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目的了解云南省中越边境外籍艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病例)的基本情况及境内高危行为,为云南边境地区防治策略制定提供依据。方法 2014年12月-2015年2月开展专题调查,对项目地区报告发现的、可找到的所有外籍HIV/AIDS病例,发现一例调查一例。结果共调查134例外籍HIV/AIDS病例,其中63.4%(85例)为跨境婚姻人群,63.4%(85例)在中国连续居留时间大于12个月,92.5%(124例)经性途径感染。93.3%(125例)的调查对象与中国人发生过性行为,其中73.1%(98例)是配偶(或同居者)性行为,20.2%(27例)是商业异性性行为。在与中国人发生性行为时,最近1年从未使用安全套的占10.4%(14例),有时使用安全套的为29.9%(40例);2.2%(3/134)与中国人有共用针具注射吸毒行为。结论外籍HIV/AIDS病例与中国人间有性、吸毒等传播艾滋病的高危行为,是目前云南省中越边境艾滋病流行的主要影响因素。
Objective To understand the basic situation and domestic high-risk behavior of HIV-infected and AIDS patients (referred to as HIV / AIDS cases) on the border between China and Vietnam in Yunnan Province and provide basis for prevention and control strategies in Yunnan border areas. Methods A special survey was conducted from December 2014 to February 2015. All the foreign HIV / AIDS cases found in the project area report were found, and one case was investigated. Results A total of 134 cases of HIV / AIDS were investigated, of which 63.4% (85 cases) were cross-border marriage. 63.4% (85 cases) stayed in China for more than 12 months and 92.5% (124 cases) . 93.3% (125 cases) of the respondents had sex with the Chinese, of whom 73.1% (98 cases) were spouses (or cohabitants) and 20.2% (27 cases) were heterosexual business sex. Condom use was never seen in 10.4% (14 cases) of condoms and 29.9% (40 cases) of condoms were used during the last 1 year of sexual intercourse with Chinese people; and 2.2% (3/134) had shared needles with Chinese people With injecting drug behavior. Conclusions The high risk behaviors of HIV / AIDS cases in China and sexually transmitted diseases such as sexual intercourse and drug abuse in China are the main influencing factors of HIV / AIDS prevalence in Yunnan border between China and Vietnam.