论文部分内容阅读
目的了解芒市城区流动人口艾滋病病毒(HIV)感染状况及其影响因素,为流动人口艾滋病防治工作提供科学依据。方法对2014-2015年所有办理暂住证的流动人口进行HIV检测。同时,对城区流动人口集中的某社区开展入户调查,对期间没有办理暂住证且年龄在14周岁及以上的流动人口开展调查并进行HIV检测。调查内容包括登记流动人口的性别、年龄、职业、文化和婚姻等一般人口学特征,并采集血液标本进行HIV抗体检测。结果共调查12 116人,其中男性7 223人(59.62%),汉族10 185人(84.06%);年龄在18~25岁的有3 795人(31.32%),26~35岁的有3 636人(30.00%);小学及以下文化的有2 255人(18.61%),初中文化的有5 472人(45.16%);已婚3 960人(32.68%);服务业5 554人(45.84%);外县10 313人(85.12%)。调查对象中办暂住证的有10 413人(85.94%),未办暂住证的有1 703人(14.06%)。性别、民族、年龄、职业、文化和户籍地的构成差异有统计学意义(P<0.01)。HIV感染的多因素Logistic回归分析结果显示,少数民族(OR=2.71,95%CI:1.12~6.57)、已婚(OR=0.23,95%CI:0.09~0.57)、小学及以下文化程度(OR=27.84,95%CI:3.35~231.73)及未办暂住证(OR=0.3.24,95%CI:1.44~7.30)的流动人口相对于汉族、未婚、文化程度为高中及以上及办暂住证的流动人口更易感染HIV。结论少数民族、低文化水平和未办暂住证的流动人口更容易感染HIV,应针对这些影响因素采取有效干预措施,控制HIV通过流动人口传播和蔓延。
Objective To understand the status of HIV infection in floating population and its influencing factors in Mansan City and provide a scientific basis for AIDS prevention and control of floating population. Methods HIV testing was conducted on all floating population who had to live in temporary residence permit from 2014 to 2015. At the same time, we conducted a household survey on a community with a concentrated floating population in the city and conducted surveys and HIV testing on floating population aged 14 and over without temporary residence permits. The survey included general demographic characteristics such as sex, age, occupation, culture and marriage of migrants, and blood samples were collected for HIV antibody testing. Results A total of 12 116 people were surveyed, including 7 223 (59.62%) males and 10 185 (84.06%) Han Chinese, 3 795 (31.32%) people aged 18-25 and 3636 (2636) (30.00%), 2 255 (18.61%) students of primary and below education, 5 472 (45.16%) of junior middle school students, 3 960 married (32.68%), 5 554 (45.84% ); 10 313 outside the county (85.12%). Among the respondents, there were 10 413 (85.94%) temporary permits and 1 703 (14.06%) without temporary permits. There were significant differences in the composition of sex, ethnicity, age, occupation, culture and domicile (P <0.01). Multivariate logistic regression analysis of HIV infection showed that ethnic minorities (OR = 2.71, 95% CI: 1.12-6.57), married (OR = 0.23, 95% CI: 0.09-0.57) = 27.84, 95% CI: 3.35 ~ 231.73) and those without temporary residence permit (OR = 0.3.24, 95% CI: 1.44-7.30) relative to Han nationality, unmarried students with high school education or above and temporary residence permit The population is more susceptible to HIV. Conclusion The floating population with ethnic minorities, low educational level and no temporary residence permit are more likely to be infected with HIV. Effective interventions should be taken in response to these factors to control the spread and spread of HIV through the floating population.