Duan Song, Ding Yingying, Yang Yuecheng, Lu Lin, Sun Jiangping, Wang Ning, Wang Lu, Xiang Lifen, Jia Manhong, Wu Zunyou, He Na
Dehong Prefecture Centre for Disease Control and Prevention, Mangshi, Yunnan Province, China.
Sex Health. 2012 Nov;9(5):481-7. doi: 10.1071/SH12065.
Many people from Burma have migrated to Dehong prefecture and married local residents during the past decades; however, little is known about HIV risk-taking behaviours and HIV prevalence among these mixed couples. We investigated factors correlated with HIV discordance and concordance within Chinese?Burmese mixed couples in Dehong prefecture, Yunnan province, China.
A cross-sectional study with face-to-face questionnaire interviews and HIV blood testing was conducted.
Of 5742 couples, 1.6% couples were HIV-infected concordant, 2.2% were HIV serodiscordant with an HIV-infected male spouse and 0.9% were HIV serodiscordant with an HIV-infected female spouse. HIV discordance with an HIV-infected male spouse was significantly associated with characteristics of the male spouse, including being aged =30 years, non-Han ethnic minority, a marital relationship of <3 years, commercial sex and injection drug use by the male spouse. HIV discordance with an HIV-infected female spouse was significantly associated with an education level of primary school (v. illiterate); a marital status of being in their second marriage, widowed or divorced; a history of sexually transmissible infection diagnosis of the female spouse; noncommercial extramarital sex by the female spouse or by both spouses; and injection drug use by the male spouse. A marital relationship of =3 years was the only significant independent correlate of HIV-infected seroconcordance.
The study findings underscore the importance of premarital HIV counselling and testing for this population, and the need for targeted interventions among HIV serodiscordant mixed couples to reduce secondary transmission as early as possible when the relationship begins.
在过去几十年中，许多缅甸人移民到德宏州并与当地居民结婚；然而，对于这些混合配偶中的艾滋病病毒（HIV）风险行为和HIV流行情况知之甚少。我们调查了中国云南省德宏州中缅混合配偶中与HIV不一致和一致相关的因素。
进行了一项采用面对面问卷调查和HIV血液检测的横断面研究。
在5742对配偶中，1.6%的配偶双方均感染HIV，2.2%的配偶中男性感染HIV而双方不一致，0.9%的配偶中女性感染HIV而双方不一致。配偶中男性感染HIV但双方不一致与男性配偶的特征显著相关，包括年龄≥30岁、非汉族、婚姻关系<3年、男性配偶有商业性行为和注射吸毒史。配偶中女性感染HIV但双方不一致与小学文化程度（相对于文盲）、二婚、丧偶或离婚的婚姻状况、女性配偶有性传播感染诊断史、女性配偶或双方有非商业性婚外性行为以及男性配偶注射吸毒显著相关。婚姻关系≥3年是双方均感染HIV的唯一显著独立相关因素。
研究结果强调了对该人群进行婚前HIV咨询和检测的重要性，以及对HIV血清学不一致的混合配偶进行有针对性干预的必要性，以便在关系开始时尽早减少二代传播。
