| Objective:The study aims to understand the demographic characteristics,AIDS related knowledge,social network,and sexual behavior of Myanmar people in Dehong Prefecture,and analyze the factors of HIV testing willingness among them.The results provide a reference to help Dehong Prefecture prevent and control the HIV epidemic among Myanmar people.Methods:This a cross-sectional research to investigate the research subjects by non-probability sampling.On the basis of previous studies,and combined with the suggestions of experts in the HIV fields and staff of Dehong CDC,the sample size of this study was set to 400 persons.Ruili Human Resources and Labor Bureau,Jie Gao Port,Jewelry Street,Industrial Park,Ruili Customs were the main places to recruit the research objects.The investigators used self-designed questionnaires to ask the research subjects through a face-to-face,one-to-one method.The main contents of the questionnaire include:demographic characteristics,AIDS related knowledge,social network,sexual behavior,and HIV testing related content,etc.χ~2 test was used to compare the distribution differences between different variables,logistic regression was used for multivariate analysis,and the OR(95%CI)and P-values are used to infer the strength of the correlation between the influencing factors and the results.All reported P-values was two side and considered singnificant when α<0.05.Result:1 Basic information:In this study,a total of 422 Myanmar people were surveyed,29 unvalid questionnaires were eliminated,and 393 valid questionnaires(93.1%)were excluded.241 males(61.3%),average age 30.5±9.7 years old,256 Burmese(65.1%),96 Dai(24.4%),137 people(34.9%)received cultural education for 1-4 years,96 people(24.4%)received cultural education for 5-7 years,45 people(11.5%)were able to speak Chinese,226 people(57.5%)was married,and 273 people(69.5%)came to Dehong Prefecture in order to find a job.There were 273 people(69.5%)who had stayed in Dehong Prefecture for more than 2 years,and 353 people(89.8%)were determined to continue to stay in Dehong Prefecture for a long time.After chi-square test,age(χ~2=10.27,P=0.01),cultural education(χ~2=12.41,P<0.01),living in Dehong(χ~2=5.96,P=0.02),the residence time in Dehong(χ~2=12.42,P<0.01)is statistically different from whether the HIV test has been done or not.2 AIDS knowledge:The awareness rate of AIDS related knowledge is 75.6%,and 172 people(43.8%)had received AIDS related knowledge education in the last 6 months.The results of chi-square test showed that there was a statistically significant difference in AIDS related knowledge(χ~2=56.23,P<0.001)between Myanmar people who received propaganda and education in the last 6 months compared with those who did not.3 Social network status:279 people(71.0%)had families;307 people(78.1%)had friends/colleagues.95.0%(265/279)had encountered difficulties and asked their families for help;86.6%(266/307)of s had encountered difficulties and asked their friends/colleagues for help.Among the 393 study subjects,325(82.7%)siad that if they were infected with HIV,they most wanted the understanding and support of their families.214 people(54.5%)never participated in social activities.232 people(50.9%)spend less than one hour a day on social software;118 people(30.0%)spend 1-3 hours a day.There are statistically significant between Myanmar people of different genders and some factors,including more Myanmar people in social network members(χ~2=62.89,P<0.001),the number of social network members(χ~2=25.60,P<0.001),and the time spent on social software every day(χ~2=15.93,P<0.001)0.01),the distribution of social activities(χ~2=10.29,P<0.01).4 Sexual behavior:Among the 393 subjects,246(62.5%)had sex,but 60.1%(165/246)of the subjects had sex in the last 6 months.Among the 165 research subjects who had sex in the last 6 months,4 people(2.4%)had sex with commercial partners;5 people(3.0%)had sex with same-sex partners,73 people(44.2%)had sex with Chinese,and 12 people(7.3%)used alcohol,rush,etc.Among the 165 research subjects who had sex in the last 6 months,71.5%of whom had sex in the last 6 months when they had never used condoms.Results of multivariate logistic regression models indicated that the influencing factors of never using condoms in the past 6 months was males(compared with females,OR=4.24,95%CI:1.34-13.42).5 Active HIV testing awareness:22.9%of Myanmar people said that they would seek HIV testing after unprotected behaviors such as homosexual sex,injecting drug use,or condom sex.The reason why 185 people(61.1%)were unwilling to take the initiative to test was money,and the reason why 139 people(45.9%)was language inconvenience.Multivariate logistic regression analysis showed that the influencing factors of willingness to HIV testing include:women(compared with men,OR=2.05,95%C1:1.09-3.85),"received cultural education for 5-7 years,8-10 years or More than 10 years"(compared to receive 1-4 years of cultural education,OR=3.07,95%CI:1.27-7.39;OR=8.93,95%CI:4.08-19.51;OR=3.07,95%CI:1.27-7.39),received AIDS knowledge education in the last 6 months(compared with not receiving,OR=2.17,95%CI:1.21-3.89),AIDS knowledge awareness(compared with not knowing,OR=7.17,95%CI:2.60-19.76),had sex(compared with not sex,OR=2.67,95%C1:1.40-5.10).Conclusion:1 The awareness rate of AIDS knowledge among Myanmar people was low,and the recent AIDS knowledge education had promoted AIDS knowledge awareness.Myanmar people who had received AIDS knowledge education in the past 6 months had a higher accuracy rate in answering HIV transmission items.2 The number of the social network personnel of Myanmar people was less,and the initiative to participate in social activities was low.Families were the most ideal source of understanding and support.3 Condom usage rate was low among Myanmar people.Myanmar people who had commercial sex and MSM,especially those who were married,used alcohol,and didn’t insist on using condoms during high-risk sex,are more likely to be infected or spread HIV.4 It was low willingness for Myanmar people in Dehong Prefecture to seek HIV testing and low awareness of HIV testing.Language barriers and concerns about the cost of testing were the reasons why they were unwilling to seek HIV testing after high-risk behaviors. |
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