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目的了解云南省德宏州2010年婚检人群的艾滋病病毒(HIV)感染状况及其影响因素。方法利用德宏州2010年参加婚前体检人群的婚检资料,对该人群HIV感染率及相关因素进行分析。结果 23 223名婚前体检者HIV感染率为0.78%(180人),其中HIV单阳性比例为70.0%;83.3%(150/180)是通过异性性行为感染。婚检人群中有56.1%(13 025人)有婚前性行为,11.9%(1 340人)的女性婚检者已怀孕。Logistic多因素回归分析显示:HIV感染率为有吸毒行为者高于无吸毒行为者,25岁以上者高于25岁以下者,无业者高于农民,缅甸籍高于国内者。结论 2010年德宏州婚检人群的HIV感染率仍较高,吸毒、高年龄、无业与缅甸籍等因素与HIV感染有关。婚前检查作为发现HIV感染者及控制HIV传播的有效手段之一,应该在艾滋病流行地区大力推广。
Objective To understand the status of HIV infection among premarital people in Dehong Prefecture, Yunnan Province in 2010 and its influencing factors. Methods The data of premarital medical examination in 2010 in Dehong Prefecture were used to analyze the prevalence of HIV infection and related factors in this population. Results The HIV infection rate of 23 223 premarital medical examiners was 0.78% (180 persons), of which 70.0% were HIV positive and 83.3% (150/180) were infected through heterosexual behavior. Premarital sex was found in 56.1% (13 025) of premarital populations, and 11.9% (1 340 in women) were pregnant. Logistic multivariate regression analysis showed that HIV prevalence rate was higher among drug addicts than those without drug addicts. Those over 25 years old were higher than those under 25 years old, unemployed were higher than peasants, and Myanmar was higher than domestic ones. Conclusion In 2010, the prevalence of HIV infection among premarital people in Dehong prefecture is still high. Drug abuse, high age, unemployed and Burmese are all related to HIV infection. Premarital screening, as one of the most effective tools for detecting HIV infection and controlling HIV transmission, should be promoted in HIV / AIDS endemic areas.