四川省凉山州彝族农村未婚青少年HIV影响因素多重对应分析
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摘要
目的分析凉山州地区14～25岁彝族农村未婚青少年HIV感染现状及其影响因素。方法收集2011-2016年布拖县、昭觉县、甘洛县、金阳县、越西县5个彝族聚集县艾滋病哨点监测资料,采用Epidata 3.1软件和SPSS 21.0软件进行数据的录入和整理,统计分析采用非条件Logistic回归和多重对应分析方法。结果 2011-2016年共检测14～25岁彝族农村未婚青少年9 262人,阳性检出率2.98%(276/9262)。多因素Logistic回归显示男性(OR=1.60,95%CI=1.21～2.11)、文盲(OR=3.38,95%CI=2.27～5.03)、小学(OR=1.94,95%CI=1.36～2.77)、外出务工(OR=1.61,95%CI=1.20～2.15)、注射吸毒(OR=1.60,95%CI=1.21～2.11)的彝族农村未婚青少年感染HIV的风险相对较高。多重对应分析显示外出务工、性行为、注射吸毒、23～25岁与HIV阳性之间有较强的关联。结论凉山州14～25岁彝族农村未婚青少年HIV感染形势严峻,感染因素多样化。针对彝族农村未婚青少年HIV的防控需着眼于全局,多方面介入,将艾滋病防治与治愚、治毒、治穷结合起来。
Objective To analyze HIV infection related factors among 14-25 years rural unmarried Yi adolescents in Liangshan Yi Autonomous Region from 2011 to 2016. Methods HIV sentinel surveillance data from 2011 to 2016 in five prefectures(Butuo, Zaojue, Ganluo, Jinyang and Yuexi) were collected, Epidata3.1 and SPSS21.0 were used to process the data, and logistic regression and multiple correspondence analysis were used for data analysis. Results A total number of9262 qualified rural unmarried Yi adolescents were involved in this study from 2011 to 2016 with the infection rates of HIV at 2.98%(276/9262). Logistic regression analysis indicated that males(OR=1.60, 95%CI=1.21-2.11), illiteracy(OR=3.38, 95%CI=2.27-5.03), highest education of primary school(OR=1.94, 95%CI=1.36-2.77), a history of out-migration for work(OR=1.61,95% CI =1.20-2.15), a history of IV-drug use(OR =1.60, 95% CI =1.21-2.11) contributed to the risk of infection with HIV.Multiple correspondence analysis showed that there was a strong association between migrant workers, sexual behavior,injecting drug use, age of 23-25 and HIV positivity. Conclusion HIV infection among the 14-25 years-old rural unmarried Yi adolescents in Liangshan prefecture is severe. HIV prevention and control in this group should take into consideration of the whole situation, simultaneously improving education, controlling drug use and improving local economic level.
Objective To analyze HIV infection related factors among 14-25 years rural unmarried Yi adolescents in Liangshan Yi Autonomous Region from 2011 to 2016. Methods HIV sentinel surveillance data from 2011 to 2016 in five prefectures(Butuo, Zaojue, Ganluo, Jinyang and Yuexi) were collected, Epidata3.1 and SPSS21.0 were used to process the data, and logistic regression and multiple correspondence analysis were used for data analysis. Results A total number of9262 qualified rural unmarried Yi adolescents were involved in this study from 2011 to 2016 with the infection rates of HIV at 2.98%(276/9262). Logistic regression analysis indicated that males(OR=1.60, 95%CI=1.21-2.11), illiteracy(OR=3.38, 95%CI=2.27-5.03), highest education of primary school(OR=1.94, 95%CI=1.36-2.77), a history of out-migration for work(OR=1.61,95% CI =1.20-2.15), a history of IV-drug use(OR =1.60, 95% CI =1.21-2.11) contributed to the risk of infection with HIV.Multiple correspondence analysis showed that there was a strong association between migrant workers, sexual behavior,injecting drug use, age of 23-25 and HIV positivity. Conclusion HIV infection among the 14-25 years-old rural unmarried Yi adolescents in Liangshan prefecture is severe. HIV prevention and control in this group should take into consideration of the whole situation, simultaneously improving education, controlling drug use and improving local economic level.
引文
[1]周颖,李青青,南磊等.凉山彝族自治州2008-2010年艾滋病哨点监测分析[J].中国艾滋病性病,2012,18(5):319-322.
