李艳玲, 孙宇, 曹艳芬, 王继宝, 王译葵, 段星, 杨锦, 项丽芬, 高洁, 杨跃诚, 叶润华, 何纳, 丁盈盈, 段松. 20162019年云南德宏傣族景颇族自治州新报告HIV感染双阳性夫妻合并丙型肝炎病毒感染及影响因素[J]. 上海预防医学, 2022, 34(9): 842-847. DOI: 10.19428/j.cnki.sjpm.2022.22067
引用本文: 李艳玲, 孙宇, 曹艳芬, 王继宝, 王译葵, 段星, 杨锦, 项丽芬, 高洁, 杨跃诚, 叶润华, 何纳, 丁盈盈, 段松. 20162019年云南德宏傣族景颇族自治州新报告HIV感染双阳性夫妻合并丙型肝炎病毒感染及影响因素[J]. 上海预防医学, 2022, 34(9): 842-847. DOI: 10.19428/j.cnki.sjpm.2022.22067
LI Yanling, SUN Yu, CAO Yanfen, WANG Jibao, WANG Yikui, DUAN Xing, YANG Jin, XIANG Lifen, GAO Jie, YANG Yuecheng, YE Runhua, HE Na, DING Yingying, DUAN Song. Hepatitis C virus co-infection and influencing factors among newly reported HIV concordant couples in Dehong Prefecture of Yunnan Province from 2016 to 2019[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 842-847. DOI: 10.19428/j.cnki.sjpm.2022.22067
Citation: LI Yanling, SUN Yu, CAO Yanfen, WANG Jibao, WANG Yikui, DUAN Xing, YANG Jin, XIANG Lifen, GAO Jie, YANG Yuecheng, YE Runhua, HE Na, DING Yingying, DUAN Song. Hepatitis C virus co-infection and influencing factors among newly reported HIV concordant couples in Dehong Prefecture of Yunnan Province from 2016 to 2019[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 842-847. DOI: 10.19428/j.cnki.sjpm.2022.22067

20162019年云南德宏傣族景颇族自治州新报告HIV感染双阳性夫妻合并丙型肝炎病毒感染及影响因素

Hepatitis C virus co-infection and influencing factors among newly reported HIV concordant couples in Dehong Prefecture of Yunnan Province from 2016 to 2019

  • 摘要:
    目的 分析德宏傣族景颇族自治州(简称“德宏州”)人类免疫缺陷病毒(HIV)双阳性夫妻合并丙型肝炎病毒(HCV)感染特征和影响因素。
    方法 利用2016—2019年德宏州新报告的HIV双阳性夫妻病例疫情卡片,收集不同性别配偶的一般人口学信息、接触史、HCV感染情况等资料,探究HIV双阳性夫妻特征和合并HCV感染的情况。
    结果 纳入的160对HIV双阳性夫妻中,有46例(28.8%)男性、14例(8.8%)女性HIV感染者合并感染HCV。单因素分析显示,HIV确诊年龄<40岁、景颇族、缅甸籍、未接受系统教育、农民和有注射毒品史的男性配偶合并HCV感染率更高;HIV确诊年龄<40岁、景颇族和缅甸籍的女性配偶合并HCV感染率更高。男性配偶的多因素logistic回归分析显示,景颇族(OR=3.76,95%CI:1.14~12.39)和注射毒品史(OR=29.46,95%CI:2.42~358.42)会增加HCV合并感染率。
    结论 德宏州HIV双阳性夫妻HCV合并感染率较高,应针对民族特异性因素和HIV双阳性夫妻不同性别配偶的暴露特点,制定有效的干预策略以减少疾病负担。

     

    Abstract:
    Objective To determine the characteristics and influencing factors of hepatitis C virus (HCV) co-infection among HIV concordant couples in Dehong Prefecture.
    Methods Using the data of newly reported HIV concordant couples in Dehong Prefecture from 2016 to 2019, we collected the demographic characteristics, exposure history, and HCV infection to determine the characteristics of HCV co-infection among HIV concordant couples.
    Results Among the 160 HIV concordant couples included in the study, 46 (28.8%) males and 14 (8.8%) females were co-infected with HCV. The prevalence of HIV-HCV co-infection was higher among the male spouses who were diagnosed less than 40, Jingpo ethnic, Burmese, illiteracy, farmers, and intravenous drug users. In contrast, the prevalence of HIV-HCV co-infection was higher among the female spouses who were diagnosed less than 40, Jingpo ethnic, and Burmese. Logistic regression analysis among male spouses showed that the Jingpo ethnic and intravenous drug users had higher risk of HCV co-infection.
    Conclusion HIV concordant couples in Dehong Prefecture have high prevalence of HIV-HCV co-infection. Effective intervention strategies should be developed based on ethnic-specific factors and exposure characteristics among male and female spouses of HIV concordant couples.

     

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