云南省德宏州2010年婚检人群的HIV感染率及其影响因素

目的了解云南省德宏州2010年婚检人群的艾滋病病毒(HIV)感染状况及其影响因素。方法利用德宏州2010年参加婚前体检人群的婚检资料,对该人群HIV感染率及相关因素进行分析。结果 23 223名婚前体检者HIV感染率为0.78%(180人),其中HIV单阳性比例为70.0%;83.3%(150/180)是通过异性性行为感染。婚检人群中有56.1%(13 025人)有婚前性行为,11.9%(1 340人)的女性婚检者已怀孕。Logistic多因素回归分析显示:HIV感染率为有吸毒行为者高于无吸毒行为者,25岁以上者高于25岁以下者,无业者高于农民,缅甸籍高于国内者。结论 2010年德宏州婚检人群的HIV感染率仍较高,吸毒、高年龄、无业与缅甸籍等因素与HIV感染有关。婚前检查作为发现HIV感染者及控制HIV传播的有效手段之一,应该在艾滋病流行地区大力推广。

HIV prevalence and risk factors among premarital couples in Dehong prefecture of Yunnan province,2010

Objective To study the HIV prevalence and risk factors among people receiving premarital medical examinations in Dehong prefecture,Yunnan province.Methods Data were collected for HIV infection test,and questionnaire survey was conducted among premarital couples.Results In 2010,among 23,223 participants in the premarital examinations,0.78%(180) were tested as HIV positive.Among them,70.0% were sero-disaccord couples.83.3%(150) of HIV positive couples were infected with heterosexual transmission.The premarital sexual behavior was common with 56.1%(13,025) among all participants and 11.9%(1,340) of the female participants were pregnant.Logistic regression analysis indicated that the HIV prevalence was higher in drug users than in non drug users,and that among those aged > 25 years was higher than among those aged <25 years,The HIV prevalence was also higher among the unemployed and among Burmese than among farmers and among local residents.Conclusion The HIV prevalence among premarital couples in 2010 was still at a high level.As one of the key way to detect HIV infections,premarital HIV testing should be promoted in HIV highly epidemic areas to prevent HIV transmission through sex and mother to child transmission.