[2]胡莹,李宁秀,刘莉,等.四川省2012年艾滋病疫情分析[J].中国煤炭工业医学杂志,2014,17(2):292-294.
[3]朱成华,宋秀霞,姜庆五.四川省凉山州艾滋病流行原因及防治状况进展[J].复旦学报(医学版),2015,42(5):675-679.
[4]张素华,罗敏,杨淑娟,等.四川省凉山彝族自治州2011-2013年农村未婚青少年HIV感染相关行为特征及因素分析[J].中华流行病学杂志,2017,38(4):486-490.
[5] Julia C, Péneau S, Buscail C, et al. Perception of different formats of front-of-pack nutrition labels according to sociodemographic,lifestyle and dietary factors in a French population:cross-sectional study among the Nutri Net-Santécohort participants[J]. BMJ Open, 2017, 7(6):e016108.
[6] Das S, Avelar R, Dixon K, et al. Investigation on the wrong way driving crash patterns using multiple correspondence analysis[J]. Accident; Analysis and Prevention, 2018, 111:43-55.
[7] Gao P, Yang X, Suo C, et al. Socioeconomic status is inversely associated with esophageal squamous cell carcinoma risk:results from a population-based case-control study in China[J]. Oncotarget,2018, 9(6):6911-6923.
[8]刘莉,平智广,李琳琳,等.成人多代谢异常与家族史的多重对应分析[J].中华流行病学杂志,2012,33(3):260-264.
[9]何佳桐,钟晓妮,逯嘉,等.男男性行为人群暴露前预防用药宣传途径的多重对应分析[J].第二军医大学学报,2014,35(2):122-128.
[10]裴泓波,武俊青,周颖,等.已婚妇女避孕方法与其人口学特征的多重对应分析[J].中国卫生统计,2011,28(5):530-532, 536.
[11]张文彤.SPSS统计分析高级教程[M].北京:高等教育出版社,2004:304-311.
[12]李克均,冯丽云,时松和,等.多重对应分析及其在工作满意度研究中的应用[J].中国卫生统计,2007,(1):19-21.
[13]李宝红,董时富,孙振球.对应分析在生态学研究中的应用[J].中华流行病学杂志,2007,28(9):914-917.
[14]罗盛,马峻岭,陈景武.分组对应分析在流行病学研究中的应用[J].中国卫生统计,2008,(3):280-282.
[15]龚煜汉,王启兴,南磊,等.四川省凉山州2007-2012年各类人群HIV检出情况分析[J].现代预防医学,2014,41(20):3790-3792, 3801.
[16]周文瑞,孙雪.2010年凉山州艾滋病流行情况及防治现状调查[J].亚太传统医药,2011,7(8):190-193.
[17]杨淑娟,张建新,陈心月,等.艾滋病流行与防治的社会结构模型研究[J].中国科技成果,2013,(1):12-14.
[18]杨淑娟,罗敏,张素华,等.凉山彝族相关文化习俗与艾滋病流行的关系及干预对策[J].中国艾滋病性病,2017,23(3):271-274.
[19]赵庆革,龚煜汉,廖强,等.凉山彝族自治州2011-2013年基于BED捕获酶联免疫法估算HIV-1新发感染率[J].中华流行病学杂志,2016,37(8):1105-1107.
[20]朱言蹊,龚煜汉,王启兴,等.2010-2013年四川省凉山州吸毒人群艾滋病监测分析[J].疾病监测,2015,30(5):395-398.
[21]"少数民族地区艾滋病防治现状及对策研究"课题组.少数民族地区艾滋病防治现状及对策研究报告[M]//侯远高.发展的代价:西部少数民族地区毒品伤害与艾滋病问题调研文集.北京:中央民族大学出版社,2009:3-38.
[22]杨义,吴春霖,刘鹏,等.凉山州某县彝族村民偶遇性行为现状及其地理网络分析[J].预防医学情报杂志,2012,28(3):184-186.
[23]南磊,王启兴,许濒月,等.凉山州农村未婚青少年中偶遇性行为对HIV感染的作用[J].中国艾滋病性病,2013,19(6):413-415, 418.
[24]曾璨,覃思,罗淇,等.四川省凉山州某县彝汉族村民艾滋病相关知识行为及其影响因素研究[J].中国预防医学杂志,2014,15(5):195-198.
