云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析

韦焘; 马艳玲; 罗红兵; 贾曼红; 陈敏; 陆林

doi:10.16016/j.1000-5404.201805183

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云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析

公共卫生与预防医学 | 更新时间：2026-01-09

- 云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析
- Analysis of sexual behavior-related characteristics among newly reported HIV-infected foreigners in the border regions of Yunnan Province
- 第三军医大学学报 2018年40卷第22期页码：2112-2117
- 作者机构：
  
  1.650500 昆明，昆明医科大学公共卫生学院
  2.650022 昆明，云南省疾病预防控制中心
- 作者简介：
  
  [ 陆林，电话：(0871)67195110，E-mail: lulin@yncdc.cn LU Lin, Tel: 86-871-67195110, E-mail: lulin@yncdc.cn
- 基金信息：
  
  云南省公共卫生与疾病防控协同创新中心项目(2015YNPHXT03)
- DOI：10.16016/j.1000-5404.201805183
  中图分类号： R167;R181.81;R512.91
- 收稿：2018-05-27，
  
  修回：2018-08-08，
  
  纸质出版：2018-11-30
- 稿件说明：
移动端阅览
韦焘, 马艳玲, 罗红兵, 等. 云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析[J]. 第三军医大学学报, 2018,40(22):2112-2117.

Tao WEI, Yanling MA, Hongbing LUO, et al. Analysis of sexual behavior-related characteristics among newly reported HIV-infected foreigners in the border regions of Yunnan Province[J]. Journal of Third Military Medical University, 2018, 40(22): 2112-2117.
韦焘, 马艳玲, 罗红兵, 等. 云南省部分边境地区新报告外籍HIV感染者性行为相关特征分析[J]. 第三军医大学学报, 2018,40(22):2112-2117. DOI： 10.16016/j.1000-5404.201805183.

Tao WEI, Yanling MA, Hongbing LUO, et al. Analysis of sexual behavior-related characteristics among newly reported HIV-infected foreigners in the border regions of Yunnan Province[J]. Journal of Third Military Medical University, 2018, 40(22): 2112-2117. DOI： 10.16016/j.1000-5404.201805183.

摘要

目的

了解云南部分边境地区新报告外籍人类免疫缺陷病毒(human immunodeficiency virus

HIV)感染者性行为相关性特征。

方法

对云南省疾病预防控制中心获取的2015-2016年云南省全部外籍2 102名感染者的相关人口学特征进行回顾性分析。并于2015年11月至2016年10月间，在云南省德宏州、红河州和版纳州经连续抽样纳入新报告外籍HIV感染者106名，收集和分析其性行为频率、性伴数量、与性伴的关系和安全套使用等特征。

结果

2015-2016年云南省报告的外籍HIV感染者男性占61.7%(1 297/2 102)，年龄在20~39岁占75.6%(1 590/2 102)，农民占68.3%(1 436/2 102)，异性性传播占70.7%(1 486/2 102)。现场调研显示外籍

HIV感染者年龄(31.1±7.7)岁，男性50人(47.2%)，每≤3天有1次性行为的占29.2%(31/106)，有2个及以上性伴的比例为34.9%(37/106)，女性(76.4%，42/55)、异性性传播(65.4%，53/81)感染者的第一性伴以配偶多见，男性[39.6%(19/48)、25.0%(12/48)、20.8%(10/48)

]

和静脉吸毒传播[40.0%(8/20)、35.0%(7/20)、20.0%(4/20)

]

感染者的第一性伴以配偶、同居和女性性工作者为主。男女性感染者的第一性伴为中国籍的比例分别为8.2%(4/49)和45.5%(25/55)(χ

=17.920，

0.001)。性活动全程使用安全套比例较低，与第一和第二性伴发生性行为时安全套使用比例分别为14.6%(15/103)和31.4%(11/35)。

结论

云南边境部分地区外籍新报告HIV感染者性行为活跃，性伴数量、与性伴的关系在不同亚群中有差异。性伴中相当一部分为中国籍，总体使用安全套的比例低，构成HIV传播风险，需要特别引起重视。

Abstract

Objective

To define the sexual behavior-related characteristics of newly reported foreigners with human immunodeficiency virus (HIV) infection in some of the border regions of Yunnan Province.

Methods

This study was conducted to retrospectively analyze the demographic characteristics of 2 102 foreigners with HIV infection reported in Yunnan Province from 2015 to 2016. All the data were obtained from Yunnan Provincial Center for Disease Control and Prevention. Between November

2015 and October

2016

106 newly reported HIV-infected foreigners were additionally and consecutively sampled in Dehong

Honghe and Banna Prefecture of Yunnan Province. The data were collected for analysis of the sexual behaviors concerning the frequency of sexual activity

number of sexual partners

relationship with the partners and the use of condoms.

Results

Of the HIV-infected foreigners reported between 2015 and 2016

men accounted for 61.7% (1 297/2 102); 75.6% (1 590/2 102) of them aged between 20 and 39 years; farmers accounted for 68.3% (1 436/2 102) in the total reported foreigners; heterosexual transmission of HIV accounted for 70.7% (1 486/2 102) in these cases. Field survey of the 106 newly reported HIV-infected foreigners showed that these individuals

including 50 (47.2%) men

had a mean age of 31.1±7.7 years

and 29.2% (31/106)

of them reported a frequency of sexual activity at least every 3 days; 34.9% (37/106) of them had at least 2 sexual partners. The spouses were mostly the first partners for the female individuals (76.4%

42/55) and in cases of heterosexual transmission (65.4%

53/81); for the male individuals

the first sexual partners were spouses (39.6%

19/48)

cohabiting partners (25.0%

12/48) and female sex workers (20.8%

10/48); for individuals with intravenous transmission

the first sexual partners were spouses (40%

8/20)

cohabiting partners (35%

7/20) and female sex workers (20%

4/20). Among the infected men and women

8.2% (4/49) and 45.5% (25/55) had Chinese partners as their first sexual partners

respectively (χ

=17.920

0.001). The data showed a low rate of condom use among the HIV-infected foreigners in sexual activities with their first (14.6%

15/103) and second (31.4%

11/35) sexual partners.

Conclusion

The newly reported HIV-infected foreigners in some of the border regions of Yunnan Province are active in sexual activities. The number of and relationship with their sexual partners vary in different subgroups. A considerable proportion of their sexual partners are Chinese

but the rate of condom use is low

which poses a high risk of HIV transmission that needs special attention.

关键词

Keywords

references

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