[1]韦焘,马艳玲,罗红兵,等.云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析[J].第三军医大学学报,2018,40(22):2112-2117.
 WEI Tao,MA Yanling,LUO Hongbing,et al.Analysis of sexual behavior-related characteristics among newly reported HIV-infected foreigners in the border regions of Yunnan Province[J].J Third Mil Med Univ,2018,40(22):2112-2117.
点击复制

云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
40卷
期数:
2018年第22期
页码:
2112-2117
栏目:
公共卫生与预防医学
出版日期:
2018-11-30

文章信息/Info

Title:
Analysis of sexual behavior-related characteristics among newly reported HIV-infected foreigners in the border regions of Yunnan Province
作者:
韦焘马艳玲罗红兵贾曼红陈敏陆林
昆明医科大学公共卫生学院;云南省疾病预防控制中心
Author(s):
WEI Tao MA Yanling LUO Hongbing JIA Manhong CHEN Min LU Lin

School of Public Health, Kunming Medical University, Kunming, Yunnan Province, 650500; Yunnan Provincial Center for Disease Control and Prevention, Kunming, Yunnan Province, 650022, China

关键词:
云南省边境地区外籍HIV感染性行为相关特征
Keywords:
unnan Province border regions foreign nationality HIV infection sexual behavior-related characteristics
分类号:
R167; R181.81; R512.91
文献标志码:
A
摘要:

目的了解云南部分边境地区新报告外籍人类免疫缺陷病毒(human immunodeficiency virus, HIV)感染者性行为相关性特征。方法对云南省疾病预防控制中心获取的2015-2016年云南省全部外籍2 102名感染者的相关人口学特征进行回顾性分析。并于2015年11月至2016年10月间,在云南省德宏州、红河州和版纳州经连续抽样纳入新报告外籍HIV感染者106名,收集和分析其性行为频率、性伴数量、与性伴的关系和安全套使用等特征。结果2015-2016年云南省报告的外籍HIV感染者男性占61.7%(1 297/2 102),年龄在20~39岁占75.6%(1 590/2 102),农民占68.3%(1 436/2 102),异性性传播占70.7%(1 486/2 102)。现场调研显示外籍HIV感染者年龄(31.1±7.7)岁,男性50人(47.2%),每≤3天有1次性行为的占29.2%(31/106),有2个及以上性伴的比例为34.9%(37/106),女性(76.4%,42/55)、异性性传播(65.4%,53/81)感染者的第一性伴以配偶多见,男性[39.6%(19/48)、25.0%(12/48)、20.8%(10/48)]和静脉吸毒传播[40.0%(8/20)、35.0%(7/20)、20.0%(4/20)]感染者的第一性伴以配偶、同居和女性性工作者为主。男女性感染者的第一性伴为中国籍的比例分别为8.2%(4/49)和45.5%(25/55)(χ2=17.920,P<0.001)。性活动全程使用安全套比例较低,与第一和第二性伴发生性行为时安全套使用比例分别为14.6%(15/103)和31.4%(11/35)。结论云南边境部分地区外籍新报告HIV感染者性行为活跃,性伴数量、与性伴的关系在不同亚群中有差异。性伴中相当一部分为中国籍,总体使用安全套的比例低,构成HIV传播风险,需要特别引起重视。

Abstract:

