2010—2014年北京口岸男性出国劳务人员HIV感染状况分析

Analysis on the prevalence of HIV among male overseas laborers in Beijing port,2010-2014

目的描述2010—2014年在北京口岸进行出境前健康体检的男性出国劳务人员艾滋病毒(HIV)抗体阳性率,并分析影响HIV感染的因素。方法资料来自北京国际旅行卫生保健中心信息系统。按照相关的纳入和排除标准,选取北京口岸男性出国劳务人员为研究对象,获取其人口学资料和HIV抗体检测数据。对计数资料采用均值±标准差进行描述;对计量资料采用率、构成比等对结果进行描述,采用logistic回归对影响因素进行分析。结果纳入分析的研究对象共26 843人,检测出HIV抗体阳性17人,阳性率为63.3/10万(95%CI:33.2~93.4/10万)。18~29岁组、30~39岁组和40~65岁组阳性率分别为75.0/10万、60.2/10万和50.8/10万;来自东部地区、中部地区和西部地区组阳性率分别为41.6/10万、50.5/10万和176.8/10万;2010—2014年阳性率分别为22.0/10万、82.2/10万、159.2/10万、41.8/10万和54.3/10万。多因素Logistic回归表明,来自西部地区的男性出国劳务人员HIV感染风险是来自东部地区的4.200倍;不同年龄组男性出国劳务人员HIV感染风险差异不具有统计学意义(P>0.05)。结论北京口岸男性出国劳务人员HIV抗体阳性率较高,应关注该群体健康状况,尤其是来自西部地区的男性出国劳务人员的HIV感染状况。

Objective To describe the prevalence of HIV antibody,and to analyze risk factors of male overseas laborers who took pre-departure health examinations in Beijing port during 2010-2014. Methods The data was obtained from Beijing International Travel Healthcare Center information system. The male overseas laborers in Beijing port were selected as study population according to relevant inclusion and exclusion criteria,obtained demographic and HIV antibody detection data of them. This study used rate and proportion to describe the result of enumeration data,mean ± SD to describe the result of measurement data and analyzed risk factors using logistic regression methods. Results 26 843 cases were included,17 cases were detected HIV antibody positive,the prevalence is 63.3 per 100000（95% CI：33.2 ~93.4 per 100 000）. The prevalence of HIV antibody among male overseas laborers aged 18-29/30-39/40-65 were 75.0,60.2 and 50.8 per 100 000 respectively. The prevalence of HIV antibody among male overseas laborers from eastern/central/western area were 41.6,50.5 and 176.8 per 100000 respectively. The prevalence of HIV antibody among male overseas laborers from year 2010-2014 were 22.0,82.2,159.2,41.8 and 54.3 per 100000 respectively. Multivariate logistic regression showed that the risk of acquiring HIV among male overseas laborers from the western area was 4.200 times as that among those from the eastern area.There was no statistical significance between the risk of acquiring HIV among different age groups. Conclusion The prevalence of HIV antibody among male overseas laborers in Beijing port was relatively high. It is should pay attention to the health conditions of this group,especially to the HIV status of those who came from the western area.