Factors associated with HIV infection among Indian women.

Factors associated with HIV infection among Indian women.
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DOI:
10.1258/ijsa.2010.010127
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发表时间:
2011-03
影响因子:
1.4
通讯作者:
Detels R
Detels R
中科院分区:
医学4区
文献类型:
--
作者:
Ghosh P;Arah OA;Talukdar A;Sur D;Babu GR;Sengupta P;Detels R

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对于印度妇女中与艾滋病毒传播相关的社会人口学和其他潜在因素的研究仍然很少。这项研究旨在调查有性经验的印度女性的这些因素。我们使用了全国家庭健康调查 3 (NFHS-3) 的数据,该调查对 52,853 名妇女进行了艾滋病毒检测,其中包括 27,556 对夫妻。所有女性和已婚女性的显着风险因素仅包括:年龄 26-35 岁(调整后比值比 [AOR] = 3.65 和 2.53)、贫困(AOR = 1.57 和 1.79)、过去 12 个月内曾患过生殖器溃疡(AOR = 3.16 和 3.01)以及拥有超过一名性伴侣(AOR = 5.95 和 5.15)。对于夫妻而言,遭受性暴力(AOR = 2.63)、丈夫有其他妻子(AOR = 3.40)和丈夫受过中学或以上教育(AOR = 0.43)是显着的。印度的干预策略应针对年轻的已婚妇女(25-35 岁)和已婚的贫困城市妇女,以及遭受丈夫性暴力和/或有多个伴侣(或其丈夫)的妇女。赋予妇女权力对于印度预防艾滋病毒/艾滋病至关重要。
There is still a paucity of research on the sociodemographic and other underlying factors associated with HIV transmission among women in India. This study was designed to investigate such factors in sexually experienced Indian women. We used data from the National Family Health Survey 3 (NFHS-3), which tested 52,853 women for HIV, including 27,556 husband and wife pairs. Significant risk factors for all women and married women only were: aged 26–35 years (adjusted odds ratios [AORs] = 3.65 and 2.53, respectively), being poor (AORs = 1.57 and 1.79), having had a genital sore in the last 12 months (AORs = 3.16 and 3.01) and having more than one sexual partner (AORs = 5.95 and 5.15). For husband and wife pairs, suffering sexual violence (AOR = 2.63), husband having other wife/wives (AOR = 3.40) and husband’s education being secondary level or higher (AOR = 0.43) were significant. Intervention strategies in India should target young married (aged 25–35 years) and formerly married urban women who are poor, as well as those who have suffered sexual violence from their husbands, and/or are (or whose husbands are) multi-partnered. Empowerment of women is fundamental to HIV/AIDS prevention in India.
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