摘要
目的了解平凉市崆峒区吸毒人群的行为学特征及艾滋病(HIV)、丙肝(HCV)、梅毒感染现状,为制定针对目标人群的行为干预策略提供依据。方法对崆峒区2007—2012年间进入强制戒毒所的吸毒人员进行一对一问卷调查,并现场采集血样备检。结果共调查检测吸毒人员724名,其中83.29%为本地户籍,汉族占54.01%,回族占42.96%,男女性别比6.17︰1。吸食的毒品主要为海洛因,注射吸毒者占38.39%,女性吸毒者中有18.81%有商业性行为。调查中检测出HCV抗体阳性的有148例(20.44%)、梅毒阳性的有67例(9.25%)、HIV抗体阳性的有6例(0.83%)。HIV感染者中50%为省外户籍,83.33%为少数民族(回族2人,彝族3人)。结论崆峒区吸毒人群HIV感染以省外流入和少数民族吸毒者为主。深入开展吸毒人群艾滋病预防知识教育,减少注射和共用针具的行为,依然是控制崆峒区吸毒人群HIV传播的关键。尽快扩大美沙酮维持治疗覆盖面、开展针具交换与安全套推广使用等综合干预措施是下一步干预工作的重点。
Objective To understand the behavioral characteristics of drug addicts and the present status of HIV,HCV and syphilis infection in Kongdong District,to provide a basis for the behavior intervention strategies.Methods One to one interview was made and blood samples were collected on site among drug addicts,who were sent to the compulsory drug rehabilitation center from 2007 to 2012 in Kongdong District.Results After eliminating repetitive questionnaires,a total of 724 drug addicts were investigated,among whom 83.29% were local household registration,the Han nationality accounted for 54.01%,Hui nationality 42.96%,and the sex ratio was 6.17 to 1.Abused drug was mainly heroin.Injecting drug users accounted for 38.39%,and 18.81% female drug addicts had a commercial sexual behavior.There were 148 cases were detected of HCV antibody positive(20.44%),67 cases of syphilis(9.25%),and 6 cases of HIV antibody positive(0.83%),and 50% of HIV infection were the other province households,83.33% was minorities(Hui 2,Yi 3).Conclusion Kongdong HIV infection is mainly among drug addicts of the other province inflows and minorities.It is still the key to carry out HIV/AIDS prevention knowledge education for drug users and reduce injections and shared needles behaviors,so as to control the spread of HIV among drug addicts in our district.The focus of the next intervention work is to expand as soon as possible the coverage of methadone maintenance treatment and carry out comprehensive interventions such as needle exchange and condom promotion use.
出处
《健康教育与健康促进》
2013年第4期287-289,296,共4页
Health Education and Health Promotion
关键词
吸毒人群
行为特征
感染状况
调查
Drug addicts
Behavior characteristics
Infection status
Survey
