2017-2019年芒市跨境婚姻人群接受HIV相关卫生服务调查  

Analysis on HIV-related health services among people with cross-border marriages in Mangshi county,Yunnan province from 2017 to 2019

作　　者：徐翠萍 杜本丽 侯研 师乃丽 杨跃诚[2] 单多[3] XU Cuiping;DU Benli;HOU Yan;SHI Naili;YANG Yuechen;SHAN Duo(Mangshi County Center for Disease Control and Prevention,Mangshi 678400,China;Dehong Dai and Jingpo Autonomous Prefecture Center'for Disease Control and Prevention,Dehong 678400;National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206)

机构地区：[1]云南省德宏州芒市疾病预防控制中心,云南芒市678400 [2]云南省德宏州疾病预防控制中心,云南德宏678400 [3]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》2022年第2期177-180,共4页Chinese Journal of Aids & STD

摘　　要：目的了解云南省德宏州芒市跨境婚姻人群一般特征和接受HIV相关服务情况,为预防HIV在该人群中传播提供基础。方法通过横断面调查,2017-2019年,对云南省德宏州芒市所有跨境婚姻人群开展问卷调查。问卷内容包括基本人口学特征、艾滋病知识知晓情况、艾滋病相关卫生服务情况等。结果共对8759名跨境婚姻人群进行调查。其中有7262名为成对夫妻,包括男方中国籍、女方缅甸籍的夫妻3528对,女方中国籍、男方缅甸籍的夫妻103对,另有单人1497名。8759名调查对象中,中国籍人群以男性为主(97.03%),年龄大多为30~39岁(46.00%),而缅甸籍以女性为主(97.12%),年龄多数<30岁(42.48%);受教育年数大多≤6年(91.34%)。中国籍人群的艾滋病知识知晓率(73.99%)、接受关怀救助比例(3.88%),及参加合作医疗比例(98.23%)均相对较高,且两个国籍人群在这三方面的差异有统计学意义(P<0.05)。多因素分析结果显示,相对于男性、农民、居住在山区和婚龄≤3年者,跨境婚姻人群中的女性、非农民、居住在非山区及婚龄>3年者接受HIV检测服务的比例较高(P<0.05);同时,相对于年龄<30岁和受教育年数≤6年者,跨境婚姻人群中年龄≥40岁、受教育年数7~10年者接受HIV检测服务的比例较低(P<0.05)。结论建议重点加强对跨境婚姻人群中农民、居住在山区及新近结婚者的宣传教育和检测干预,进一步减少艾滋病在该人群的传播。Objective To understand the demographic characteristics and the status of receiving HIV-related health services of the cross-border marriage population in Mangshi County,Dehong prefecture,Yunnan province in China,and provide the basis for the prevention strategy development to control the HIV spread among this population.Methods A questionnaire survey was conducted among the cross-border marriage population in Mangshi County from 2017 to 2019.The content of the questionnaire included basic demographic characteristics,AIDS awareness,and receiving AIDS-related health services,etc.Results A total of 8759 people with cross-border marriage were investigated.Among them,7262 were married couples,including 3528 couples of males with Chinese nationality and females with Myanmar nationality,103 couples of females with Chinese nationality and males with Myanmar nationality,and 1497 singles.Among the 8759 respondents,the Chinese population was mainly males(97.03%),and most of whom were 30-39 years old(46.00%).The Burmese nationality were mainly females(97.12%),and most of whom were less than 30 years old(42.48%).The proportion of those with an education level≤6 years was relatively higher(91.34%).Among the Chinese population,the proportion of AIDS awareness(73.99%),reception of AIDS care(3.88%),and participation of medical insurance(98.23%)were relatively high,and there were statistical differences in these three aspects between the two nationalities(all P<0.05).The results of the multivariable analysis showed that compared with males,farmers,those living in mountain areas and married≤3 years,those who were females,nonfarmers,living in non-mountain areas and married for more than 3 years were more likely to receive the HIV testing service(P<0.05).Meanwhile,compared with those aged less than 30 years and educated for no more than 6 years,those who aged≥40 years and being educated for 7-10 years in cross-border marriage tended not to receive the HIV testing service(P<0.05).Conclusion It is recommended to focus on strengt

关 键 词：跨境婚姻 艾滋病病毒 卫生服务 

分 类 号：R512.91[医药卫生—内科学]