Field Epidemiology
Prevalence and correlates of HIV infection among cross-border families in Dehong Dai and Jingpo Autonomous Prefecture
Yang Yuecheng, Li Zihui, Li Lin, Ye Runhua, Hou Yan, Wang Chenbo, Xu Suoju, Wang Jijiao, Liu Ying, Wang Jibao, Yao Shitang, Ding Yingying, He Na, Duan Song
Published 2021-04-10
Cite as Chin J Epidemiol, 2021, 42(4): 683-689. DOI: 10.3760/cma.j.cn112338-20200903-01124
Abstract
ObjectiveTo study the prevalence and correlations of HIV infection among cross-border couples in the Dehong prefecture.
MethodsA cross-sectional mass screening study with questionnaire interview and HIV testing was conducted among 17 594 registered cross-border couples from May 2017 through June 2018.
ResultsAmong 32 400 participants, the overall prevalence of HIV infection was 2.27% (736/32 400), 2.44% (375/15 372) for Chinese citizens, and 2.12% (361/17 028) for foreign spouses. Among all the 13 853 couples with both spouses receiving HIV testing, 13 415(96.84%) were seroconcordant-negative couples, 142(1.03%) were serocondordant-positive couples, and 296(2.13%) were serodiscordant couples, including 167(1.20%) couples with positive husband and negative wife and 129(0.93%) couples with positive wife and negative husband. Multiple logistic regression analyses indicated that HIV infection was associated with drug use and risky sexual behaviors for male spouses. In contrast, HIV infection was associated with risky sexual behaviors for female spouses.
ConclusionThe prevalence of HIV among cross-border couples in Dehong prefecture is high, underscoring the urgent need to scale up HIV testing, prevention, and behavioral intervention.
Key words:
Cross-border couples; HIV; Infection prevalence; Influencing factors
Contributor Information
Yang Yuecheng
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Li Zihui
Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China
Li Lin
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Ye Runhua
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Hou Yan
Mangshi City Center for Disease Control and Prevention, Mangshi 678400, China
Wang Chenbo
Ruili City Center for Disease Control and Prevention, Ruili 678600, China
Xu Suoju
Longchuan County Center for Disease Control and Prevention, Longchuan 678700, China
Wang Jijiao
Yingjiang County Center for Disease Control and Prevention, Yingjiang 679300, China
Liu Ying
Lianghe County Center for Disease Control and Prevention, Lianghe 679200, China
Wang Jibao
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Yao Shitang
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
Ding Yingying
Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China
He Na
Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China
Duan Song
Dehong Dai and Jinpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
