| 云南省跨境婚姻家庭艾滋病、梅毒和乙肝检测现状分析 |
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| 引用本文： | 李汶枷,郑敏,毛颖,郑佳瑞,夏玮,郭光萍,朱岚.云南省跨境婚姻家庭艾滋病、梅毒和乙肝检测现状分析[J].现代预防医学,2021,0(9):1682-1686. |
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| 作者姓名： | 李汶枷 郑敏 毛颖 郑佳瑞 夏玮 郭光萍 朱岚 |
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| 作者单位： | 1.昆明医科大学，云南 650504；2.云南省妇幼保健院；3.昆明市卫生健康委综合监督执法局 |
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| 摘 要： | 目的 了解云南省中-缅、中-老、中-越跨境婚姻家庭艾滋病、梅毒和乙肝检测情况，为完善跨境婚姻家庭预防母婴传播相关服务政策提供科学依据。 方法 对目前居住在云南省边境地区的中国籍和跨境婚姻家庭进行调查和访谈，收集一般人口学特征、最近一次怀孕期间三病检测情况等信息。经整理后，使用构成比和率对指标进行计算，使用卡方检验、秩和检验比较中国籍和跨境婚姻家庭各项检测服务状况。 结果 外籍媳妇主要以农民、文盲/小学、无经济收入的少数民族为主。配偶检测率，老挝籍低于当地中国籍媳妇（〖XC五号.EPS;P〗=7.87，P=0.005），缅甸籍、越南籍与当地中国籍没有差异；缅甸籍高于老挝籍和越南籍（〖XC五号.EPS;P〗=41.84，P＜0.001）。三病检测点知晓率，缅甸籍媳妇低于当地中国籍媳妇（〖XC五号.EPS;P〗=6.11，P＜0.03），越南籍、老挝籍与当地中国籍没有差异；老挝籍高于缅甸籍和越南籍（〖XC五号.EPS;P〗=44.03，P＜0.001）。获得预防母婴传播相关知识比例，三个外籍媳妇均低于当地中国籍（〖XC五号.EPS;P〗=19.84，P＜0.001；〖XC五号.EPS;P〗=7.52，P=0.006；〖XC五号.EPS;P〗=4.38，P=0.036）。 结论 边境地区针对跨境婚姻家庭开展艾滋病、梅毒和乙肝预防母婴传播相关工作取得实效，三病检测情况与当地中国籍基本一致，但在其他服务利用上仍存在一定差距，外籍媳妇孕早期三病检测率及其配偶检测率、相关预防母婴传播知识获取还有待提升，需要运用更加有效的服务管理模式来促进三病检测可及性的进一步提高。
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| 关 键 词： | 跨境婚姻家庭 外籍媳妇 三病检测 |
Current status of HIV,Syphilis and Hepatitis B detection of cross-border married families,Yunnan |
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| LI Wen-jia,ZHENG Min,MAO Ying,ZHENG Jia-rui,XIA Wei,GUO Guang-ping,ZHU Lan.Current status of HIV,Syphilis and Hepatitis B detection of cross-border married families,Yunnan[J].Modern Preventive Medicine,2021,0(9):1682-1686. |
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| Authors: | LI Wen-jia ZHENG Min MAO Ying ZHENG Jia-rui XIA Wei GUO Guang-ping ZHU Lan |
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| Affiliation: | *Kunming Medical University, Kunming, Yunnan 650504, China |
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| Abstract: | Abstract: Objective To investigate the status of HIV， syphilis and hepatitis B detection in cross － border married families in Yunnan Province， and to explore measures for improving the accessibility of testing services. Methods Related information of maternal general demographic characteristics and three diseases detection during the last pregnancy on the Burmese， Laotian， Vietnamese and local Chinese was collected by surveying and interviewing with village doctors. The composition ratio and rate were used to calculate the indicators， and the status of various testing services was compared by the chi － square test and rank sum test. Results The foreign wives were mainly farmers， illiterate /primary， and ethnic minorities with no income. The spouse detection rate of Lao nationality wives was significantly lower than that of local Chinese wives ( χ2 = 7. 87，P = 0. 005) ，while there was no significant between that of Myanmar， Vietnamese and local Chinese nationality. The spouse detection rate of Myanmar was higher than that of Laotian and Vietnamese ( χ2 = 41. 84，P ＜ 0. 001) . The awareness rate of the three － disease detection area was lower than that of Chinese wives ( χ2 = 6. 11，P = 0. 013) and Lao wife’s awareness rate was significantly higher than Myanmar and Vietnamese ( χ2 = 44. 03，P ＜ 0. 001) . The proportion of knowledge about prevention of mother － to－ child transmission in three foreigners was lower than that of the local wives ( χ2 = 19. 84，P ＜ 0. 001; χ2 = 7. 52，P = 0. 006; χ2= 4. 38，P = 0. 036) . Conclusion Positive results have been achieved through the work of preventing mother － to － child transmission of HIV， syphilis and hepatitis B in border areas for cross － border married families， and the detection of the three diseases is basically the same as that of the local Chinese wives. However， there is still a certain gap in the use ofother health services |
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| Keywords: | Cross － border married families Foreign wives HIV Syphilis and hepatitis B detection |
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