跨境缅甸籍女性性工作者HIV感染及其影响因素分析  

HIV Infections among Cross-border Burmese Commercial Sex Workers in China and Related Factors

作　　者：吴霞[1] 朵林[2] 张苗云 李双花 薛皓铭 李洪[5] WU Xia;DUO Lin;ZHANG Miaoyun;LI Shuanghua;XUE Haoming;LI Hong(The Fourth Affiliated Hospital of Kunming Medical University,Kun Mming,650228 China)

机构地区：[1]昆明医科大学第四附属医院,昆明650228 [2]云南省第二人民医院 [3]瑞丽市防艾局 [4]云迪减少伤害网络 [5]云南省疾病预防控制中心

出　　处：《解放军预防医学杂志》2017年第12期1560-1561,1594,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：艾滋病亚洲区域项目

摘　　要：目的了解跨境缅甸籍女性性工作者的HIV感染情况及其影响因素,为跨境人员HIV干预工作提供科学依据。方法 2011年7月1日至9月30日期间,典型抽样抽取暂住于瑞丽市姐告特区的缅甸籍女性性工作者,由经培训的双语外展人员用自行设计并经预实验修正的问卷进行现场调查,内容包括人口学特征、艾滋病知识、高危性行为、毒品使用情况等。同时采集血样进行HIV检测。结果共调查100名缅甸籍女性性工作者,8人(8.0%)HIV阳性,平均年龄22.0±6.0岁;65.0%未婚,59.0%小学及以下文化水平。性传播及安全套保护作用的知晓率分别为81.0%和57.0%。通常情况下,发生性行为不使用安全套的对象国籍分布为缅甸籍(67.5%)高于中国籍(32.5%)。HIV感染影响因素Logistic回归分析显示变量X6(过去一年在缅甸安全套使用情况)是HIV感染的影响因素(P=0.048,OR=2.293)。结论跨境缅甸籍女性性工作者HIV感染率高,艾滋病性传播及安全套保护作用相关知识知晓率较低,与中国籍和缅甸籍性伴均发生高危性行为,是造成艾滋病跨境及区域传播的重要危险因素之一,纳入中方一侧当地综合干预并开展跨境合作十分重要。Objective To find out about HIV infections among cross-border Burmese CSWs and related influencing factors in order to provide evidence for the next stage intervention.Methods Between July 1th and September 30th in 2011,typical sampling was selected from cross-border Burmese CSWs living in Jiegao District of Ruili.A field survey was carried out by bilingual workers using self-designed questionnaires.The contents included demographic features,HIV related sexual transmission and condom protection knowledge,and high risk behavior.Blood was tested for HIV at the same time.Results One hundred respondents were investigated.The HIV positive rate was 8.0%.The mean age of these CSWs was 22.0±6.0,and 65.0%of them were unmarried.The education level of 59%of these respondents was below the elementary school.The knowledge rate of sex transmission and condom protection was 81%and 57%respectively.Usually,more Burmese(67.5%)refused to use condoms than the Chinese(32.5%).Logistic analysis indicated HIV infections were mostly related to failure to use condomsin Myanmar(P=0.048,OR=2.293).Conclusion Cross-border Burmese CSWs show a high incidence of HIV infections and has a comparably poor knowledge of HIV sexual transmission and condom protection.Risk sexual behavior exists among sexual partners from different countries,which is one of the major risk factors for cross-border and regional transmission of HIV.Local comprehensive interventions on the Chinese side and cross-border cooperation are important.

关 键 词：缅甸籍 女性性工作者 HIV 影响因素 

分 类 号：R152.91[医药卫生—营养与食品卫生学]