墨西哥蒂华纳市孕妇的国内迁移情况及感染艾滋病毒的风险因素
In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico.
作者信息
Viani Rolando M, Araneta Maria R, Spector Stephen A
机构信息
Department of Pediatrics, University of California San Diego School of Medicine, CA, USA Division of Infectious Diseases, University of California San Diego School of Medicine, CA, USA Rady Children's Hospital-San Diego, San Diego, CA, USA
Department of Pediatrics, University of California San Diego School of Medicine, CA, USA.
出版信息
J Int Assoc Provid AIDS Care. 2016 May;15(3):228-31. doi: 10.1177/2325957414539043. Epub 2014 Jun 16.
OBJECTIVE
To compare HIV prevalence and HIV acquisition risk behaviors between pregnant women residents and migrants.
DESIGN
A cross-sectional study of pregnant women of unknown HIV status seeking care at Tijuana General Hospital, Mexico.
METHODS
Pregnant women attending the labor and delivery unit or the prenatal clinic had a rapid HIV test drawn, with positive results confirmed by Western blot. Migrants were defined as women who had resided in Tijuana for less than 5 years.
RESULTS
Between 2007 and 2008, a total of 3331 pregnant women consented to participate. The HIV seroprevalence did not differ between Tijuana residents (18 of 2502, 0.72%) and migrants (3 of 829, 0.36%, P = .32). In multivariate regression analyses, HIV acquisition risk behaviors included methamphetamine use (adjusted odds ratio [OR]: 6.03, 95% confidence interval [CI]: 2.3-15.8, P < .001) and first presentation at labor (adjusted OR: 5.0, 95% CI: 1.6-15.3, P = .005), adjusted for migrant status, age, and history of sexually transmitted infections.
CONCLUSION
The overall HIV seroprevalence was 0.63% and did not differ between Tijuana residents and migrants.
目的
比较孕妇常住居民与流动人口之间的艾滋病毒感染率及感染艾滋病毒的风险行为。
设计
对在墨西哥蒂华纳综合医院寻求护理但艾滋病毒感染状况未知的孕妇进行的一项横断面研究。
方法
在产房或产前诊所就诊的孕妇接受了快速艾滋病毒检测，检测结果呈阳性的通过免疫印迹法进行确认。流动人口定义为在蒂华纳居住少于5年的女性。
结果
在2007年至2008年期间，共有3331名孕妇同意参与研究。蒂华纳常住居民（2502人中的18人，0.72%）和流动人口（829人中的3人，0.36%）之间的艾滋病毒血清阳性率没有差异（P = 0.32）。在多变量回归分析中，感染艾滋病毒的风险行为包括使用甲基苯丙胺（调整后的优势比[OR]：6.03，95%置信区间[CI]：2.3 - 15.8，P < 0.001）以及首次分娩时就诊（调整后的OR：5.0，95% CI：1.6 - 15.3，P = 0.005），并根据流动人口状况、年龄和性传播感染史进行了调整。
结论
总体艾滋病毒血清阳性率为0.63%，蒂华纳常住居民和流动人口之间没有差异。
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