摘要
目的了解凉山州农村地区15～60岁人群HIV感染状况及影响因素。方法选取布拖县、昭觉县共77个乡（镇）农村人口中15～60岁人口进行筛查。调查对象知情同意后,由调查员进行一对一问卷调查,并采血进行HIV抗体检测。结果共筛查86 183人,平均年龄为（34.03±11.58）岁,男女性别比为1.15,彝族占98.98%;有吸毒史的占2.11%,吸毒人群中静脉注射占12.86%,口吸、静脉注射两者都有的占36.35%,吸毒时共用针具的占70.82%;最近1年有多性伴史的占3.11%,最近1次多性伴关系中使用安全套的占3.11%;最近1年有外出打工史的占11.22%。两县筛查人群平均HIV抗体阳性率为4.42%。男性HIV抗体阳性率为6.40%,15～岁人群为5.83%,离异或丧偶为5.88%,彝族为4.45%。经多因素分析显示男性（OR=2.316）、〈50岁（15～岁,OR=16.223,30～岁OR=11.475）、离异或丧偶（OR=3.657）、彝族（OR=27.077）、有吸毒史（OR=10.157）、最近1年有多性伴史（OR=1.425）、有外出打工史者（OR=1.547）易感染HIV。结论凉山州两县农村地区15～60岁人群中彝族中青年、男性、有注射吸毒行为和多性伴行为的HIV感染率较高,应针对不同的人群行为特征及时采取干预措施。
Among 86 183 interviewees totally, the average age was （34. 03 ± 11.58 ） years, male to female ratio was 1.15 ： 1, 98. 98% of interviewees were Yi nationality. Those with illegal drugs use accounted for 2. 11% of total, and 12. 86% of illegal drug users were found to have intravenous drug use, and 36. 35% were both simple oral intake drug and intravenous drug use, and 70. 82% of intravenous drug users shared needles. 3.11% of interviewees had muhi sexual partnets in the last year, and their condoms use rate in the last sex with partner was only 3.11%. 11.22% of interviewees worked outside the counties in the last year. The HIV positive rate of the screening was 4. 42%. The HIV positive rate among males was 6. 40% , and the group aged 15 - was 5.83%, the divorced or widowed was 5.88%. Yi nationality had a positive rate of 4.45%. The results of multivariate Logistic regression showed male（ OR = 2. 316） , those below 50 years old（ 15 - years old, OR = 16. 223 ; 30 - years old, OR = 11. 475 ）, divorced or widowed （ OR = 3. 657 ）, Yi nationality （OR = 27. 077）, illegal drug user（ OR = 10. 157）, those with multi-sex partner in last year（ OR = 1. 425 ）, those worked outside the counties in last year （ OR = 1. 547） were at a high risk of HIV infection. Conclusions HIV infection among rural population aged 15 to 60 in 2 counties of Liangshan Prefecture was high, especially in Yi nationality, young and middleaged, male, and those with high risk behavior of illegal drug use and multi-sex partner. It is urgent to implement special intervention services on different behavior characteristics in this area.
出处
《中华疾病控制杂志》
CAS
北大核心
2014年第12期1132-1135,共4页
Chinese Journal of Disease Control & Prevention
基金
中国全球基金艾滋病项目(CHN-304-G03-H)
中国-默沙东艾滋病防治合作项目(C-MAP)
关键词
HIV
农村
筛查
Human immunodeficiency virus （HIV）
Rural area
Screening
