2017-2018年德宏傣族景颇族自治州新报告缅甸籍HIV感染者高危行为调查

  目的  了解2017年1月-2018年12月云南省德宏傣族景颇族自治州(德宏州)新报告缅甸籍人类免疫缺陷病毒(human immunodeficiency virus, HIV)感染者的一般人口学特征和高危行为的特征。  方法  对2017-2018年新报告的缅甸籍感染者进行横断面调查，收集其一般人口学信息、入境相关信息和高危行为发生情况等信息。  结果  本次共调查1 208例缅甸籍HIV感染者，其中男性820例(67.88%)，女性388例(32.12%)；年龄≥30岁占58.1%(702例)，小学及以下文化程度占70.1%(847例)，持证边民证/护照入境占73.5%(888例)，来自克钦邦、掸邦和曼德勒省占79.06%(955例)。15.89%(192/1 208)的男性和0.58%(7/1 208)的女性在德宏境内有过吸毒行为；16.22%(133/820)男性和36.1%(140/388)的女性在德宏境内发生过无保护性行为。多因素Logistic回归分析模型结果显示:小学及以下学历、通过便道/其它方式入境、来自克钦邦和掸邦是男性发生吸毒行为的危险因素；女性、≥30岁、持证边民证/护照入境和1年内往返次数≥6次是在德宏境内发生无保护性行为危险因素。  结论  缅甸籍HIV感染者多为青壮年，文化程度较低，德宏境内发生高危行为的比例高，德宏州要巩固现有的艾滋病防治工作成效，管理好境内缅甸籍HIV感染者。

High-risk behavior survey of 2017-2018 Dehong Dai Jingpo autonomous prefecture newly reported Burmese HIV infected people

  Objective  To study the general demographic characteristics and high-risk behaviors of HIV infected Burmese newly reported from 2017 to 2018 in Dehong Dai Jingpo autonomous prefecture (Dehong Prefecture) of Yunnan Province.  Methods  A cross-sectional survey was conducted among the newly reported Burmese infected persons from 2017 to 2018 to collect general demographic information, entry related information and information on the occurrence of high-risk behaviors.  Results  A total of 1 208 HIV infected Burmese were investigated, including 820 males (67.88%)and 388 females (32.12%); 58.1% (702 cases) ≥30 years old, 70.1% (847 cases) with primary school and below, 73.5% (888 cases) with border card/passport, 79.06% (955 cases) from Kachin, Shan and Mandalay provinces; 15.89% (192/1 208) of men and 0.58% (7/1 208) of women had drug abuse behavior in Dehong.16.22% (133/820) men and 36.1% (140/388) women had unprotected sexual behavior in Dehong. The results of multivariate Logistic regression analysis showed that primary school and below, entry by road/ other means, coming from Kachin state and Shan state were risk factors for male drug abuse behavior. Female, ≥30 years old, entry with certificate/ passport, and the number of round trips ≥6 times in a year were risk factors for unprotected sex in Dehong.  Conclusions  Burmese HIV-infected people are mostly young and middle-aged, with a low education level, and a high proportion of high-risk behaviors in Dehong. Prefecture should consolidate the effectiveness of the existing AIDS prevention work and manage well the Burmese HIV-infected people.