四川省凉山州彝族农村未婚青少年HIV影响因素多重对应分析  

Multiple correspondence analysis of HIV influencing factors of unmarried adolescents in Yi nationality in Liangshan Prefecture of Sichuan Province

作　　者：吉克春农 裴容 杨淑娟 余刚[1] 南磊[1] 王启兴[1] 廖强[1] 肖琳[1] 张素华 张建新 边绍勇 龚煜汉[1] 王科[1] 王菊[1] 边仕超[1] JI Ke-chun-nong;PEI Rong;YANG Shu-juan;YU Gang;NAN Lei;WANG Qi-xing;LIAO Qiang;XIAO Lin;ZHANG Su-hua;ZHANG Jian-xin;BIAN Shao-yong;GONG Yu-han;WANG Ke;WANG Ju;BIAN Shi-chao(Liangshan Center for Disease Control and Prevention,Xichang 615000,China)

机构地区：[1]凉山州疾病预防控制中心,四川西昌615000 [2]四川大学华西公共卫生学院(华西第四医院),四川成都610041

出　　处：《现代预防医学》2018年第20期3649-3653,共5页Modern Preventive Medicine

基　　金：国家自然科学基金(81703279);凉山州彝族聚居地易地搬迁式精准扶贫对艾滋病感染风险的影响及防控模式的卫生经济学评价(H170614);凉山州艾滋病防治项目(H161236);四川省卫生和计划生育委员会科研课题(16PJ259)

摘　　要：目的分析凉山州地区14～25岁彝族农村未婚青少年HIV感染现状及其影响因素。方法收集2011-2016年布拖县、昭觉县、甘洛县、金阳县、越西县5个彝族聚集县艾滋病哨点监测资料,采用Epidata 3.1软件和SPSS 21.0软件进行数据的录入和整理,统计分析采用非条件Logistic回归和多重对应分析方法。结果 2011-2016年共检测14～25岁彝族农村未婚青少年9 262人,阳性检出率2.98%(276/9262)。多因素Logistic回归显示男性(OR=1.60,95%CI=1.21～2.11)、文盲(OR=3.38,95%CI=2.27～5.03)、小学(OR=1.94,95%CI=1.36～2.77)、外出务工(OR=1.61,95%CI=1.20～2.15)、注射吸毒(OR=1.60,95%CI=1.21～2.11)的彝族农村未婚青少年感染HIV的风险相对较高。多重对应分析显示外出务工、性行为、注射吸毒、23～25岁与HIV阳性之间有较强的关联。结论凉山州14～25岁彝族农村未婚青少年HIV感染形势严峻,感染因素多样化。针对彝族农村未婚青少年HIV的防控需着眼于全局,多方面介入,将艾滋病防治与治愚、治毒、治穷结合起来。Objective To analyze HIV infection related factors among 14-25 years rural unmarried Yi adolescents in Liangshan Yi Autonomous Region from 2011 to 2016. Methods HIV sentinel surveillance data from 2011 to 2016 in five prefectures （Butuo, Zaojue, Ganluo, Jinyang and Yuexi） were collected, Epidata3.1 and SPSS21.0 were used to process the data, and logistic regression and multiple correspondence analysis were used for data analysis. Results A total number of 9262 qualified rural unmarried Yi adolescents were involved in this study from 2011 to 2016 with the infection rates of HIV at 2.98% （276/9262）. Logistic regression analysis indicated that males （OR=1.60, 95%CI=1.21-2.11）, illiteracy（OR=3.38, 95% CI=2.27-5.03）, highest education of primary school （OR=1.94, 95%CI=1.36-2.77）, a history of out-migration for work （OR=1.61, 95%CI=1.20-2.15）, a history of IV-drug use （OR=1.60, 95%CI=1.21-2.11） contributed to the risk of infection with HIV. Muhipie correspondence analysis showed that there was a strong association between migrant workers, sexual behavior, injecting drug use, age of 23-25 and HIV positivity. Conclusion HIV infection among the 14-25 years-old rural unmarried Yi adolescents in Liangshan prefecture is severe. HIV prevention and control in this group should take into consideration of the whole situation, simultaneously improving education, controlling drug use and improving local economic level.

关 键 词：HIV 青少年 彝族 哨点监测 危险因素 

分 类 号：R181.2[医药卫生—流行病学]