Yao Y N, Yang S J, Wang Q X, Yu G, Liao Q, Xiao L, Gong Y H, Wang K, Zhang S H, Zhai W W, Zhang J X, Wang J, Bian S C, Liu Q
West China School of Public Health, Sichuan University, Chengdu 610041, China.
Liangshan Yi Autonomous Prefecture Center for Disease Control and Prevention, Xichang 615000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Aug 10;38(8):1102-1106. doi: 10.3760/cma.j.issn.0254-6450.2017.08.021.
To investigate the epidemiologic and behavioral characteristics of HIV among community population in Liangshan prefecture. We collected social demographic, behavioral and serological information by means of the monitoring questionnaire and serological tests. Data was analyzed by using the chi-square test and logistic regression. From April to June of 2010 to 2015, 14 092 cases of community population were selected as the study objects, with 267 cases diagnosed as HIV positive patients. The HIV positive rates were 3.24%, 3.07%, 1.17%, 1.38%,1.42% and 1.25%, respectively. We observed that when community population having the following characteristics as: living in Butuo country (=3.83), being males (=1.77), being Yi nationality (=4.40) being widowed (=28.57), with history of drug abuse (=3.71) or injecting drug use (PWID) (=4.92), or history of needle sharing among PWID (=8.53), were under higher risks for HIV infection. With histories as: having had secondary or above levels of schooling (=0.59), having protected sex with regular partners (=0.21) and with non-regular partners (=0.46), they seemed to be somehow protected for getting HIV infection. The positive HIV rates of HIV among community population in Dechang, Ningnan and Butuo varied from 0.10% to 8.77% while the HIV transmission among general population remained challenging.
为调查凉山州社区人群中艾滋病病毒(HIV)的流行病学和行为特征。我们通过监测问卷和血清学检测收集社会人口学、行为学和血清学信息。采用卡方检验和逻辑回归分析数据。2010年4月至2015年6月,选取14092例社区人群作为研究对象,其中267例被诊断为HIV阳性患者。HIV阳性率分别为3.24%、3.07%、1.17%、1.38%、1.42%和1.25%。我们观察到,具有以下特征的社区人群感染HIV的风险较高:居住在布拖县(=3.83)、男性(=1.77)、彝族(=4.40)、丧偶(=28.57)、有药物滥用史(=3.71)或注射吸毒史(PWID,=4.92)、或PWID中有共用针具史(=8.53)。而具有以下经历的人群似乎在一定程度上对感染HIV有保护作用:接受过中等及以上教育(=0.59)、与固定性伴发生性行为时采取保护措施(=0.21)以及与非固定性伴发生性行为时采取保护措施(=0.46)。德昌、宁南和布拖社区人群中的HIV阳性率在0.10%至8.77%之间,而普通人群中的HIV传播仍然具有挑战性。