ObjectiveTo define the sexual behavior-related characteristics of newly reported foreigners with human immunodeficiency virus (HIV) infection in some of the border regions of Yunnan Province. MethodsThis study was conducted to retrospectively analyze the demographic characteristics of 2 102 foreigners with HIV infection reported in Yunnan Province from 2015 to 2016. All the data were obtained from Yunnan Provincial Center for Disease Control and Prevention. Between November, 2015 and October, 2016, 106 newly reported HIV-infected foreigners were additionally and consecutively sampled in Dehong, Honghe and Banna Prefecture of Yunnan Province. The data were collected for analysis of the sexual behaviors concerning the frequency of sexual activity, number of sexual partners, relationship with the partners and the use of condoms. ResultsOf the HIV-infected foreigners reported between 2015 and 2016, men accounted for 61.7% (1 297/2 102); 75.6% (1 590/2 102) of them aged between 20 and 39 years; farmers accounted for 68.3% (1 436/2 102) in the total reported foreigners; heterosexual transmission of HIV accounted for 70.7% (1 486/2 102) in these cases. Field survey of the 106 newly reported HIV-infected foreigners showed that these individuals, including 50 (47.2%) men, had a mean age of 31.1±7.7 years, and 29.2% (31/106) of them reported a frequency of sexual activity at least every 3 days; 34.9% (37/106) of them had at least 2 sexual partners. The spouses were mostly the first partners for the female individuals (76.4%, 42/55) and in cases of heterosexual transmission (65.4%, 53/81); for the male individuals, the first sexual partners were spouses (39.6%, 19/48), cohabiting partners (25.0%, 12/48) and female sex workers (20.8%, 10/48); for individuals with intravenous transmission, the first sexual partners were spouses (40%, 8/20), cohabiting partners (35%, 7/20) and female sex workers (20%, 4/20). Among the infected men and women, 8.2% (4/49) and 45.5% (25/55) had Chinese partners as their first sexual partners, respectively (χ2=17.920, P<0.001). The data showed a low rate of condom use among the HIV-infected foreigners in sexual activities with their first (14.6%, 15/103) and second (31.4%, 11/35) sexual partners. ConclusionThe newly reported HIVinfected foreigners in some of the border regions of Yunnan Province are active in sexual activities. The number of and relationship with their sexual partners vary in different subgroups. A considerable proportion of their sexual partners are Chinese, but the rate of condom use is low, which poses a high risk of HIV transmission that needs special attention.
 

参考文献/References:

