山西省某县外来嫁入女性艾滋病流行病学调查

目的了解山西省垣曲县外来嫁入女性艾滋病病毒(HIV)感染状态及流行病学特征。方法通过流行病学现状调查掌握外来嫁入女性HIV感染状态以及感染者的流行病学特征。结果全县共有外省或外国嫁入女性132人,在接受HIV检测的112人中,有19人感染HIV,感染率高达17%。其中18位HIV感染者接受了流行病学个案调查,结果显示,有13人来自缅甸,4人来自云南,1人来自贵州;嫁入到本地的时间均不长,2～15个月不等;嫁入本地前均有过婚姻史或性接触史;夫妻性生活中从不使用安全套;有4人的丈夫HIV阳性。对15位女性感染者检测了CD4 T细胞计数,有4人少于200个/mm3。结论部分农村地区外来嫁入女性中可能感染有HIV,需要对这一人群加强艾滋病的咨询检测、健康教育和行为干预,对感染者进行随访,防止家庭内的二代传播。

Epidemiological investigation of HIV/AIDS among married-immigrant women in a rural county of Shanxi province

Objective To understand the HIV infection status and epidemiological characteristics among married immigrant women in a rural county of Shanxi province.Method A cross-sectional survey was conducted.Results A total of 132 married immigrant women were identified in this county,of whom 112 accepted HIV testing.Nineteen were found to be infected with HIV,giving a prevalence of 17%.Individual epidemiological investigation was done for 18 HIV-infected females.Thirteen of them came from Burma,4 from Yunnan province and 1 from Guizhou province.They immigrated into this area not long ago,living here for 2 to 15 months.Before moving into this area,all of them had had either a marital history or a history of heterosexual contacts.None of them used condoms during their marital sex.Four out of 12 husbands were also infected with HIV.Four out of 15 HIV-infected females had a CD _4 T-cell count less than 200/ul.Conclusions Some of married immigrant women might be infected with HIV.HIV counseling and testing,health education and behavioral interventions are urgently needed for them.It is important to follow and provide clinical care to HIV/AIDS patients and to prevent secondary transmission of HIV among families.