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中国农村到城市流动人口中性传播疾病的危险因素:对艾滋病毒/性传播疾病预防的启示。

Risk factors for sexually transmitted disease among rural-to-urban migrants in China: implications for HIV/sexually transmitted disease prevention.

作者信息

Liu Hongjie, Li Xiaoming, Stanton Bonita, Liu Hui, Liang Guojun, Chen Xinguang, Yang Hongmei, Hong Yan

机构信息

Pediatric Prevention Research Center, Wayne State University, Detroit, Michigan 48201-2196, USA.

出版信息

AIDS Patient Care STDS. 2005 Jan;19(1):49-57. doi: 10.1089/apc.2005.19.49.

Abstract

The objective of the study was to identify risk factors associated with sexually transmitted diseases (STDs) among rural-to-urban migrants in Beijing in 2002. Migrants with STDs consisted of 432 migrants who sought STD care in two public STD clinics. Migrants without STDs included 892 migrants recruited from 10 occupational clusters. Multiple logistic regression was used for data analysis. Compared to migrants without STDs, migrants with STDs were more likely to report having engaged in commercial sex (selling or buying sex) (odds ratio [OR] = 2.70, 95% confidence interval [CI]: 1.71-4.25), multiple sex partners in the previous month (OR = 6.50, 95% CI: 3.73-11.32) and higher perceived HIV-related stigma (OR = 1.89, 95% CI: 1.30-2.75). Being a migrant with an STD was also associated with female gender (OR = 4.10, 95% CI: 2.89-5.82), higher education (OR = 2.92, 95% CI: 1.40-6.06), and higher monthly salary (OR = 1.68. 95% CI: 1.23-2.29). Migrants with STDs visited their hometowns more frequently and had more stable jobs than migrants without STDs. Approximately 10% of the migrants with STDs and 7.7% of the migrants without STDs always used condoms. This study suggests that among migrants, acquisition of an STD is associated with higher participation in risk behaviors as would be expected, but also with higher perceived stigma, education, stable jobs, salary, and with female gender. Appropriate behavioral intervention programs are advocated to reduce the risk and stigma among the special population.

摘要

该研究的目的是确定2002年北京城乡流动人口中性传播疾病(STD)的相关危险因素。患有性传播疾病的流动人口包括432名在两家公立性传播疾病诊所寻求治疗的流动人口。未患性传播疾病的流动人口包括从10个职业群体中招募的892名流动人口。采用多因素逻辑回归进行数据分析。与未患性传播疾病的流动人口相比,患有性传播疾病的流动人口更有可能报告曾从事商业性行为(卖淫或嫖娼)(比值比[OR]=2.70,95%置信区间[CI]:1.71-4.25)、前一个月有多个性伴侣(OR=6.50,95%CI:3.73-11.32)以及更高的艾滋病相关耻辱感(OR=1.89,95%CI:1.30-2.75)。患有性传播疾病的流动人口还与女性性别(OR=4.10,95%CI:2.89-5.82)、高学历(OR=2.92,95%CI:1.40-6.06)和高月收入(OR=1.68,95%CI:1.23-2.29)相关。患有性传播疾病的流动人口比未患性传播疾病的流动人口更频繁地回老家,且工作更稳定。约10%的患有性传播疾病的流动人口和7.7%的未患性传播疾病的流动人口始终使用避孕套。该研究表明,在流动人口中,感染性传播疾病不仅如预期的那样与更高程度地参与危险行为有关,还与更高的耻辱感、教育程度、稳定工作、收入以及女性性别有关。提倡实施适当的行为干预项目,以降低这一特殊人群中的风险和耻辱感。

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