德宏州盈江县2011-2015年暗娼HIV感染率及其影响因素  

HIV infection and the influencing factors among female sex workers in Yingjiang,Dehong prefecture during 2011-2015

作　　者：聂永英 孙坤 思志生 黄斌 杨炳丽[1] 陈绍丽 杨建华[1] 余顺俊 杨增源[1] 王继娇 

机构地区：[1]盈江县疾病预防控制中心,云南盈江679300 [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

出　　处：《中国艾滋病性病》2017年第10期914-917,共4页Chinese Journal of Aids & STD

摘　　要：目的了解德宏州盈江县暗娼人群中艾滋病病毒(HIV)感染率及其影响因素。方法采用横断面调查方法,于2011-2015年间,对盈江县娱乐场所暗娼进行问卷调查,收集人口学特征、高危行为、吸毒史、性病发生史等相关信息;并采集血样进行HIV抗体检测。采用Logistic回归模型分析HIV感染的危险因素。结果 2011-2015年盈江县共调查暗娼2 593人,全部纳入研究,共发现HIV抗体阳性35例,其中外籍占60.0%(21/35),平均HIV感染率为1.3%。2011-2015年,暗娼人群各年的HIV感染率分别为2.8%、2.5%、1.4%、0.2%和0.8%。Logistic多因素回归分析显示:户籍、民族、婚姻状态、工作场所档次、此次此地工作时间、最近一个月与客人发生性行为时安全套使用频率,与暗娼人群的HIV感染率有统计学关联;离异或丧偶者[比值比(OR)=6.15,95%可信区间(CI):2.11~17.91]、外籍者(OR=7.06,95%CI:2.89~17.23)及未坚持使用安全套者(OR=7.52,95%CI:2.14~26.37)感染HIV风险高。结论盈江县暗娼人群HIV感染率平均水平较低,但外籍者、中低档暗娼感染率高,且低档暗娼逐年增加,中档逐年减少。在以后的工作中,除继续推广100%使用安全套外,还应重点加强低档及跨境外籍暗娼的干预管理。Objective To examine the prevalence and impact factors of HIV infection among female sex workers （FSW） in Yingjiang county, Dehong prefecture. Methods A cross-sectional study was conducted to collect infor- mation about the demographic characteristics, history of high-risk behavior, drug use, sexually transmitted diseases among FSW in the entertainment places during 2011-2015, and blood samples were gathered for HIV antibody tes- ting. Logistic regression model was used to analyze the risk factors of HIV infection. Results A total of 2593 FSW respondents was under investigation. 35 cases were detected as HIV positive, with 60% （21/35） of the foreigners, and 1.3% of the average HIV infection rate. The HIV prevalence was 2.8%, 2.5%, 1.4%, O. 2% and 0.8% from 2011 to 2015. Logistic regression analysis revealed that some factors statistically associated with HIV prevalence in- cluded registered residence, ethnic groups, marital status, condom use, level of the establishments, and length of working locally. The risks of HIV infection were higher among the FSW divorced or widowed （OR= 6.15, 95%CI： 2.11-17.91 ）, the foreigners （OR = 7.06, 95% CI ： 2.89-17.23） and others without consistently using condoms （OR =7.52, 95%CI： 2.14-26.37）. Conclusion The HIV prevalence among FSW in Yingjiang is relatively low. How- ever, the HIV prevalence is much higher among the foreign FSW and FSW working in the low level of the establish- ments. In the future, we need to further strengthen ＂100 % condom use in a commercial sex＂ and the management of intervention among cross-border foreign female sex workers and FSW in the low level of the establishments.

关 键 词：艾滋病病毒 暗娼 影响因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]