Cai Y N, Ma Y L, Luo H B, Xiao M Y, Niu J, Song L J, Li X H, Fu L R, Zhang Z Y, Dai Q H, Zhang Y L, Jia M H
Kunming Medical University, Kunming 650500, China.
Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Apr 10;39(4):483-486. doi: 10.3760/cma.j.issn.0254-6450.2018.04.019.
To understand the related risk behaviors, knowledge and status of HIV/AIDS infection among rural adults of Derung minority, to provide relevant messages for the development of HIV/AIDS intervention strategy in this minority group. We used system sampling method to conduct a cross-sectional survey in 6 administration villages of Derung Township, Gongshan Derung and Nu Autonomous County in Nujiang Lisu Autonomous Prefecture of Yunnan Province, with a sample size estimated as 383. Adult residents with Derung minority in six villages of Gongshan County were involved, with relevant information collected through door-to-door visit. HIV antibody was tested and SPSS 17.0 was used for statistical analysis. Information on 394 valid respondents was collected, with age as between 18 and 65 (34.39±9.74), 80.7% (318/394) as married, 54.0% (213/394) having had primary school education, 13.2% (52/394) as migrant workers. In this population, the overall HIV infection rate appeared as 0.5% (2/400), mainly through sexually transmission. The rate of awareness on HIV/AIDS was 69.8% (275/394), mainly through free publicized materials 50.0% (197/394). Rates on premarital sexual behavior on multiple sexual partners in the past year, on temporary sexual partners in the past year, having commercial sexual experiences in the past year and ever used condoms when engaging in casual sex, were 6.4% (60/366), 18.0%(66/366), 5.7%(21/366), 1.9%(7/366) and 8.0%(25/311), respectively. Few numbers of HIV infections were identified among the migrating workers with Derung minority, with sexual transmission as the major route, along with the increased number of rural migrant workers and the low rates both on AIDS knowledge and condom use, accompanied by the high risk sexual behavior appeared in this rural adult residents of Derung minority. Relative strategies on HIV/AIDS intervention and control should be developed.
为了解独龙族农村成年人艾滋病病毒/艾滋病（HIV/AIDS）感染的相关危险行为、知识及现状，为制定该少数民族群体HIV/AIDS干预策略提供相关信息。我们采用系统抽样方法，在云南省怒江傈僳族自治州贡山独龙族怒族自治县独龙江乡的6个行政村开展了一项横断面调查，估计样本量为383。纳入贡山县6个村的独龙族成年居民，通过入户走访收集相关信息。检测HIV抗体，并使用SPSS 17.0进行统计分析。共收集到394名有效受访者的信息，年龄在18至65岁之间（34.39±9.74），80.7%（318/394）已婚，54.0%（213/394）接受过小学教育，13.2%（52/394）为外出务工人员。在该人群中，HIV总体感染率为0.5%（2/400），主要通过性传播。HIV/AIDS知晓率为69.8%（275/394），主要通过免费宣传材料知晓的占50.0%（197/394）。过去一年婚前性行为、多个性伴侣、临时性伴侣、有商业性经历以及在发生随意性行为时曾使用避孕套的比例分别为6.4%（60/366）、18.0%（66/366）、5.7%（21/366）、1.9%（7/366）和8.0%（25/311）。独龙族外出务工人员中HIV感染人数较少，性传播为主要途径，随着农村外出务工人员数量增加，艾滋病知识知晓率和避孕套使用率较低，且该独龙族农村成年居民中出现了高危性行为。应制定HIV/AIDS干预和控制的相关策略。
