云南省德宏州缅甸籍人员HIV主动检测意识的影响因素分析

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目的:了解德宏州缅甸籍人员的现状,并对其HIV主动检测意识影响因素进行分析。方法:采用横断面调查研究设计,利用方便抽样方法完成研究对象招募与筛选,使用一对一问卷调查的方法对400名缅甸籍人员完成人口学特征、艾滋病知晓、性行为、HIV检测情况等信息收集。运用n χ2检验和logistic回归方法,对HIV主动检测意识现状以及影响因素进行统计分析。n 结果:回收有效问卷393份,有效率为98.3%。研究对象以男性 (61.3%)、缅族 (65.1%)、接受1~7年教育 (59.3%)、已婚 (57.5%)、非独居 (96.2%)为主;打工为在德宏居留主要目的 (69.5%);69.5%累计居留2年以上;艾滋病知识知晓率为75.6%。42.0%研究对象最近6个月发生过性行为;22.9%发生危险行为后会主动寻求HIV检测。多因素logistic回归结果显示,HIV主动检测意识影响因素包括:女性 (n OR=2.16,95%n CI:1.09~4.27)、文化程度8~10年和10年以上(n OR=5.21,95%n CI:2.09~12.95;n OR=19.78,95%n CI:5.80~67.46)、最近6个月发生过性行为(n OR=2.53,95%n CI:1.34~4.78)、最近6个月接受过艾滋病宣传教育(n OR=2.46,95%n CI:1.30-4.65)、知晓艾滋病知识 (n OR=8.13,95%n CI:2.94~22.49)。n 结论:缅甸籍人员HIV主动检测意识低。女性、受教育程度高、近6个月接受过艾滋病宣传教育、艾滋病知识知晓者主动检测意识较高。应当继续加强缅甸籍人员艾滋病知识教育,提高其发生危险行为后尽早主动检测的意识。“,”Objective:To analyze the influencing factors of HIV-testing awareness of Myanmar people in Dehong, and provide references for early discovery of HIV infection among Myanmar people.Methods:A cross-sectional study was conducted among 400 Myanmar people in Dehong through convenient sampling method in a form of face-to-face questionnaire interview. HIV-testing awareness and influencing factors were described and analyzed with n χ2 and logistic regression method .n Results:A total of 393 participants were included in the study, in whom 241 (61.3%) were males, 256(65.1%) were Myanmar people, 233(59.3%) received 1-7 years of education in Myanmar, 348 do not speak Chinese (88.5%), 226(57.5%) were married, 378(96.2%) were non-solitary, 257(65.4%) were workers, the main purpose of etering into China in 273(69.5%) was working in China, 273(69.5%) had stayed in China for more than 2 years, 573(95.4%) had a clear plan on whether to stay in China for a long time in the future. In these Myanmar people, the rate of AIDS-related knowledge awareness was 75.6%; 165(42.0%) had sexual behavior in the last 6 months. 221(56.2%) knew that they had been tested for HIV. Ninety (22.9%) were more likely to actively seek HIV-testing after they had unprotected behaviors such as homosexual sex, injecting drug use, and sex without using condom. Multivariate logistic regression analysis showed that the influencing factors of HIV-testing awareness included being women (compared with men, n OR=2.155, 95%n CI: 1.088-4.270), educational level of 8-10 years or more than 10 years (compared with education level 1-4 years, n OR=5.207, 95%n CI: 2.094-12.950; n OR=19.780, 95%n CI: 5.800-67.457), having sexual behavior in the last 6 months (compared with those who had not, n OR=2.534, 95%n CI: 1.343-4.779), having received AIDS-related education in the last 6 months (compared with those who had not, n OR=2.462, 95%n CI: 1.303-4.654), AIDS-related knowledge awareness (compared with those who had no awareness, n OR=8.126, 95%n CI: 2.936-22.491).n Conclusions:Myanmar people have low awareness of HIV-testing in Dehong. Those who were women and high literacy levels, having received AIDS-related knowledge education in the past 6 months, and having AIDS-related knowledge have an active HIV-testing awareness, after they have high-risk behaviors. AIDS-related knowledge should be publicized to promote early discovery of high-risk behaviors.
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