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[2011 - 2013年凉山州农村未婚青年中与HIV感染相关的行为及预防措施]

[HIV-infection related behaviors and preventive measures among unmarried youths from the rural areas in Liangshan prefecture, 2011-2013].

作者信息

Zhang S H, Luo M, Yang S J, Liao Q, Wang Q X, Yu G, Xiao L, Gong Y H, Wang K, Wang J, Bian S C, Liu Q

机构信息

West China School of Public Health, Sichuan University, Chengdu 610041, China.

School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Apr 10;38(4):486-490. doi: 10.3760/cma.j.issn.0254-6450.2017.04.015.

Abstract

To analyze the HIV-infection related behaviors among unmarried youths in rural areas of Liangshan prefecture from 2011 to 2013 and factors that influencing the HIV transmission in the population under research. According to the HIV sentinel surveillance methods for data collection, EpiData 3.1 and SPSS 19.0 were used to handle data and both Chi-square test and logistic regression were used to explore the related factors. A total number of 5 871 qualified youths were involved in this study from 2011 to 2013 with the prevalence rate on HIV infection among those unmarried youths from the rural areas as 3.45 (201/5 833). 27.56 (1 607/5 833) of them had been working outside their hometown area. 31.72 (1 850/5 833) of the unmarried youths had sexual experiences, with 41.46 (767/1 850) of them had casual sex but the rate of consistent condom use was only 3.46 (64/1 850). 5.04 (294/5 833) of the unmarried youths admitted of ever having used drugs, with 34.35 (101/294) of them having the experiences of injecting, with 84.16 (85/101) of them sharing needles. Rates on factors as: working outside the resident areas, ever having had casual sexual behaviors, drug use and injecting drug use were seen higher among HIV infections, with differences statistically significant ((2)=88.72, 104.43, 4.20, 154.39, 55.94, <0.05). Results from the logistic regression showed that factors as: being male,Yi ethnicity, illiteracy, experience of working outside the resident area, never or casual condom use and needle-sharing drug use . would significantly increase the risk of HIV infection. HIV infection among unmarried youths from rural areas in Liangshan prefecture called for attention because of the high rates of risk behaviors. Factors as: having had sexual experiences with low condom use, popular injecting drug use with needle sharing, being male, under Yi ethnicity, with lower education level and ever working outside the resident area . were under risks that related to HIV infection for unmarried youths in this area.

摘要

分析2011年至2013年凉山州农村未婚青年中与HIV感染相关的行为以及影响该研究人群中HIV传播的因素。按照HIV哨点监测数据收集方法,采用EpiData 3.1和SPSS 19.0处理数据,运用卡方检验和logistic回归分析相关因素。2011年至2013年共有5871名合格青年参与本研究,农村未婚青年中HIV感染率为3.45(201/5833)。其中27.56(1607/5833)的人曾在外务工。31.72(1850/5833)的未婚青年有过性行为,其中41.46(767/1850)有过随意性行为,但坚持使用避孕套的比例仅为3.46(64/1850)。5.04(294/5833)的未婚青年承认曾使用过毒品,其中34.35(101/294)有过注射吸毒经历,84.16(85/101)有过共用针具行为。在HIV感染者中,外出务工、有过随意性行为、吸毒和注射吸毒等因素的比例较高,差异有统计学意义(χ²=88.72、104.43、4.20、154.39、55.94,P<0.05)。logistic回归结果显示,男性、彝族、文盲、外出务工经历、从不或偶尔使用避孕套以及共用针具吸毒等因素会显著增加HIV感染风险。凉山州农村未婚青年中HIV感染情况因高危行为发生率高而值得关注。有过性行为但避孕套使用率低、流行注射吸毒且共用针具、男性、彝族、文化程度低以及曾外出务工等因素是该地区未婚青年感染HIV的相关风险因素。

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