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布基纳法索残疾人群中 HIV 感染的流行状况和风险因素。

Prevalence and risk factors of HIV infection among people with disabilities in Burkina Faso.

机构信息

Institut de Recherche en Sciences de la Santé (IRSS), Centre National de la Recherche Scientifique et Technologique (CNRST), Ouagadougou, Burkina Faso.

Institut Africain de Santé Publique (IASP), Ouagadougou, Burkina Faso.

出版信息

AIDS Care. 2022;34(sup1):4-10. doi: 10.1080/09540121.2022.2055735. Epub 2022 Mar 27.

DOI:10.1080/09540121.2022.2055735
PMID:35343316
Abstract

This study aimed to determine the prevalence and risk factors of HIV infection among people with disabilities (PWDs) in Burkina Faso. We carried out a cross-sectional study on level 3 and/or 4 disabled people. Identification of PWDs aged 15-69 years was done in households using the Washington Group (WG) Short questionnaire, following by HIV behavioural survey and HIV testing. Multi-level binary logistics Bayesian analysis was done to identify factor associated with HIV. In total, 973 PWDs were included in this study. HIV prevalence was 4.6% (3.3-6.1%). Independent factors associated with HIV infection were aged 35-44 years old (AOR: 8.93; 95% CrI: 3.57-18.89), had visual or hearing impairments (AOR: 6.38; 95%CrI: 1.95-15.44), no income (AOR:6.11; 95% CrI: 2.49-12.48), and had casual sex partners (AOR: 6.28; 95% CrI: 3.27-11.13). HIV prevalence is high compared to the general population. These data suggest a need for comprehensive and specific HIV prevention among people with disabilities, including awareness for safer sexual behaviours.

摘要

本研究旨在确定布基纳法索残疾人(PWDs)中 HIV 感染的流行率和危险因素。我们对三级和/或四级残疾人进行了横断面研究。使用华盛顿小组(WG)简短问卷在家庭中识别出 15-69 岁的 PWDs,然后进行 HIV 行为调查和 HIV 检测。采用多水平二元逻辑贝叶斯分析来确定与 HIV 相关的因素。本研究共纳入 973 名 PWDs。HIV 感染率为 4.6%(3.3-6.1%)。与 HIV 感染相关的独立因素为 35-44 岁(OR:8.93;95%CrI:3.57-18.89)、视觉或听力障碍(OR:6.38;95%CrI:1.95-15.44)、无收入(OR:6.11;95%CrI:2.49-12.48)和偶然的性伴侣(OR:6.28;95%CrI:3.27-11.13)。与一般人群相比,HIV 感染率较高。这些数据表明,需要针对残疾人进行全面和具体的 HIV 预防,包括提高对更安全性行为的认识。

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