AIDS epidemic' dissertation">AIDS epidemic situation is grim, but the border is long and no natural barriers, cultura" />
Epidemiological Study on the Prevalence and Risk Factors of HIV Infection in Cross-border Wives in Tengchong County of Yunnan
|School||Disease Control and Prevention Center|
|Keywords||Transnational marriages HIV infection HIV Partner AIDS epidemic Condom use Sex Transmission Interventions Prevalence AIDS prevention AIDS High-risk behavior Education Infected person AIDS AIDS-related Antibody detection Positive rate AIDS patients|
Background: Drug neighboring countries and regions of Yunnan AIDS' dissertation">AIDS epidemic' dissertation">AIDS epidemic situation is grim, but the border is long and no natural barriers, cultural, historical origins makes the border territory since ancient times collapse of free trade, intermarriage tradition. The transnational marriages to foreign women married Chinese-based, and more for the fact that marriage, in a variety of management of the blank areas. For transnational marriages prevalence of AIDS, lack of understanding, urgent further study. Objective: transnational marriages of foreign women in border areas of AIDS-related knowledge and risk behavior status, transnational marriages of foreign women and their Chinese spouses AIDS virus (HIV) infection, exploring transnational marriages of foreign women in border areas of HIV infection factors. Methods: A cross-sectional survey design, with a unified questionnaire for all towns in Tengchong County, population census of transnational marriages, foreign women conducted a questionnaire survey and collect blood for syphilis and HIV antibody testing; Chinese spouses only serum samples were collected for syphilis and HIV antibody testing. Investigated a total of 960 foreign women (both Burmese), Chinese spouses 741. Results: Tengchong County Burmese women in transnational marriages HIV infection prevalence rate of 1.98%, Chinese spouses of HIV infection prevalence rate of 1.35%. Multivariate analysis showed that in Burma Burmese transnational marriages widowed women the risk of HIV infection is unmarried 27.209-fold (95% CI :4.758-155 .590), to China in less than a year Burmese transnational marriages HIV-infected women Risk is more than 1 year of 8.597 times (95% CI :2.352-31 .427), the most recent year with casual partners had sexual relations Burmese women in transnational marriages risk of HIV infection is no casual partners of 15.968 times (95% CI :1.804-141 .331). Widowed, married to China for less than one year, the most recent year have sexual relations with casual partners is a Burmese women in transnational marriages risk factors for HIV infection. Burmese women in transnational marriages is lower than the city's neighboring counties of AIDS knowledge among rural residents and rural residents in Yunnan average. Conclusion: the need to establish effective monitoring means to strengthen the mission of AIDS knowledge, advocacy groups for cross-border marriage premarital HIV voluntary testing, to provide them with relevant and timely interventions, blocking the AIDS virus through sexual transmission, effectively curb AIDS spread of the epidemic. To improve cross-border marriages Burmese women and their spouses and other sexual partners and frequency of condom use ratio, to prevent the sexual transmission of HIV, in addition to improving women's transnational marriages Burmese AIDS related knowledge, but also the need to strengthen condom promotion and distribution of interventions implementation efforts. Low level of culture and transnational marriages of young Burmese women should strengthen the mission and the frequency and intensity of intervention. Part of the township for Burmese women Transnational Marriage counseling HIV testing lower proportion of HIV prevention interventions, HIV prevention interventions relatively weak, the need to further improve and strengthen.