摘要
目的了解云南省定居在边境地区的外籍跨境婚姻人群AIDS抗病毒治疗现状及需求,为政策制定提供依据。方法采用定性和定量研究相结合的方法,收集云南省边境地区外籍跨境婚姻人群HIV感染流行病学、随访管理和治疗的数据,并设计半结构问卷对部分县的78名行政管理和卫生人员以及感染HIV的外籍跨境婚姻人群进行访谈调查。对定性和定量资料进行分析。结果①跨境婚姻家庭在云南边境地区很普遍,多数当地人不把外籍跨境婚姻人群作为外来人员看待;多数跨境婚姻家庭未进行婚姻登记,属于事实婚姻;②边境地区外籍跨境婚姻人群中AIDS流行状况不容乐观;③跨境婚姻人群HIV检测及抗病毒治疗开展情况各地不均衡;④已感染HIV的外籍跨境婚姻人群非常需要免费抗病毒治疗。结论云南省在防治AIDS决策时要正视和重视边境外籍人员的HIV感染问题,应该把因为婚姻关系定居在边境地区的外籍人员纳入与中国居民同等的防治AIDS管理(包括免费进行抗病毒治疗)的范畴,在防治政策上给以保障,在资金上给予支持。
Objective To learn about the current situation of antiretroviral therapy （ART） for the foreign spouses of cross-border marriage families resided in the border areas of Yunnan Province and their needs, so as to provide evidence for policy-making. Methods Qualitative and quantitative methods were applied to collect and analyze the data related to HIV epidemiology, follow-up and treatment of cross-border marriage families resided in the border areas of Yunnan Province. In addition, semi-strnctured inter- views of 78 local administration personnel, health professionals and foreign spouses of cross-border marriage families were carried out. The qualitative and quantitative data were analyzed. Results Cross-border marriages were common and received in the border areas of Yunnan Province, and most marriages were De facto marriages, not being officially registered. HIV prevalence among the foreign spouses of cross-border marriage families was high. The carrying out of HIV testing and ART for the foreign spouses of cross-border marriage families were various in different areas. The foreign spouses with HIV infection greatly needed free ART. Conclusions HIV prevalence among the foreign spouses of cross-border marriage families resided in the border areas of Yunnan Province should be paid much attention to. The specific population should be included in AIDS prevention and treatment administration （including taking free ART）, with policy guarantee in AIDS prevention and treatment and funding support.
出处
《传染病信息》
2012年第6期360-363,共4页
Infectious Disease Information
基金
云南省中英艾滋病项目
