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印度北部哈里亚纳邦男性农民工中性传播感染(STIs)的患病率及影响因素

Prevalence and determinants of sexually transmitted infections (STIs) among male migrant factory workers in Haryana, North India.

作者信息

Abdulkader Rizwan Suliankatchi, Kant Shashi, Rai Sanjay Kumar, Goswami Kiran, Misra Puneet

机构信息

Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Public Health. 2015 Jan-Mar;59(1):30-6. doi: 10.4103/0019-557X.152854.

DOI:10.4103/0019-557X.152854
PMID:25758728
Abstract

BACKGROUND

Male migrant workers display high risk sexual behavior and have been shown to have higher prevalence of sexually transmitted infections (STIs), which make them more vulnerable to HIV infection. We aimed to estimate the prevalence of self-reported STIs and delineate their determinants among male migrant factory workers in Faridabad, Haryana.

MATERIALS AND METHODS

Male workers in two selected factories, who were aged ≥18 years, were born outside Haryana (destination), and who had migrated to Haryana after the age of 15 years were eligible. Socio-demographic information, HIV/AIDS knowledge and behavior, and self-reported STI symptoms in the last 1 year were ascertained by face-to-face interview. Determinants of STIs were identified by regression analysis.

RESULTS

Totally 755 eligible workers participated. Mean ± SD age was 31.4 ± 8.2 years and migration duration was 9.5 ± 6.7 years. At least one STI symptom was reported by 41.7% of the participants (burning micturition- 35%, inguinal bubos-5.2%, genital ulcers- 2.6%, urethral pus discharge- 1.3%). Factors associated with STIs were higher age at migration, lower HIV/AIDS knowledge, paid sex in the last year, non-use of condoms during the last non-spousal sex, and unfavorable intention to use condom.

CONCLUSION

Prevalence of self-reported STIs among these migrant men was high. Targeted Interventions among migrant workers need to be strengthened for control and prevention of STIs.

摘要

背景

男性农民工存在高风险性行为,且已证实其性传播感染(STIs)患病率较高,这使他们更易感染艾滋病毒。我们旨在估算哈里亚纳邦法里达巴德男性农民工自我报告的性传播感染患病率,并确定其影响因素。

材料与方法

选取的两家工厂中年龄≥18岁、出生于哈里亚纳邦以外地区(目的地)且15岁后迁移至哈里亚纳邦的男性工人符合条件。通过面对面访谈确定社会人口学信息、艾滋病毒/艾滋病知识与行为以及过去1年自我报告的性传播感染症状。通过回归分析确定性传播感染的影响因素。

结果

共有755名符合条件的工人参与。平均年龄±标准差为31.4±8.2岁,迁移时长为9.5±6.7年。41.7%的参与者报告了至少一种性传播感染症状(尿痛-35%,腹股沟淋巴结炎-5.2%,生殖器溃疡-2.6%,尿道脓性分泌物-1.3%)。与性传播感染相关的因素包括迁移时年龄较大、艾滋病毒/艾滋病知识水平较低、去年有付费性行为、上次非配偶性行为时未使用避孕套以及使用避孕套的意愿不佳。

结论

这些农民工中自我报告的性传播感染患病率较高。需要加强针对农民工的有针对性干预措施,以控制和预防性传播感染。

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