[1]李发兴, 薛丹.云南艾滋病疫情总体平稳, 新报告感染者连续四年下降[EB/OL]. (20171129)[20171220]. http: //yn.people.com.cn/n2/2017/1129/c37843930977967.html.
LI F X, XUE D.Yunnan’s HIV epidemic remains generally stable with newly reported infections declined for four years[EB/OL]. (20171129)[20171220]. http: //yn.people.com.cn/n2/2017/1129/c37843930977967.html.
[2]刘晓培, 夏婧, 王志红. 云南、河南两省艾滋病流行趋势及影响因素分析[J]. 中医学报, 2016, 31(3): 309-311, 324. DOI: 10.16368/j.issn.16748999.2016.03.086.
LI X P, XIA J, WANG Z H.HIV/AIDS epidemic trends and influencing factors in Yunnan and Henan provinces[J]. Acta Chin Med, 2016, 31(3): 309-311, 324. DOI: 10.16368/j.issn.16748999.2016.03.086.
[3]安晓静, 张小波, 李洲林, 等. 云南省瑞丽市151例外籍HIV感染者和艾滋病患者高危行为状况分析[J]. 中华预防医学杂志, 2014, 48(12): 11121114. DOI: 10.3760/cma.j.issn.02539624.2014.12.020.
AN X J, ZHANG X B, LI Z L, et al. Analysis of highrisk behaviors of 151 foreign HIV infected persons and AIDS patients in Ruili, Yunnan province[J]. Chin J Prev Med, 2014, 48(12): 1112-1114. DOI: 10.3760/cma.j.issn.02539624.2014.12.020.
[4]霍俊丽, 安晓静, 韩瑜, 等.云南省中越边境外籍艾滋病病毒感染者和病人高危行为状况分析[J]. 现代预防医学, 2016, 43(23): 4378-4380, 4401.
HUO J L, AN X J, HAN Y, et al.High risk behaviors of foreign HIV/AIDS patients in ChinaVietnam border[J]. Mod Prev Med, 2016, 43(23): 4378-4380, 4401.
[5]SHAVA E, LIPIRA L E, BEAUCHAMP G G, et al. Risky sexual behavior among individuals receiving buprenorphine/naloxone opiate dependency treatment: HIV prevention trials network (HPTN) 058[J]. J Acquir Immune Defic Syndr, 2018, 78(3): 300-307. DOI: 10.1097/QAI.000000000 0001683.
[6]LI J, LUO J, LI J, et al. Disassortative mixing patterns of drugusing and sex networks on HIV risk behaviour among young drug users in Yunnan, China[J]. Public Health, 2015, 129(9): 1237-1243. DOI: 10.1016/j.puhe.2015.07.020.
[7]VU T M T, BOGGIANO V L, TRAN B X, et al. Sexual risk behaviors of patients with HIV/AIDS over the course of antiretroviral treatment in northern Vietnam[J]. Int J Environ Res Public Health, 2018, 15(6): E1106. DOI: 10.3390/ijerph15061106.
[8]张祖样, 肖民扬, 牛瑾, 等.云南省艾滋病高流行区农村留守妇女HIV感染状况及影响因素分析[J]. 中华流行病学杂志, 2016, 37(2): 192-196. DOI: 10.3760/cma.j.issn.02546450.2016.02.008.
ZHANG Z Y, XIAO M Y, NIU J, et al. HIV prevalence and risk factors among leftbehind women in high HIV epidemic rural areas of Yunnan province[J]. Chin J Epidemiol, 2016, 37(2): 192-196. DOI: 10.3760/cma.j.issn.02546450.2016.02.008.
[9]XU Y, FU L R, JIA M, et al. HIV prevalence and associated factors among foreign brides from Burma in Yunnan province, China[J]. PLoS ONE, 2014, 9(12): e115599. DOI: 10.1371/journal.pone.0115599.
[10]李健, 孟蕾, 王斌, 等.甘肃省2005-2012年暗娼人群艾滋病相关知识、行为动态变化趋势分析[J]. 现代预防医学, 2014, 41(5): 884-887.
LI J, MENG L, WANG B, et al.Analysis on AIDS related knowledge, risk behavior among female sex workers in Gansu province from 2005 to 2012[J]. Mod Prev Med, 2014, 41(5): 884-887.
[11]CONSERVE D F, MIDDELKOOP K, KING G, et al. Factors associated with HIV discussion and condom use with sexual partners in an underserved community in south Africa[J]. J Health Care Poor Underserved, 2016, 27(1): 131-144. DOI: 10.1353/hpu.2016.0015.
[12]DOWNS J S, ASHCRAFT A M, MURRAY P J, et al. Video intervention to increase perceived selfefficacy for condom use in a randomized controlled trial of female adolescents[J]. J Pediatr Adolesc Gynecol, 2018, 31(3): 291-298. DOI: 10.1016/j.jpag.2017.10.008.
[13]BAILEY J V, WEBSTER R, HUNTER R, et al. The men’s safer sex project: intervention development and feasibility randomised controlled trial of an interactive digital intervention to increase condom use in men[J]. Health Technol Assess, 2016, 20(91): 1-115. DOI: 10.3310/hta20910.
[14]STAROSTA A J, CRANSTON E, EARLEYWINE M. Safer sex in a digital world: a webbased motivational enhancement intervention to increase condom use among college women[J]. J Am Coll Health, 2016, 64(3): 184-193. DOI: 10.1080/07448481.2015.1107835.
[15]OKAFOR U, CRUTZEN R, OKEKEARU I, et al. Using brothel leadership to promote condom use among brothelbased female sex workers in Abuja, Nigeria: study protocol for a cluster randomized pilot trial[J]. Pilot Feasibility Stud, 2017, 3: 10. DOI: 10.1186/s4081401701240.

更新日期/Last Update: 2018-12-03