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目的了解新疆某男性监管场所羁押人群HIV感染的最新现状及可能的影响因素,为做好高危人群的健康宣传教育提供参考资料。方法收集新疆某男性监管场所截止2014年12月全部在押人员2 024人的年龄、性别、民族、婚姻状况、户籍、文化程度等信息,同时对他们进行HIV抗体筛查。结果 2 024名男性羁押人群中检出HIV感染者324例,HIV感染率16.01%;不同年龄(χ2=38.564)、民族(χ2=170.577)、地区(χ2=220.282)、学历(χ2=20.544)及婚姻状况(χ2=134.170)羁押者的HIV感染率差异均有统计学意义(均P<0.05);影响HIV感染的独立因素为吸毒(OR=8.018,95%CI=3.009~15.178)与婚姻状况(OR=6.787,95%CI=1.025~9.336)。结论该监管场所男性羁押人群HIV感染率明显高于新疆地区总HIV感染率,仍以性传播与吸毒传播为主;对高危人群应加强艾滋病防治知识的宣传教育,减少艾滋病的传播机会,降低发病率。
Objective To understand the current status and possible influencing factors of HIV infection among detainees in a male regulatory place in Xinjiang and provide references for health promotion and education of high-risk groups. Methods A total of 2,024 detainees were collected from a male regulatory site in Xinjiang in December 2014 according to the age, gender, ethnicity, marital status, household registration and educational level. HIV antibody screening was also conducted. Results There were 324 cases of HIV infection among 2 024 male detainees with HIV infection rate of 16.01%. There were significant differences in age (χ2 = 38.564), ethnicity (χ2 = 170.577), region (χ2 = 220.282) (Χ2 = 134.170), and the marital status (χ2 = 134.170). The independent factors affecting HIV infection were drug addiction (OR = 8.018,95% CI = 3.009-15.178) and marriage Condition (OR = 6.787, 95% CI = 1.025 ~ 9.336). Conclusion The prevalence of HIV infection among male detainees in this regulatory place is significantly higher than that in Xinjiang. The majority of cases are still sexually transmitted and drug-to-drug transmission. Publicity and education on AIDS prevention and control should be strengthened for high-risk groups so as to reduce the chance of AIDS transmission and reduce the incidence rate.