德宏州盈江县2011-2015年暗娼HIV感染率及其影响因素

发布时间：2018-05-07 13:40

本文选题：艾滋病病毒 + 暗娼　；参考：《中国艾滋病性病》2017年10期

【摘要】：目的了解德宏州盈江县暗娼人群中艾滋病病毒(HIV)感染率及其影响因素。方法采用横断面调查方法,于2011-2015年间,对盈江县娱乐场所暗娼进行问卷调查,收集人口学特征、高危行为、吸毒史、性病发生史等相关信息;并采集血样进行HIV抗体检测。采用Logistic回归模型分析HIV感染的危险因素。结果 2011-2015年盈江县共调查暗娼2 593人,全部纳入研究,共发现HIV抗体阳性35例,其中外籍占60.0%(21/35),平均HIV感染率为1.3%。2011-2015年,暗娼人群各年的HIV感染率分别为2.8%、2.5%、1.4%、0.2%和0.8%。Logistic多因素回归分析显示:户籍、民族、婚姻状态、工作场所档次、此次此地工作时间、最近一个月与客人发生性行为时安全套使用频率,与暗娼人群的HIV感染率有统计学关联;离异或丧偶者[比值比(OR)=6.15,95%可信区间(CI):2.11~17.91]、外籍者(OR=7.06,95%CI:2.89~17.23)及未坚持使用安全套者(OR=7.52,95%CI:2.14~26.37)感染HIV风险高。结论盈江县暗娼人群HIV感染率平均水平较低,但外籍者、中低档暗娼感染率高,且低档暗娼逐年增加,中档逐年减少。在以后的工作中,除继续推广100%使用安全套外,还应重点加强低档及跨境外籍暗娼的干预管理。
[Abstract]:Objective to investigate the HIV / AIDS infection rate and its influencing factors among prostitutes in Yingjiang County, Dehong. Methods A cross-sectional survey was carried out in Yingjiang County from 2011 to 2015 to collect demographic characteristics, high-risk behaviors, history of drug abuse, history of venereal diseases, and blood samples for detection of HIV antibodies. Logistic regression model was used to analyze the risk factors of HIV infection. Results A total of 2 593 prostitutes were investigated in Yingjiang County from 2011 to 2015, all of whom were included in the study. A total of 35 cases were found to be positive for HIV antibody, among which 60.021 / 35 were foreign sex workers, and the average HIV infection rate was 1.3%. 2011-2015. The HIV infection rate among prostitutes in each year was 2.8%, 2.5% and 1.4%, respectively, and 0.8%.Logistic regression analysis showed that: household registration, nationality, marital status, workplace grade, the working hours here and the frequency of condom use when having sex with guests in the last month. The rate of HIV infection in divorced or widowed women was significantly higher than that in those who divorced or lost their spouse [the ratio was 6.1595 95% CI: 2.111.17.91], the foreign population was 7.06% 2.8995 CI: 17.23) and those who did not insist on condom use had a higher risk of HIV infection than 7.52 95 CIW 2.144.37). Conclusion the average level of HIV infection rate among prostitutes in Yingjiang County is low, but the infection rate of middle and low class prostitutes is high, and the number of low class prostitutes increases year by year and decreases year by year. In the future, in addition to promoting 100% condom use, the intervention management of low-grade and cross-border foreign prostitutes should be emphasized.
【作者单位】：盈江县疾病预防控制中心;中国疾病预防控制中心性病艾滋病预防控制中心;
【分类号】：R512.91

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