涉外婚姻入境人员HIV感染监测及对策探讨

The monitoring and its countermeasures of HIV infection in foreign marriage immigrates

目的为掌握涉外婚姻入境人员的艾滋病病毒感染情况,并为相应的应对策略提供科学依据。方法对涉外婚姻入境人群进行人类免疫缺陷病毒（HIV）抗体监测,对HIV感染者进行流行病学调查,分析部分感染者的HIV基因型,并对相关的对策进行探讨。结果 2010—2014年福建地区涉外婚姻入境人员HIV抗体阳性者的检出率为3.40‰,其中2011年最高,达7.25‰,显著高于福建口岸普通出入境人群和福建省的HIV检出率。该人群均为女性,介于21-30岁之间的感染者占总感染者的94%。其中60.6%的感染者承认婚前有其他性伴侣,91%的感染者为小学及初中文化。其中有10份标本均为CRF01-AE亚型。结论加强对涉外婚姻入境人员的HIV监测,规范涉外婚姻婚前体检,以期减少涉外婚姻传播艾滋病的风险。

Objective To grasp the situation of HIV infection in foreign marriage entry crowd and provide the scientific basis for the related corresponding strategies. Methods HIV antibody was detected in the foreign marriage immigrates and the epidemiological data was statistical analysis, the HIV subtypes of some samples were analyzed,and related countermeasures were discussed. Results From 2010 to 2014, HIV antibody positive rate in Fujian foreign marriage immigrate was 3.40‰, even to the high level of 7.25‰ in 2011, which was significantly higher than in general entry-exit population in Fujian ports. These HIV infectors are mainly crowded in 21 to 30 years old for about 94%. 60.6% of infected people had admitted having other sexual partners before the currently marriage,91% of these people are illiterate and the primary school. Phylogenetic analyses revealed that 10 of those samples were CRF01-AE. Conclusion Strengthen the HIV monitoring of foreign marriage immigrates staff, regulate foreign marriage premarital medical examinations, in order to reduce the risk of spreading AIDS international marriage.