德宏傣族景颇族自治州跨境婚姻家庭HIV感染率及影响因素分析  

Prevalence and correlates of HIV infection among cross-border families in Dehong Dai and Jingpo Autonomous Prefecture

作　　者：杨跃诚 李自慧 李林 叶润华 侯研 汪沉波 许所菊 王继娇 刘英[7] 王继宝 姚仕堂 丁盈盈[2] 何纳[2] 段松 Yang Yuecheng;Li Zihui;Li Lin;Ye Runhua;Hou Yan;Wang Chenbo;Xu Suoju;Wang Jijiao;Liu Ying;Wang Jibao;Yao Shitang;Ding Yingying;He Na;Duan Song(Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention,Mangshi 678400,China;Department of Epidemiology,School of Public Health,Key Laboratory of Public Health Safety,Ministry of Education,Fudan University,Shanghai 200032,China;Mangshi City Center for Disease Control and Prevention,Mangshi 678400,China;Ruili City Center for Disease Control and Prevention,Ruili 678600,China;Longchuan County Center for Disease Control and Prevention,Longchuan 678700,China;Yingjiang County Center for Disease Control and Prevention,Yingjiang 679300,China;Lianghe County Center for Disease Control and Prevention,Lianghe 679200,China)

机构地区：[1]德宏傣族景颇族自治州疾病预防控制中心,芒市678400 [2]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 [3]芒市疾病预防控制中心,678400 [4]瑞丽市疾病预防控制中心,678600 [5]陇川县疾病预防控制中心,678700 [6]盈江县疾病预防控制中心,679300 [7]梁河县疾病预防控制中心,679200

出　　处：《中华流行病学杂志》2021年第4期683-689,共7页Chinese Journal of Epidemiology

基　　金：国家艾滋病防治重点地区专项;国家科技重大专项(2018ZX10715006-001,2018ZX10721102-004)。

摘　　要：目的了解德宏傣族景颇族自治州(德宏州)跨境婚姻家庭HIV感染现状及影响因素。方法2017年5月至2018年6月,以17594户登记在册的跨境婚姻家庭为研究对象,开展全员筛查为目标的横断面调查,以问卷形式收集调查对象的信息,并同时进行HIV抗体检测。结果有32400名研究对象完成HIV抗体检测,HIV感染率为2.27%(736/32400),中国籍和缅甸籍的HIV感染率分别为2.44%(375/15372)和2.12%(361/17028)。夫妻双方HIV检测结果均已知的13853户跨境婚姻家庭中,双阴性、双阳性和单阳性家庭数分别为13415(96.84%)、142(1.03%)和296户(2.13%),单阳性家庭分为仅丈夫阳性家庭167户(1.20%)和仅妻子阳性家庭129户(0.93%)。多因素logistic回归分析结果显示,跨境婚姻家庭中,丈夫感染HIV的主要危险因素为吸毒史和高危性行为史,而妻子感染HIV的主要危险因素为高危性行为史。结论德宏州跨境婚姻家庭的HIV感染率较高,需加强HIV检测、预防和行为干预工作。Objective To study the prevalence and correlations of HIV infection among cross-border couples in the Dehong prefecture.Methods A cross-sectional mass screening study with questionnaire interview and HIV testing was conducted among 17594 registered cross-border couples from May 2017 through June 2018.Results Among 32400 participants,the overall prevalence of HIV infection was 2.27%(736/32400),2.44%(375/15372)for Chinese citizens,and 2.12%(361/17028)for foreign spouses.Among all the 13853 couples with both spouses receiving HIV testing,13415(96.84%)were seroconcordant-negative couples,142(1.03%)were serocondordant-positive couples,and 296(2.13%)were serodiscordant couples,including 167(1.20%)couples with positive husband and negative wife and 129(0.93%)couples with positive wife and negative husband.Multiple logistic regression analyses indicated that HIV infection was associated with drug use and risky sexual behaviors for male spouses.In contrast,HIV infection was associated with risky sexual behaviors for female spouses.Conclusion The prevalence of HIV among cross-border couples in Dehong prefecture is high,underscoring the urgent need to scale up HIV testing,prevention,and behavioral intervention.

关 键 词：跨境婚姻 艾滋病病毒 感染率 影响因素 

分 类 号：R512.91[医药卫生—内科学]