云南省德宏州跨境婚姻人群艾滋病相关公共卫生服务现况

The current situation of public health service among people with cross border marriage in Dehong Prefecture of Yunnan

目的了解云南省德宏州边境地区跨境婚姻人群艾滋病相关公共卫生服务现状，为在该人群中开展艾滋病干预提供参考。方法针对目前在云南省德宏州居住的跨境婚姻夫妻进行问卷调查，收集社会人口学特征、艾滋病知识知晓情况和获得艾滋病防治卫生服务情况等信息。使用EpiData3．1建立数据库并进行数据双录入，并使用SPSS19．0进行数据分析。结果调查对象中艾滋病知识知晓率为79．4％，79．9％的调查对象曾经获得艾滋病相关服务。婚前是外国籍的居民获得服务的可能性是中国籍居民的0．91（0．83～0．99）倍，未参加新农合的居民获得服务的可能性是参加新农合居民的0．64（0．55—0．75）倍；陇川和畹町两个地区的居民获得服务的可能性分别是梁河居民的34．84（21．58～56．22）倍和1．94（1．42—2．65）倍。结论德宏州跨境人群接受艾滋病相关服务的比例与全国其他地区相近，但仍需重点针对外籍人员、未参加新农合的人群开展工作。

Objective To analyze the situation of public health service among people with cross border marriage, and to provide reference for future intervention. Methods Questionnaire survey was conducted among people with cross border marriage to collect demography features, HIV/AIDS knowledge, and the related service received. The database was set up by Epi Data 3.1 and analyzed with SPSS 19.0. Results 79. 4% of all participants had HIV/AIDS related knowl- edge, and 79.9% had ever received HIV/AIDS related health services. The proportion of having ever received related health services was 0. 91 （0. 83-0. 99） times higher among those who was from Myanmar than those from China. It was 0.64 （0. 55-0. 75） times higher among those who were enrolled in the new rural medical care insurance than those who were not, and was 34. 84（21.58-56. 22） and 1.94（ 1.42-2. 65） times higher among people from Longehuan and Wanding than those from Lianghe. Conclusions The proportion of receiving HIV/AIDS related health services in the targeted population was similar to that of other areas of china. More efforts should be made for those from Myanmar and for those not enrolled in the new rural medical care insurance.