家庭迁移事件后非移民人群中的艾滋病毒发病率:乌干达的一项基于人口的纵向研究
medRxiv : the preprint server for health sciences
|October 9, 2023
概括
移民显著增加了移民配偶,特别是男性的个人艾滋病毒的风险. 针对性艾滋病毒检测和暴露前预防是为这一群体推的.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 社会医学科学 社会医学科学
背景情况:
- 移民对非移民家庭成员艾滋病毒风险的影响仍未得到充分研究.
- 关于移民对撒哈拉以南非洲艾滋病毒感染的更广泛社会影响的研究有限.
研究的目的:
- 调查家庭迁移与乌干达非移民个人中艾滋病毒发病率之间的关联.
- 区分配偶移民与其他形式的家庭移民对艾滋病毒风险的影响.
主要方法:
- 利用了来自Rakai社区队列研究 (2011-2018) 的15-49岁非移民参与者的纵向数据.
- 家庭迁移定义为调查之间至少有一个成员进入或离开家庭.
- 采用波桑回归与通用估计方程来估计发生率比率,按性别和迁移类型分层.
主要成果:
- 总的来说,移民家庭中的非移民没有增加艾滋病毒风险.
- 然而,艾滋病毒发病率在那些配偶最近迁入或迁出的男性中显著更高.
- 在移民配偶的妇女中观察到类似的,尽管在统计学上不显著的趋势.
结论:
- 配偶移民与非移民家庭成员,特别是男性,艾滋病毒风险增加有关.
- 对于移民配偶的个人,应考虑针对性艾滋病毒预防策略,包括暴露前预防.
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