乌干达家庭迁移事件后非迁移者的艾滋病毒感染率。

IF 6.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ruth Young, Joseph Ssekasanvu, Joseph Kagaayi, Robert Ssekubugu, Godfrey Kigozi, Steven J Reynolds, Maria J Wawer, Bareng Aletta Sanny Nonyane, Betty Nantume, Thomas C Quinn, Aaron A R Tobian, John Santelli, Larry W Chang, Caitlin E Kennedy, Ligia Paina, Philip A Anglewicz, David Serwadda, Fred Nalugoda, Mary Kate Grabowski
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引用次数: 0

摘要

背景:人们对移民对非移民家庭成员艾滋病风险的影响知之甚少。我们测量了生活在乌干达有移民和无移民家庭中的非移民的艾滋病发病率:我们使用了 2011 年 7 月至 2018 年 5 月期间收集的四轮调查数据,这些数据来自拉卡伊社区队列研究中 15-49 岁的非移民参与者。非移民是指在两次调查之间或上一次调查中没有迁移的个人。家庭迁移是指在两次调查之间(∼18 个月),≥1 名家庭成员从另一个社区迁入或迁出。艾滋病毒感染事件是指在阴性结果之后检测出艾滋病毒血清阳性。采用泊松回归和广义估计方程估算发病率比(IRR)。分析按性别、迁入或迁出家庭以及非移民与移民之间的关系(如配偶、子女)进行分层:对大约 11 318 名非移民(5 674 名女性)进行了 37 320 人年的跟踪调查。28% 的非移民受访者(6059/21370)最近曾迁入或迁出该家庭,并发现了 240 例艾滋病病毒感染病例。总体而言,移民家庭中的非移民感染艾滋病毒的风险并不比没有移民的家庭中的非移民高。然而,与配偶没有迁移的男性相比,如果配偶最近迁移到本地(调整后内部收益率:2.12;95% 置信区间(CI):1.05-4.27)或迁移到外地(调整后内部收益率:4.01;95% 置信区间(CI):2.16-7.44),则男性感染艾滋病病毒的几率明显更高:结论:配偶为移民的非移民男性的 HIV 感染率较高。可以考虑对配偶为移民的男性进行有针对性的 HIV 检测和预防干预,如暴露前预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV incidence among non-migrating persons following a household migration event in Uganda.

Background: The impact of migration on HIV risk among non-migrating household members is poorly understood. We measured HIV incidence among non-migrants living in households with and without migrants in Uganda.

Methods: We used four survey rounds of data collected from July 2011 to May 2018 from non-migrant participants aged 15-49 years in the Rakai Community Cohort Study. Non-migrants were individuals with no-migration between surveys or at the prior survey. Household migration was defined as ≥1 household member migrating into or out of the house from another community between surveys (∼18 months). Incident HIV was defined as testing HIV seropositive following a negative result. Incidence rate ratios (IRRs) were estimated using Poisson regression with generalized estimating equations. Analyses were stratified by gender, migration into or out of the household and the relationship between non-migrants and migrants (e.g. spouse, child).

Results: About 11 318 non-migrants (5674 women) were followed for 37 320 person-years. Twenty-eight percent (6059/21 370) of non-migrant person-visits had recent migration into or out of the household, and 240 HIV incident cases were identified. Overall, non-migrants in migrant households were not at greater risk of acquiring HIV than non-migrants in households without any migration. However, men were significantly more likely to acquire HIV if their spouse had recently migrated in [adjusted IRR: 2.12; 95% confidence interval (CI): 1.05-4.27] or out (adjusted IRR: 4.01; 95% CI, 2.16-7.44) compared with men with no spousal migration.

Conclusions: HIV incidence is higher among non-migrant men with migrant spouses. Targeted HIV testing and prevention interventions like pre-exposure prophylaxis could be considered for men with migrant spouses.

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来源期刊
International journal of epidemiology
International journal of epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
13.60
自引率
2.60%
发文量
226
审稿时长
3 months
期刊介绍: The International Journal of Epidemiology is a vital resource for individuals seeking to stay updated on the latest advancements and emerging trends in the field of epidemiology worldwide. The journal fosters communication among researchers, educators, and practitioners involved in the study, teaching, and application of epidemiology pertaining to both communicable and non-communicable diseases. It also includes research on health services and medical care. Furthermore, the journal presents new methodologies in epidemiology and statistics, catering to professionals working in social and preventive medicine. Published six times a year, the International Journal of Epidemiology provides a comprehensive platform for the analysis of data. Overall, this journal is an indispensable tool for staying informed and connected within the dynamic realm of epidemiology.
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