德宏州盈江县2011-2015年暗娼HIV感染率及其影响因素
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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。
Objective To examine the prevalence and impact factors of HIV infection among female sex workers(FSW)in Yingjiang county,Dehong prefecture.Methods A cross-sectional study was conducted to collect information about the demographic characteristics,history of high-risk behavior,drug use,sexually transmitted diseases among FSW in the entertainment places during 2011-2015,and blood samples were gathered for HIV antibody testing.Logistic regression model was used to analyze the risk factors of HIV infection.Results A total of 2593 FSW respondents was under investigation.35 cases were detected as HIV positive,with 60%(21/35)of the foreigners,and 1.3% of the average HIV infection rate.The HIV prevalence was 2.8%,2.5%,1.4%,0.2%and 0.8%from2011 to 2015.Logistic regression analysis revealed that some factors statistically associated with HIV prevalence included registered residence,ethnic groups,marital status,condom use,level of the establishments,and length of working locally.The risks of HIV infection were higher among the FSW divorced or widowed(OR=6.15,95%CI:2.11-17.91),the foreigners(OR=7.06,95%CI:2.89-17.23)and others without consistently using condoms(OR=7.52,95%CI:2.14-26.37).Conclusion The HIV prevalence among FSW in Yingjiang is relatively low.However,the HIV prevalence is much higher among the foreign FSW and FSW working in the low level of the establishments.In the future,we need to further strengthen"100%condom use in a commercial sex"and the management of intervention among cross-border foreign female sex workers and FSW in the low level of the establishments.
Objective To examine the prevalence and impact factors of HIV infection among female sex workers(FSW)in Yingjiang county,Dehong prefecture.Methods A cross-sectional study was conducted to collect information about the demographic characteristics,history of high-risk behavior,drug use,sexually transmitted diseases among FSW in the entertainment places during 2011-2015,and blood samples were gathered for HIV antibody testing.Logistic regression model was used to analyze the risk factors of HIV infection.Results A total of 2593 FSW respondents was under investigation.35 cases were detected as HIV positive,with 60%(21/35)of the foreigners,and 1.3% of the average HIV infection rate.The HIV prevalence was 2.8%,2.5%,1.4%,0.2%and 0.8%from2011 to 2015.Logistic regression analysis revealed that some factors statistically associated with HIV prevalence included registered residence,ethnic groups,marital status,condom use,level of the establishments,and length of working locally.The risks of HIV infection were higher among the FSW divorced or widowed(OR=6.15,95%CI:2.11-17.91),the foreigners(OR=7.06,95%CI:2.89-17.23)and others without consistently using condoms(OR=7.52,95%CI:2.14-26.37).Conclusion The HIV prevalence among FSW in Yingjiang is relatively low.However,the HIV prevalence is much higher among the foreign FSW and FSW working in the low level of the establishments.In the future,we need to further strengthen"100%condom use in a commercial sex"and the management of intervention among cross-border foreign female sex workers and FSW in the low level of the establishments.
引文
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[5]林玫,陈怡,唐振柱,等.广西低档暗娼感染HIV危险因素的病例对照研究[J].现代预防医学,2016,43(7):1321-1324.
[6]付笑冰,王冰娜,李艳,等.广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析[J].中华流行病学杂志,2014,35(5):510-513.
[7]汪海波,汪宁,丁国伟,等.云南省某市女性性工作者HIV感染及其危险因素调查[J].中国艾滋病性病,2007,13(3):220-223.
[8]张小娟,沈智勇,谭广杰,等.低档暗娼人口社会行为学特征与HIV感染状态[J].中国艾滋病性病,2013,19(7):514-517.
[2]郭浩岩,段松,庞琳,等.云南省德宏州艾滋病经性途径传播现况及影响因素[J].中华预防医学杂志,2008,42(12):862-865.
[3]杨世江,段松,项丽芬,等.云南省德宏州1989-2009年各类人群HIV检测阳性率分析[J].中华疾病控制杂志,2011,15(12):1038-1040.
[4]项丽芬,唐仁海,许娟,等.云南省德宏州外籍暗娼艾滋病感染及其影响因素[J].中国艾滋病性病,2013,19(1):17-21.
[5]林玫,陈怡,唐振柱,等.广西低档暗娼感染HIV危险因素的病例对照研究[J].现代预防医学,2016,43(7):1321-1324.
[6]付笑冰,王冰娜,李艳,等.广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析[J].中华流行病学杂志,2014,35(5):510-513.
[7]汪海波,汪宁,丁国伟,等.云南省某市女性性工作者HIV感染及其危险因素调查[J].中国艾滋病性病,2007,13(3):220-223.
[8]张小娟,沈智勇,谭广杰,等.低档暗娼人口社会行为学特征与HIV感染状态[J].中国艾滋病性病,2013,19(7):514-517.