广西HIV/TB双重感染影响因素调查

目的 了解广西艾滋病(acquired immunodeficiency syndrome,AIDS)/结核病(tuberculosis,TB)双重感染影响因素,为针对该人群的健康教育和健康策略的制定提供参考依据.方法 对来自广西南宁市第四人民医院AIDS治疗门诊和感染科住院部就诊和住院的人类免疫缺陷病毒(human immunodeficiency virus,HIV)单纯感染者、TB单纯感染者和HIV/TB双重感染者进行面对面问卷调查,并用Logistic回归分析双重感染的影响因素.结果 174名被调查对象中,AIDS单纯感染者83人(47.7％),TB单纯感染者56人(32.2％),HIV/TB双重感染者35人(20.1％);与HIV组比较,HIV/TB双重感染和以下因素有关:了解TB免费治疗政策(OR =2.85,95％ CI:1.03～7.85)、接受过有关预防AIDS宣教咨询等服务(OR =0.17,95％ CI:0.06～0.49);与TB组比较,HIV/TB双重感染和以下因素有关:现居住地在钦州百色或其他地区(OR =3.44,95％ CI:1.26～9.42)、仅通过医生、医院咨询服务了解AIDS(OR=3.68,95％ CI:1.28 ～ 10.56).结论 应加强社会对AIDS和TB的宣教工作和血液的管理,注意把两种疾病联合进行预防.

Investigation on the influencing factors of co-infection of HIV/TB in Guangxi

Objective To explore influencing factors of co-infection of HIV and TB in Guangxi, and to provide references for the promotion of health education and the formulation of health strategies. Methods A questionnaire survey was conducted at HIV treatment clinic from the city of Nanning, Baise and Qinzhou by face-to-face conversations. The re- spondents were divided into 3 groups, including single HIV-l-infected patients （HIV group） , single TB-infected patients （TB group） and HIV/TB co-infected patients （HIV/TB group）. The questionnaire was designed in term of general demo- graphic characteristics and factors that contribute to HIV and TB infection. By comparing HIV/TB group and other groups respectively, univariate and muhivariate logistic regression were used to analyze the factors associated with HIV/TB co-in- fection. Results 174 respondents were recruited, including 83 （47.7%） of single HIV-1 infection, 56 （32. 2% ） of sin- gle TB infection, and 35 （20. 1% ） including of HIV/TB co-infection. Compared with HIV group, HIV/TB co-infection was statistically significantly associated with knowledge of the policy of free TB treatment （ OR = 2. 85, 95% CI： 1.03- 7.85 ） , and having received HIV/AIDS counseling service （ OR =0. 17, 95% CI：0. 06-0.49）. Compared with TB group, HIV/TB co-infection was significantly associated with living in Qingzhou, Basise Areas （ OR = 3.44, 95% CI： 1.26- 9.42 ）, and knowledge of HIV/AIDS mostly from hospital consulting （ OR = 3.68, 95% CI： 1.28-10. 56）. Conclusions The social public health education of both AIDS and TB should be improved. The way of HIV/TB transmission via blood transfusion should be kept in heightened alertness.