广西HIV/TB双重感染影响因素调查
Investigation on the influencing factors of co-infection of HIV/TB in Guangxi
玛杜 1梁冰玉 1黄颉刚 1蒋俊俊 1潘沛江 1苏锦明 1李彧 1杨小艺 1周波1
作者信息
- 1. 广西医科大学公共卫生学院,广西艾滋病防治研究重点实验室,广西南宁530021
- 折叠
摘要
目的 了解广西艾滋病(acquired immunodeficiency syndrome,AIDS)/结核病(tuberculosis,TB)双重感染影响因素,为针对该人群的健康教育和健康策略的制定提供参考依据.方法 对来自广西南宁市第四人民医院AIDS治疗门诊和感染科住院部就诊和住院的人类免疫缺陷病毒(human immunodeficiency virus,HIV)单纯感染者、TB单纯感染者和HIV/TB双重感染者进行面对面问卷调查,并用Logistic回归分析双重感染的影响因素.结果 174名被调查对象中,AIDS单纯感染者83人(47.7％),TB单纯感染者56人(32.2％),HIV/TB双重感染者35人(20.1％);与HIV组比较,HIV/TB双重感染和以下因素有关:了解TB免费治疗政策(OR =2.85,95％ CI:1.03～7.85)、接受过有关预防AIDS宣教咨询等服务(OR =0.17,95％ CI:0.06～0.49);与TB组比较,HIV/TB双重感染和以下因素有关:现居住地在钦州百色或其他地区(OR =3.44,95％ CI:1.26～9.42)、仅通过医生、医院咨询服务了解AIDS(OR=3.68,95％ CI:1.28 ～ 10.56).结论 应加强社会对AIDS和TB的宣教工作和血液的管理,注意把两种疾病联合进行预防.
Abstract
Objective To explore influencing factors of co-infection of HIV and TB in Guangxi,and to provide references for the promotion of health education and the formulation of health strategies.Methods A questionnaire survey was conducted at HIV treatment clinic from the city of Nanning,Baise and Qinzhou by face-to-face conversations.The respondents were divided into 3 groups,including single HIV-1-infected patients (HIV group),single TB-infected patients (TB group) and HIV/TB co-infected patients (HIV/TB group).The questionnaire was designed in term of general demographic characteristics and factors that contribute to HIV and TB infection.By comparing HIV/TB group and other groups respectively,univariate and multivariate logistic regression were used to analyze the factors associated with HIV/TB co-infection.Results 174 respondents were recruited,including 83 (47.7％) of single HIV-1 infection,56 (32.2％) of single TB infection,and 35 (20.1％) including of HIV/TB co-infection.Compared with HIV group,HIV/TB co-infection was statistically significantly associated with knowledge of the policy of free TB treatment (OR =2.85,95％ CI:1.03-7.85),and having received HIV/AIDS counseling service (OR =0.17,95％ CI:0.06-0.49).Compared with TB group,HIV/TB co-infection was significantly associated with living in Qingzhou,Basise Areas (OR =3.44,95％ CI:1.26-9.42),and knowledge of HIV/AIDS mostly from hospital consulting (OR =3.68,95％ CI:1.28-10.56).Conclusions The social public health education of both AIDS and TB should be improved.The way of HIV/TB transmission via blood transfusion should be kept in heightened alertness.
关键词
获得性免疫缺陷综合征/广泛耐药结核/数据收集Key words
Acquired immunodeficiency syndrome/Extensively drug-resistant tuberculosis/Data collection引用本文复制引用
基金项目
国家自然科学基金(81171624)
广西重点实验室资助计划(桂科基字[2013]27号)
出版年
2014
NETL
NSTL
维普
万方数据