南欧一座城市中的贫困与艾滋病：不同传播群体的不同模式
Deprivation and AIDS in a southern European city: different patterns across transmission group.
作者信息
Brugal M Teresa, Borrell Carme, Díaz-Quijano Estela, Pasarín M Isabel, García-Olalla Patricia, Villalbí Joan R
机构信息
Agència de Salut Pública de Barcelona, Spain.
出版信息
Eur J Public Health. 2003 Sep;13(3):259-61. doi: 10.1093/eurpub/13.3.259.
OBJECTIVE
To analyse deprivation and AIDS among three AIDS transmission groups (men who have sex with men--MSM, heterosexuals, and intravenous drug users--IDUs) in Barcelona, Spain, during the period 1990-95.
METHODS
This is an ecological study, the unit of analysis being the neighbourhoods. Included were AIDS cases residents in Barcelona. The association among AIDS rate and deprivation was studied using Spearman correlation coefficients and Poisson regression.
RESULTS
For MSM, inner city neighbourhood residence meant a greater risk of AIDS; but lower educational level was inversely related with AIDS rates. For heterosexuals, variables related with AIDS rates were younger age, inner city areas and social unrest for women, and extreme poverty for men. Among UDIs variables related with AIDS were unemployment and social unrest for both sexes.
CONCLUSION
The association between AIDS rates and deprivation differs across transmission groups in a southern European city.
目的
分析1990 - 1995年期间西班牙巴塞罗那三个艾滋病传播群体（男男性行为者——MSM、异性恋者和静脉吸毒者——IDU）中的贫困与艾滋病情况。
方法
这是一项生态学研究，分析单位为社区。纳入的是巴塞罗那的艾滋病病例居民。使用斯皮尔曼相关系数和泊松回归研究艾滋病发病率与贫困之间的关联。
结果
对于男男性行为者而言，居住在市中心社区意味着感染艾滋病的风险更高；但较低的教育水平与艾滋病发病率呈负相关。对于异性恋者，与艾滋病发病率相关的变量包括年龄较小、女性居住在市中心地区和社会动荡，以及男性的极端贫困。在静脉吸毒者中，与艾滋病相关的变量是男女双方的失业和社会动荡。
结论
在一个南欧城市中，不同传播群体的艾滋病发病率与贫困之间的关联存在差异。
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