Analysis of high risk behaviors among left-behind women in high HIV epidemic rural areas
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摘要: 目的 了解云南省艾滋病高流行区留守妇女艾滋病高危行为现况及影响因素。方法 于2015年3~5月，采用按规模大小成比例抽样法（probability proportionate to size sampling，PPS）抽样法对云南省德宏州、临沧市的500名留守妇女进行一对一问卷调查，收集相关信息。结果 留守妇女艾滋病知晓率为71.0%，35岁以上年龄、初中以下文化水平、在婚、汉族、现居临沧市、未曾接受艾滋病干预服务者知晓率较低。近一年28.6%留守妇女有过丈夫以外的性伴。多性伴行为危险因素：年龄35岁以上、少数民族、丧偶、现居住德宏州、未曾接受艾滋病相关服务、配偶有吸毒行为。临时性行为、商业性行为安全套使用率分别为20.7%、58.3%。1.4%留守妇女吸毒。67.4%接受过艾滋病干预服务。结论 云南省艾滋病高流行区留守妇女艾滋病知识认知程度较低，多性伴比例较高且安全套使用率较低，今后应加大对艾滋病高流行区农村留守妇女的干预力度，尤其是少数民族、低文化水平、未曾接受过相关干预服务者的干预，重点关注多性伴、有吸毒行为留守的妇女。
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关键词:
- 妇女 /
- 获得性免疫缺陷综合征 /
- 行为 /
- 因素分析,统计学
Abstract: Objective To investigate the high risk behaviors and factors influencing human immunodeficiency virus (HIV) transmission among left-behind women (LBW) in rural areas with high HIV prevalence in China. Methods A cross-sectional investigation was conducted among 500 left-behind women from two high HIV prevalence areas in China during March to May, 2015. Probability proportion to size sampling (PPS) method was used for data analysis. Results The rate of AIDS awareness among LBW was 71.0%. A lower AIDS awareness rate were found in women aged over 35, at low education level, remarried and Han ethnic women, those from Lincang city or/and those didn't accept AIDS interventions. 28.6% of total LBW investigated had multi sex partner. Multi-factor logistic regression analysis showed age under 35, minority, widowhood, living in Lincang city, acception to AIDS interventions and spouse with drug addiction remain important factors in high risk of multi sexual behaviors. The rates of condom use of sex with a casual or commercial sex partner were 20.7% and 58.3% respectively. The rate of drug abuse among LBWs was 1.4%. The rate of acceptance to AIDS intervention was 67.4%. Conclusions Low rates of AIDS awareness, multi sexual partners and low rates of condom use were defined in LBW from high HIV prevalence areas in Yunnan province. HIV prevention interventions among LBW need to focus on minorities, women with low education levels, women without acceptance to AIDS interventions and women had multi-sex partners and drug addictions.-
Key words:
- Women /
- Acquired immunodeficiency syndrome /
- Behavior /
- Factor analysis, statistical
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Helleringer S, Kohler HP, Chimbiri A. Characteristics of external/bridge relationships by partner type and location where sexual relationship took place [J]. AIDS, 2007,21:2560-2561. Agadjanian V, Arnaldo C, Cau B. Health costs of wealth gains: Labor migration and perceptions of HIV/AIDS risks in Mozanbique [J]. Soc Forces, 2011,89(4):1097-1117. 朱莹莹,王璐,陈鑫,等. 北京市流动人口艾滋病知识、行为及感染情况调查 [J].中国公共卫生, 2012,28(9):1169-1172. 李筱娴,王明. 姚安县农村留守妇女艾滋病防治知识行为调查及危险因素分析 [J]. 卫生软科学, 2014,28(5):306-308. 张月,张泽宁,许锦秀,等. 固始县农村留守妇女艾滋病认知、态度及行为现状调查 [J]. 中国农村卫生事业管理, 2013,33(8):913-915 韩孟杰,胡志.中国艾滋病防治督导与评估框架使用手册(试用) [M]. 北京:人民卫生出版社, 2008. Golobof A, Weine S, Bahromov M, et al. The Roles of Labor Migrants' Wives in HIV/AIDS Risk and Prevention in Tajikistan [J]. AIDS Care, 2011,23(1):91-97. 王志元.吉水县农村留守妇女艾滋病知识及感染情况分析 [J].中国保健营养旬刊, 2012,6(6):67. 杨冰颖,韩萍萍. 泗县农村留守妇女艾滋病防治知识及梅毒、HIV感染情况调查分析 [J].安徽预防医学杂志, 2013,19(2):90-93. 付强,付浩,许锦秀,等. 河南省不同地区农村留守妇女艾滋病常识及相关研究 [J].现代预防医学, 2014,41(7):1203-1206. 廖枝成,刘烈茜,劳蓝茵,等. 增城市农村留守妇女预防艾滋病同伴教育及干预效果分析 [J].中国医药导报, 2010,20(7):132-133. 李雪华,罗红兵,付丽茹,等. 云南省边境居民艾滋病知识及危险行为现状调查 [J].现代预防医学, 2015,42(4):663-667. Pallikadavath S, Sanneh A, McWhirter JM, et al. Rural women's knowledge of AIDS in the higher prevalence states of India: reproductive health and sociocultural correlates [J]. Health Promot Int, 2005,3(20):249-259. 吴惠芳,叶敬忠. 丈夫外出务工对农村留守妇女的心理影响分析 [J]. 浙江大学学报:人文社会科学版, 2010,40(1):138-147. 舒显竹,王丹,罗莎莎,等. 2012年宣汉县南坝镇农村留守妇女心理健康状况调查 [J]. 预防医学论坛, 2013,19(5):334-335,341. 汪全海,祁秦,康耀文,等. 农村留守妇女孤独感及其与社会支持的关系 [J]. 齐齐哈尔医学院学报, 2013,34(8):1180-1182. 努日亚木·尼亚孜,古丽巴哈尔·卡德尔,祖丽胡玛尔·艾孜则,等. 新疆维吾尔族乡村已婚育龄期妇女生命质量调查研究 [J]. 中国妇幼保健, 2015(30):269-272. 顾红霞. 农村留守妇女心理健康、社会支持的现状 [J]. 中国健康心理学杂志, 2014,22(1):47-49. 张泽宇,张月,付浩,等. 河南省1200名农村留守妇女艾滋病认知及相关行为习惯的调查 [J].现代预防医学, 2013,40(22):4155-4158. 王堃,王彩霞. 循环留守模式下农村留守妇女的问题研究——以广西河池市巴马县龙田村为例 [J].中国外资期刊, 2011(24):195－196. Hong H, Qin QR, Li HL, et al. Condom use among married women at risk for sexually transmitted infections and HIV in rural China [J]. Int J Gynaecol Obstet, 2009,106(3)262-265. Qin QR, Ji GP, Xu J, et al. Risk of Sexual HIV Transmission Among Wives Left Behind and Wives of Nonmigrant Men in Rural Areas of China [J]. J Assoc Nurses AIDS Care, 2009,20(4):308-315. 王昊鹏,杨静静,邓小昭,等. 中国大陆吸毒人群HIV、HBV、HCV感染状况及其相关因素的Meta分析 [J]. 中华疾病控制杂志, 2010,14(4):300-304. 翟晶,梅静远,宋丽军,等. 云南省2013年吸毒人群艾滋病行为调查分析 [J]. 中华疾病控制杂志, 2015,19(4):364-366,399. -
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