Ranjan Alok, Bhatnagar Tarun, Babu Giridhara R, Detels Roger
Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, India.
ICMR School of Public Health, National Institute of Epidemiology, Indian Council of Medical Research, Chennai, India.
Indian J Community Med. 2017 Jan-Mar;42(1):24-29. doi: 10.4103/0970-0218.199794.
Migration has been linked to the spread of HIV epidemic from the urban areas of western India to the rural areas of north India.
This is the first population-based study among the wives of migrant workers of Muzaffarpur district in Bihar with objectives to describe their sexual behavior within marriage, estimate the prevalence of HIV, and to know their awareness regarding HIV/AIDS.
A two-stage cluster survey was conducted by randomly selecting 25 eligible wives from each of the 34 selected villages. A total of 850 wives were interviewed and the blood samples were collected for HIV testing. To determine the factors associated with HIV/AIDS-awareness, we calculated adjusted odds ratios and 95% confidence intervals (CI) using multiple logistic regression analysis.
34 (3%) of 850 wives reported condom use with their husband. HIV prevalence was 0.59% (95% CI: 0.19-1.37%) among the wives of migrant workers. Out of 850 wives, 132 (15.5%) had heard about HIV. Condoms use (OR = 3.21, 95% CI: 1.22-7.90) and premarital sex (OR=7.44, 95% CI: 1.6-33.67) were found significantly positively associated with HIV knowledge of wives. HIV awareness of the wives was significantly associated with age-group 15-24 years, literacy status, and possession of television and husbands' literacy status. The knowledge about HIV among wives had significant positive impact on condoms use and premarital sex. HIV prevalence among the wives of migrant workers was higher than the prevalence among women in the general population. Education was found to be positively associated with awareness about HIV.
Effective interventions are needed for increasing awareness of HIV among wives of migrant workers in Bihar.
移民与印度西部城市地区的艾滋病病毒流行向印度北部农村地区的传播有关。
这是在比哈尔邦穆扎法尔布尔区农民工妻子中进行的第一项基于人群的研究，目的是描述她们在婚姻中的性行为，估计艾滋病病毒感染率，并了解她们对艾滋病病毒/艾滋病的认识。
通过从34个选定村庄中每个村庄随机选择25名符合条件的妻子进行两阶段整群调查。共采访了850名妻子，并采集血样进行艾滋病病毒检测。为了确定与艾滋病病毒/艾滋病认识相关的因素，我们使用多元逻辑回归分析计算了调整后的比值比和95%置信区间（CI）。
850名妻子中有34名（3%）报告与丈夫使用过避孕套。农民工妻子中的艾滋病病毒感染率为0.59%（95%CI：0.19 - 1.37%）。在850名妻子中，132名（15.5%）听说过艾滋病病毒。发现使用避孕套（OR = 3.21，95%CI：1.22 - 7.90）和婚前性行为（OR = 7.44，95%CI：1.6 - 33.67）与妻子的艾滋病病毒知识显著正相关。妻子对艾滋病病毒的认识与15 - 24岁年龄组、识字状况、拥有电视和丈夫的识字状况显著相关。妻子对艾滋病病毒的知识对使用避孕套和婚前性行为有显著的积极影响。农民工妻子中的艾滋病病毒感染率高于一般人群中的女性感染率。发现教育与对艾滋病病毒的认识呈正相关。
需要采取有效干预措施，以提高比哈尔邦农民工妻子对艾滋病病毒的认识。
