2010-2015年广西百色市暗娼HIV感染危险因素分析
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摘要
目的分析广西百色市暗娼群体艾滋病流行趋势和感染危险因素,为疾病控制提供科学依据。方法利用2010-2015年国家哨点监测方案中的暗娼调查问卷收集连续性监测数据,其中暗娼档次为全新定义的社会学结构变量,用统计软件进行艾滋病流行趋势及感染影响因素分析。结果 2010-2015年共完成调查2 127人,暗娼群体总艾滋病病毒(HIV)抗体阳性率为2.2%(46人)。高中低档FSW的阳性率分别为0.7%(2/278)、0.7%(8/1 120)和4.9%(36/729)。各年的阳性率分别为1.0%(4/402)、2.5%(10/401)、2.5%(10/400)、2.2%(9/412)、1.3%(3/240)、3.7%(10/272),保持平稳(P=0.228)。多因素回归分析显示,档次为危险因素,特别是低档次暗娼[调整比值比(aOR)=5.859,95%可信区间(CI):1.384~24.799]和现症梅毒感染(aOR=2.642,95%CI:1.311~5.326)是艾滋病感染的危险因素。结论通过干预广西百色暗娼群体6年来艾滋病感染率保持平稳,应深入研究社会结构对暗娼感染艾滋病的影响,以提高低档暗娼预防干预效果,并加强现症梅毒的检测治疗,进一步降低该人群感染HIV的风险。
Objective To study HIV/AIDS prevalence and risk factors among female sex workers(FSWs)in Baise,Guangxi so as to provide scientific evidence for AIDS control.Methods The data of consistent surveillance of FSWs during 2010-2015 were collected by using the questionnaire according to the national sentinel surveillance program,and the AIDS epidemic trend and the factors associated with HIV infection were identified through multivariate logistic regression analysis,and the variables of FSWs' grade were newly defined with sociological structure.Results 2127 FSWs were interviewed in the years,and the HIV infection rates among them were 1.0%(4/402),2.5%(10/401),2.5%(10/400),2.2%(9/412),1.3%(3/240),and 3.7%(10/272),respectively,with a stable trend(P=0.228).Multivariate regression found that FSWs' grade,especially the low-grade(aOR=5.859,95%CI:1.384-24.799)and syphilis infection(aOR=2.642,95%CI:1.311-5.327)were risk factors associated with HIV infection.Conclusion HIV infection rate during the six years remains stable among FSWs due to the behavior intervention.We should study the impact of social structure on HIV infection among FSWs,in order to improve the effect of intervention and prevention for the low-grade FSWs.Moreover,we should strengthen the detection and treatment of syphilis,so as to further reduce the risks of HIV infection in this population.
Objective To study HIV/AIDS prevalence and risk factors among female sex workers(FSWs)in Baise,Guangxi so as to provide scientific evidence for AIDS control.Methods The data of consistent surveillance of FSWs during 2010-2015 were collected by using the questionnaire according to the national sentinel surveillance program,and the AIDS epidemic trend and the factors associated with HIV infection were identified through multivariate logistic regression analysis,and the variables of FSWs' grade were newly defined with sociological structure.Results 2127 FSWs were interviewed in the years,and the HIV infection rates among them were 1.0%(4/402),2.5%(10/401),2.5%(10/400),2.2%(9/412),1.3%(3/240),and 3.7%(10/272),respectively,with a stable trend(P=0.228).Multivariate regression found that FSWs' grade,especially the low-grade(aOR=5.859,95%CI:1.384-24.799)and syphilis infection(aOR=2.642,95%CI:1.311-5.327)were risk factors associated with HIV infection.Conclusion HIV infection rate during the six years remains stable among FSWs due to the behavior intervention.We should study the impact of social structure on HIV infection among FSWs,in order to improve the effect of intervention and prevention for the low-grade FSWs.Moreover,we should strengthen the detection and treatment of syphilis,so as to further reduce the risks of HIV infection in this population.
引文
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[9]白玉,张英霞,崔雪莲.高中低档场所暗娼艾滋病知识行为与感染状况调查分析[J].中华疾病控制杂志,2010,9(14):852-854.
[10]中国疾病预防控制中心.全国艾滋病哨点监测方案(试行)[Z].中国疾病预防控制中心,2009.
[11]田利光,马泽恩,阮玉华,等.吸毒严重地区的暗娼HIV和梅毒新发感染及队列保持研究[J].中华流行病学杂志,2006,27(11):939-942.
[12]梁旭,谭兰芬,田维英,等.基于社会网络分析法对社区静脉吸毒者交往社会结构实证研究[J].中国艾滋病性病,2016,22(10):791-794.
[13]Sampurna Kakchapati,Dipendra Raman Singh,Bir Bahadhur Rawal,et al.Sexual risk behaviors,HIV,and syphilis among female sex workers in Nepal[J].HIV/AIDS-Research and Palliative Care,2017,9:9-18.
[2]梁旭,覃彩艳,陈凤肖,等.桂西南某市城区不同档次性服务妇女群体的行为调查[J].中国艾滋病性病,2015,21(3):200-202.
[3]梁旭,覃彩艳,陈凤肖.基于社会网络分析法对性服务场所相互联系的实证研究[J].中国艾滋病性病,2016,22(11):897-899.
[4]林聚任.社会网络分析:理论、方法与应用[M].北京:北京师范大学出版社,2009.
[5]杨宏武,朱学英,张光贵.绵阳市中低档娱乐场所暗娼艾滋病相关知识及高危行为[J].预防医学情报杂志,2005,21(2):194-196.
[6]徐金水,刘晓燕,傅更锋,等.江苏省不同档次场所暗娼梅毒及艾滋病感染状况分析[J].中国皮肤性病学杂志,2012,26(6):513-515.
[7]袁萍,袁兆康,刘勇,等.城市周边插花地带暗娼社会人口学和行为学特征分析[J].现代预防医学,2008,35(20):3976-3978.
[8]钟坚,林捷,胡韵鸣,等.广西梧州市不同档次娱乐场所暗娼艾滋病/性病感染情况和高危行为调查[J].中国健康教育,2011,27(3):177-180.
[9]白玉,张英霞,崔雪莲.高中低档场所暗娼艾滋病知识行为与感染状况调查分析[J].中华疾病控制杂志,2010,9(14):852-854.
[10]中国疾病预防控制中心.全国艾滋病哨点监测方案(试行)[Z].中国疾病预防控制中心,2009.
[11]田利光,马泽恩,阮玉华,等.吸毒严重地区的暗娼HIV和梅毒新发感染及队列保持研究[J].中华流行病学杂志,2006,27(11):939-942.
[12]梁旭,谭兰芬,田维英,等.基于社会网络分析法对社区静脉吸毒者交往社会结构实证研究[J].中国艾滋病性病,2016,22(10):791-794.
[13]Sampurna Kakchapati,Dipendra Raman Singh,Bir Bahadhur Rawal,et al.Sexual risk behaviors,HIV,and syphilis among female sex workers in Nepal[J].HIV/AIDS-Research and Palliative Care,2017,9:9-18.