危性行为十分常见,在感染者中以性传播为主,尤其以女性最为突出,HIV感染者配偶间相互传播现象普遍。强化性行为干预十分必要。Objective To understand the common and different routes of HIV infection between male and female in Cangyuan County, and to provide basis for gender-based intervention. Methods Cross sectional survey was made from November 2005 to September 2013, including all receiving antiretroviral treatment local patient in Cangyuan County Hospital. The questionnaire collected the information of demographic, routes of infection, and spouse＇s HIV infection. The patients were surveyed by in-depth individual interview at the same time. The data was inputted by Excel, and analyzed by SPSS 17.0. Results A total of 784 HIV positive, including 410（52.3%） female, was investigated. Wa female accounted for 80.7%. There was no statistical difference between male and female according to the ethnic factor（χ2=4.44, P0.05）.The female who were married, under primary school,farmers were 72.9%, 49.3%, 60.5%, respectively. 89.3% female were transmitted by sex. There was significant statistical difference between male and female according to the route of infection（χ2=130.51, P0.001）. Among all the receiving antiretroviral treatment female, whose spouses were HIV positive accounted 32.4%. Compared with male, there was no statistical difference（P0.05）.Conclusion Unsafe sexual behavior is very common in the minority general population in Cangyuan County. The patients, especially female, were mainly infected by sex. It is common for spouses infect each other by sex. It is necessary to strengthen the high-risk sexual behavior intervention

关 键 词：佤族女性 HIV感染途径 调查 

分 类 号：R195[医药卫生—卫生统计学]