Low seroprevalence of HIV and syphilis in pregnant women in refugee camps on the Thai-Burma border
Low seroprevalence of HIV and syphilis in pregnant women in refugee camps on the Thai-Burma border
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DOI：
10.1258/ijsa.2008.008034
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发表时间：
2008-12-01
影响因子：
1.4
通讯作者：
McGready, R.
中科院分区：
文献类型：
--
作者：
Plewes, K.;Lee, T.;McGready, R.
难民和移民人口被认为是性传播感染和艾滋病毒的高危人群。在泰缅边境的产前诊所（ANCs）进行了梅毒和艾滋病毒的横断面调查。1997年，在Mae La难民营，艾滋病毒和梅毒的血清患病率分别为0.2%（500人中1人）（95%可信区间0-1.1）和0%（404人中0人）（95%可信区间0-0.9）；2005年分别为0.4%（500人中2人）（95%可信区间0.1-1.4）和0.4%（741人中3人）（95%可信区间0.1-1.2）；2005年流动妇女的梅毒血清阳性率为0（234人中0人）（95%可信区间0-1.6）。泰国或缅甸妇女的血清患病率低于周围anc报告的水平。与艾滋病毒阴性和阳性怀孕难民妇女进行的焦点小组讨论确定，克伦文化和隔离（地理和政治）的各个方面对预防艾滋病毒和性传播感染具有重要的保护作用。这项调查使这一地区向孕妇提供的服务在方案上发生了变化。
Refugee and migrant populations are considered to be at high risk from sexually transmitted infection (STI) and HIV. Cross-sectional surveys for syphilis and HIV were conducted in antenatal clinics (ANCs) on the Thai-Burmese border. In Mae La refugee camp, the seroprevalence of HIV and syphilis were 0.2% (one of 500) (95% CI 0-1.1) and 0% (0 of 404) (95% CI 0-0.9) in 1997; and 0.4% (two of 500) (95% CI 0.1-1.4) and 0.4% (three of 741) (95% CI 0.1-1.2) in 2005, respectively; syphilis seroprevalence in migrant women in 2005 was 0 (0 of 234) (95% CI 0-1.6). The seroprevalence was lower than that reported from surrounding ANCs for Thai or Burmese women. Focus group discussions with HIV-negative and -positive pregnant refugee women established that aspects of Karen culture and isolation (geographical and political) had a significant protective role from HIV and STI. This survey has resulted in programmatic changes in services to pregnant women in this area.