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目的:了解云南省梁河县婚前体检人群中艾滋病病毒感染状况及其影响因素。方法:对梁河县2006～2011年所有参加婚前体检者进行HIV抗体检测,确定HIV感染率,并分析其影响因素。结果 2006～2011年梁河县共有13 507名婚前体检者接受HIV抗体检测,发现HIV抗体阳性60人,HIV检测阳性率为0.4%,2006～2011年HIV检测阳性率依次为1.1%、0.8%(13/1 723)、0.3%(6/1 914)、0.3%(8/2 488)、0.3%(10/3117)、0.4%(12/3 255)。其中,女性HIV感染率为0.5%(29/5994),男性感染率为0.4%(31/7 513);汉族感染率为0.5%(41/9 012),傣族感染率为0.3%(8/3 055),景颇族感染率为2.8%(6/213)。多因素Logistic回归分析显示,梁河县婚检人群中景颇族HIV感染率显著高于汉族(OR=5.43,95%CI:2.25-13.11,P<0.001)。结论:梁河县婚检人群中总体感染率水平相对较低,但景颇族人群中HIV感染率较高,有必要继续利用婚检平台开展HIV检测和艾滋病宣传教育和行为干预工作,并加大针对景颇族婚检人群的艾滋病预防和干预工作力度。
Objective: To understand the prevalence of HIV infection and its influencing factors among premarital medical population in Lianghe County, Yunnan Province. Methods: HIV antibody was detected in all pre-marital medical examinations in Lianghe county from 2006 to 2011. HIV infection rate was determined and the influencing factors were analyzed. Results A total of 13 507 premarital medical examiners in Lianghe county from 2006 to 2011 were tested for HIV antibody. The results showed that HIV antibody was positive in 60 people, the positive rate of HIV test was 0.4%, and the positive rate of HIV test in 2006 ~ 2011 was 1.1% and 0.8% (13/1 723), 0.3% (6/1 914), 0.3% (8/2 488), 0.3% (10/3117), 0.4% (12/3 255). Among them, the HIV infection rate was 0.5% (29/5994) in women and 0.4% (31/7 513) in male, 0.5% (41/9 012) in Han and 0.3% (8 / 3 055), Jingpo infection rate was 2.8% (6/213). Multivariate Logistic regression analysis showed that HIV prevalence of Jingpo people in Lianghe County premarital population was significantly higher than that in Han people (OR = 5.43, 95% CI: 2.25-13.11, P <0.001). Conclusion: The overall prevalence of premarital infection in Lianghe County is relatively low, but there is a high prevalence of HIV infection among Jingpo people. It is necessary to continue using the premarital examination platform to conduct HIV testing, AIDS publicity and education and behavioral interventions, Family premarital HIV prevention and intervention efforts.