[2]胡莹,李宁秀,刘莉,等.四川省2012年艾滋病疫情分析[J].中国煤炭工业医学杂志,2014,17(2):292-294.
[3]朱成华,宋秀霞,姜庆五.四川省凉山州艾滋病流行原因及防治状况进展[J].复旦学报(医学版),2015,42(5):675-679.
[4]张素华,罗敏,杨淑娟,等.四川省凉山彝族自治州2011-2013年农村未婚青少年HIV感染相关行为特征及因素分析[J].中华流行病学杂志,2017,38(4):486-490.
[5] Julia C, Péneau S, Buscail C, et al. Perception of different formats of front-of-pack nutrition labels according to sociodemographic,lifestyle and dietary factors in a French population:cross-sectional study among the Nutri Net-Santécohort participants[J]. BMJ Open, 2017, 7(6):e016108.
[6] Das S, Avelar R, Dixon K, et al. Investigation on the wrong way driving crash patterns using multiple correspondence analysis[J]. Accident; Analysis and Prevention, 2018, 111:43-55.
[7] Gao P, Yang X, Suo C, et al. Socioeconomic status is inversely associated with esophageal squamous cell carcinoma risk:results from a population-based case-control study in China[J]. Oncotarget,2018, 9(6):6911-6923.
[8]刘莉,平智广,李琳琳,等.成人多代谢异常与家族史的多重对应分析[J].中华流行病学杂志,2012,33(3):260-264.
[9]何佳桐,钟晓妮,逯嘉,等.男男性行为人群暴露前预防用药宣传途径的多重对应分析[J].第二军医大学学报,2014,35(2):122-128.
[10]裴泓波,武俊青,周颖,等.已婚妇女避孕方法与其人口学特征的多重对应分析[J].中国卫生统计,2011,28(5):530-532, 536.
[11]张文彤.SPSS统计分析高级教程[M].北京:高等教育出版社,2004:304-311.
[12]李克均,冯丽云,时松和,等.多重对应分析及其在工作满意度研究中的应用[J].中国卫生统计,2007,(1):19-21.
[13]李宝红,董时富,孙振球.对应分析在生态学研究中的应用[J].中华流行病学杂志,2007,28(9):914-917.
[14]罗盛,马峻岭,陈景武.分组对应分析在流行病学研究中的应用[J].中国卫生统计,2008,(3):280-282.
[15]龚煜汉,王启兴,南磊,等.四川省凉山州2007-2012年各类人群HIV检出情况分析[J].现代预防医学,2014,41(20):3790-3792, 3801.
[16]周文瑞,孙雪.2010年凉山州艾滋病流行情况及防治现状调查[J].亚太传统医药,2011,7(8):190-193.
[17]杨淑娟,张建新,陈心月,等.艾滋病流行与防治的社会结构模型研究[J].中国科技成果,2013,(1):12-14.
[18]杨淑娟,罗敏,张素华,等.凉山彝族相关文化习俗与艾滋病流行的关系及干预对策[J].中国艾滋病性病,2017,23(3):271-274.
[19]赵庆革,龚煜汉,廖强,等.凉山彝族自治州2011-2013年基于BED捕获酶联免疫法估算HIV-1新发感染率[J].中华流行病学杂志,2016,37(8):1105-1107.
[20]朱言蹊,龚煜汉,王启兴,等.2010-2013年四川省凉山州吸毒人群艾滋病监测分析[J].疾病监测,2015,30(5):395-398.
[21]"少数民族地区艾滋病防治现状及对策研究"课题组.少数民族地区艾滋病防治现状及对策研究报告[M]//侯远高.发展的代价:西部少数民族地区毒品伤害与艾滋病问题调研文集.北京:中央民族大学出版社,2009:3-38.
[22]杨义,吴春霖,刘鹏,等.凉山州某县彝族村民偶遇性行为现状及其地理网络分析[J].预防医学情报杂志,2012,28(3):184-186.
[23]南磊,王启兴,许濒月,等.凉山州农村未婚青少年中偶遇性行为对HIV感染的作用[J].中国艾滋病性病,2013,19(6):413-415, 418.
[24]曾璨,覃思,罗淇,等.四川省凉山州某县彝汉族村民艾滋病相关知识行为及其影响因素研究[J].中国预防医学杂志,2014,15(5):195-198.