德宏州中缅跨境婚姻人群HIV感染及卫生服务利用现况和影响因素的定性研究——基于供需双方视角  

Qualitative study on influencing factors of HIV infection and health service utilization among China-Myanmar cross-border couples in Dehong Prefecture:Based on provider-demander perspectives

作　　者：何淑娴 周群博 李林 杨跃诚 项丽芬 徐翠萍 师乃丽 叶润华 丁盈盈[1] 段松 何纳[1] HE Shuxian;ZHOU Qunbo;LI Lin;YANG Yuecheng;XIANG Lifen;XU Cuiping;SHI Naili;YE Runhua;DING Yingying;DUAN Song;HE Na(Department of Epidemiology,School of Public Health,Key Laboratory of Public Health Safety and Minis-try of Education,Fudan University,Shanghai 200032,China;Department for STD and AIDS Prevention and Control,Dehong Dai and Jingpo Autonomous Prefecture Center for Disease Control and Prevention,Mangshi 678400,China;Department for STD and AIDS Prevention and Control,Mang City Center for Disease Control and Prevention,Mangshi 678400,China)

机构地区：[1]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 [2]德宏傣族景颇族自治州疾病预防控制中心性病与艾滋病防制科,芒市678400 [3]德宏傣族景颇族自治州芒市疾病预防控制中心艾滋病性病防制科,芒市678400

出　　处：《中华疾病控制杂志》2023年第12期1486-1489,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家重点研发计划(2022YFC2304902)。

摘　　要：目的探讨德宏傣族景颇族自治州(德宏州)中缅跨境婚姻人群HIV感染及卫生服务利用的现况和影响因素。方法以Andersen卫生服务利用行为模型为理论框架,对德宏州卫生服务机构工作人员(供方)进行焦点小组访谈,对中缅跨境婚姻人群(需方)开展一对一访谈,对访谈文本进行主题分析。结果共招募40人,其中供方7人,需方33人;需方受访者中女性13人,平均年龄(38.61±5.74)岁,男性20人,平均年龄(39.30±5.90)岁。德宏州跨境婚姻人群对中国的医疗保险政策满意,获得的社会支持较好、健康信念水平较高,对其卫生服务利用产生了影响。同时,影响该人群HIV感染的因素有AIDS知识欠佳、追踪溯源、检测工作不足等。结论德宏州对跨境婚姻人群的管理工作取得了一定成效,在当地获得卫生服务的公平性较高,但仍应加强多部门合作,多维度解决身份识别、婚检、溯源等管理工作上的困难,加强对该人群的卫生服务保障。Objective To investigate the status and influencing factors of HIV infection and health service utilization among the China-Myanmar cross-border couples in Dehong Prefecture.Methods Upon the theoretic frame of Andersen′s behavioral model,focus group interviews were conducted on professionals of local health service institutions(health service providers)in Dehong Prefecture,and one-to-one in depth interviews were conducted on the China-Myanmar cross-border couples(health service de-manders).Thematic analysis was conducted on the interview texts.Results Forty participants were interviewed,including 7 health service providers and 33 health service demanders.Among the demanders,13 were female with an average age of(38.61±5.74)years old,and 20 were male with an average age of(39.30±5.90)years old.Cross-border couples in Dehong were satisfied with Chinese medical insurance policy,received better social support,and had a higher level of health belief,which also influenced their utilization of health services.Meanwhile,the factors influencing HIV infection among the China-Myanmar cross-border couples include poor knowledge of AIDS,lack of tracing and testing management,etc.Conclusions Dehong Prefecture has well achieved goals in the management of China-Myanmar cross-border couples.The fairness of cross-border couples in obtaining local health services is relatively high.Multi-departmental cooperation should be strengthened to solve the difficulties in the management of identity identification,premarital examination and source tracing in a multi-dimensional way,and strengthen the guarantee of health service for cross-border couples.

关 键 词：跨境婚姻人群 卫生服务 艾滋病 影响因素 定性研究 

分 类 号：R512.91[医药卫生—内科学]