2017―2018年德宏傣族景颇族自治州新报告缅甸籍HIV感染者高危行为调查  

High-risk behavior survey of 2017-2018 Dehong Dai Jingpo autonomous prefecture newly reported Burmese HIV infected people

作　　者：杨跃诚 赵好 李林 曹艳芬 叶润华 姚仕堂 王继宝 韩孟杰[2] 何纳[3] 段松 YANG Yue-cheng;ZHAO Hao;LI Lin;CAO Yan-fen;YE Run-hua;YAO Shi-tang;WANG Ji-bao;HAN Meng-jie;HE Na;DUAN Song(Department for STD and AIDS Prevention and Control,Dehong Prefecture Center for Disease Control and Prevention,Mangshi 678400,China;National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Department of Epidemiology,School of Public Health,and the Key Laboratory of Public Health Safety of Ministry of Education,Fudan University,Shanghai 200032,China)

机构地区：[1]德宏傣族景颇族自治州疾病预防控制中心,艾滋病性病防制科,芒市678400 [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 [3]复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海200032

出　　处：《中华疾病控制杂志》2020年第12期1376-1381,共6页Chinese Journal of Disease Control & Prevention

基　　金：国家重点地区艾滋病防治项目(2004年);国家科技重大专项(2018ZX10715006-001);国家自然科学基金(81773485)。

摘　　要：目的了解2017年1月—2018年12月云南省德宏傣族景颇族自治州(德宏州)新报告缅甸籍人类免疫缺陷病毒(human immunodeficiency virus, HIV)感染者的一般人口学特征和高危行为的特征。方法对2017―2018年新报告的缅甸籍感染者进行横断面调查,收集其一般人口学信息、入境相关信息和高危行为发生情况等信息。结果本次共调查1 208例缅甸籍HIV感染者,其中男性820例(67.88%),女性388例(32.12%);年龄≥30岁占58.1%(702例),小学及以下文化程度占70.1%(847例),持证边民证/护照入境占73.5%(888例),来自克钦邦、掸邦和曼德勒省占79.06%(955例)。15.89%(192/1 208)的男性和0.58%(7/1 208)的女性在德宏境内有过吸毒行为;16.22%(133/820)男性和36.1%(140/388)的女性在德宏境内发生过无保护性行为。多因素Logistic回归分析模型结果显示:小学及以下学历、通过便道/其它方式入境、来自克钦邦和掸邦是男性发生吸毒行为的危险因素;女性、≥30岁、持证边民证/护照入境和1年内往返次数≥6次是在德宏境内发生无保护性行为危险因素。结论缅甸籍HIV感染者多为青壮年,文化程度较低,德宏境内发生高危行为的比例高,德宏州要巩固现有的艾滋病防治工作成效,管理好境内缅甸籍HIV感染者。Objective To study the general demographic characteristics and high-risk behaviors of HIV infected Burmese newly reported from 2017 to 2018 in Dehong Dai Jingpo autonomous prefecture(Dehong Prefecture) of Yunnan Province. Methods A cross-sectional survey was conducted among the newly reported Burmese infected persons from 2017 to 2018 to collect general demographic information, entry related information and information on the occurrence of high-risk behaviors. Results A total of 1 208 HIV infected Burmese were investigated, including 820 males(67.88%)and 388 females(32.12%);58.1%(702 cases) ≥30 years old, 70.1%(847 cases) with primary school and below, 73.5%(888 cases) with border card/passport, 79.06%(955 cases) from Kachin, Shan and Mandalay provinces;15.89%(192/1 208) of men and 0.58%(7/1 208) of women had drug abuse behavior in Dehong.16.22%(133/820) men and 36.1%(140/388) women had unprotected sexual behavior in Dehong. The results of multivariate Logistic regression analysis showed that primary school and below, entry by road/other means, coming from Kachin state and Shan state were risk factors for male drug abuse behavior. Female, ≥30 years old, entry with certificate/passport, and the number of round trips ≥6 times in a year were risk factors for unprotected sex in Dehong. Conclusions Burmese HIV-infected people are mostly young and middle-aged, with a low education level, and a high proportion of high-risk behaviors in Dehong. Prefecture should consolidate the effectiveness of the existing AIDS prevention work and manage well the Burmese HIV-infected people.

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 艾滋病病毒感染者 缅甸籍 高危行为 

分 类 号：R181.2[医药卫生—流行病学]