2022-2023年德宏州跨境婚姻人群HIV感染状况及相关因素分析  

Prevalence and correlates factors of HIV infection among cross-border families in Dehong Dai and Jingpo Autonomous Prefecture from 2022 to 2023

作　　者：李林[1] 李晓晗 周群博 杨跃诚[1] 项丽芬[1] 唐仁海[1] 叶润华[1] 王继宝[1] 丁盈盈[2] 何纳[2] 段松[1] LI Lin;LI Xiaohan;ZHOU Qunbo;YANG Yuecheng;XIANG Lifen;TANG Renhai;YE Runhua;WANG Jibao;DING Yingying;HE Na;DUAN Song(Division of AIDS and STD Control and Prevention,Dehong Dai and Jingpo Autonomous Prefecture Centre for Disease Control and Prevention,Mangshi 678400,Yunnan,China;Department of Epidemiology,School of Public Health,Fudan University The Public Health Safety Key Laboratory of Ministry of Education,Shanghai 200032,China)

机构地区：[1]德宏州疾病预防控制中心艾滋病性病防制科,云南芒市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

出　　处：《中国艾滋病性病》2025年第1期56-62,共7页Chinese Journal of Aids & STD

基　　金：国家重点地区艾滋病防治项目(卫办疾控发[2004]49号)。

摘　　要：目的了解2022-2023年德宏州跨境婚姻人群HIV感染状况及其相关因素。方法于2022年9月至2023年9月,选择德宏州全部跨境婚姻人群作为研究对象,进行问卷调查和血样采集,开展横断面调查研究。结果共有36649名跨境婚姻人群接受了问卷调查及HIV检测,HIV总阳性率1.7%(620/36649),男性配偶阳性率1.9%(333/17421),女性配偶阳性率1.5%(287/19228)。在夫妻双方都进行HIV抗体检测的15612对跨境婚姻夫妻中,双阳家庭有106对(0.7%),单阳家庭304对(1.9%),双阴家庭15202对(97.4%)。多因素Logistic回归模型结果显示,年龄≥40岁、少数民族、受教育程度初中以下、有吸毒史、有非婚非商业性行为史、有其他性病史、HIV相关知识知晓是男性跨境婚姻人群HIV感染的危险因素;年龄30~39岁、景颇族、农民、有非婚非商业性行为史、有其他性病史、配偶HIV阳性是女性跨境婚姻人群HIV感染的危险因素。结论德宏州跨境婚姻人群HIV感染率较高,仍需继续加强艾滋病防控宣传、行为干预和检测,降低婚内婚外高危性行为传播风险。Objective To investigate the prevalence and correlation of HIV infection among cross-border couples in Dehong Dai and Jingpo Autonomous Prefecture(Dehong Prefecture)between 2022 and 2023.Methods A crosssectional study involving questionnaire interviews and blood collection was conducted among all cross-border couples in Dehong Prefecture from September 2022 to September 2023.Results A total of 36649 individuals in cross-border families underwent questionnaire surveys and HIV testing,revealing an overall HIV positivity rate of 1.7%(620/36649),with a positivity rate of 1.9%(333/17421)among male spouses and 1.5%(287/19228)among female spouses.Among the 15612 couples in which both partners were tested for HIV antibodies,106(0.7%)tested positive for both partners,304(1.9%)tested positive for one partner,and 15202 pairs(97.4%)tested negative.Multivariable logistic regression analysis identified risk factors for HIV infection among the male cross-border marriage population as being aged≥40 years;belonging to an ethnic minority;having an education level of junior high school or below;a history of drug use,non-marital and non-commercial sexual behavior,or other sexually transmitted diseases(STDs);and awareness of HIV-related knowledge.For the female cross-border marriage population,the risk factors included being aged 30–39 years;belonging to the Jingpo ethnic group;being a farmer;having a history of non-marital and non-commercial sexual behavior or other STDs;and having an HIV-positive spouse.Conclusions HIV prevalence in cross-border couples in Dehong Prefecture is relatively high.Continued efforts are essential to enhance AIDS prevention and control publicity,behavioral interventions,and testing to reduce the risk of HIV transmission through high-risk sexual behaviors,both within and outside marriage.

关 键 词：跨境婚姻 艾滋病 感染率 危险因素 

分 类 号：R373.9[医药卫生—病原生物学]