德宏州社区出租屋流动人口HIV及梅毒感染状况调查

Survey on prevalence of HIV and syphilis infection among migrants in apartment community in Dehong prefecture

目的了解德宏州社区出租屋流动人口的社会人口学特征和艾滋病病毒(HIV)及梅毒感染状况。方法分别在德宏州下辖的芒市、瑞丽、盈江、梁河、陇川五县市各选取一个流动人口集中的社区,对所选社区内所有出租屋租住人员进行问卷调查和血清学检测。结果共对6796人进行HIV及梅毒检测,其中男性占48.2%,少数民族占43.5%,文盲占8.3%,缅甸籍占20.2%。HIV和梅毒检测率均为93.7%(6 796/7 250),其中HIV感染率0.6%(38/6 796),德宏本地人口、外地人口及缅甸籍人口HIV感染率分别为0.4%(12/3 154)、0.6%(13/2 272)、0.9%(13/1 370);梅毒感染率1.0%(70/6 796),德宏本地人口、外地人口及缅甸籍人口感染率分别为0.9%(28/3154)、1.2%(28/2 272)、1.0%(14/1 370)。缅甸籍、少数民族、文化程度低者HIV和梅毒感染率均较高,女性梅毒感染率高于男性。结论德宏州出租屋租住人群构成复杂,以社区出租屋为场所、以租住人群为对象、以缅甸籍、少数民族和低文化程度者为重点的性病艾滋病综合监测和干预势在必行。

Objective To understand the demographic characteristics and prevalence of HIV and syphilis infection among migrants apartment community in Dehong prefecture.Methods We selected one community with concentrated migrant population each from five counties in Dehong,and questionnaire survey was conducted including serum testing for HIV and syphilis among them.Results 6 796 were tested for HIV and syphilis.Among them,48.2%was male;43.5%was national minority;8.3%was illiterate;and 20.16%was Burmese.The prevalence of HIV was 0.6%（38/6 796） with 0.4%（12/3 154） of the local residents,0.6%（13/2 272） of the nonlocal,and0.9%（13/1 370） of Burmese.The prevalence of syphilis was 1.0%（70/6 796）.The prevalence of HIV and syphilis coinfection were higher among Burmese,and minority migrants,and those with low level of education.Conclusion Composition of migrants apartment community is complex in Dehong prefecture.We must establish the system of integrated monitoring and intervention to prevent STD and AIDS by focusing on Burmese,minority groups,and those with low level of education.