摘要
目的了解新疆伊宁市吸毒人群HIV、梅毒和丙肝感染情况和流行特征,为制定防治策略提供科学依据。方法采取监测期内连续抽样方法,对2009-2013年伊宁市戒毒所及社区吸毒人群进行监测,采用问卷调查的方法收集相关行为学等方面信息,采集血液标本开展HIV、丙肝和梅毒抗体检测。结果 2009-2013年间共监测伊宁市吸毒人群3 531人,其中男性占98.4%,多为维吾尔族20~39岁年龄段人群;HIV、丙肝和梅毒的感染率分别为17.89%、37.6%和2.6%;注射吸毒比例为68.4%,其中共用注射器比例为26.8%;不同年龄组、不同民族间HIV阳性率差异有统计学意义。logistic回归分析结果表明,吸毒者感染HIV的风险以40~50岁年龄段最高（OR=30.992,95%CI=7.287~131.815）,维吾尔族高于汉族（OR=2.450,95%CI：1.203~4.989）,共用针具者高于非共用针具者（OR=2.973,95%CI：2.346~3.769）。吸毒人群艾滋病防治知识知晓率为93.5%,文化程度高和接受过艾滋病预防干预服务者知晓率较高。结论吸毒人群是HIV、丙肝和梅毒感染的高危人群,应有针对性地在吸毒人群中开展健康教育和高危行为干预工作。
Objective To investigate infection status and epidemiological characteristics of HIV,syphilis and HCV among drug users in Yining city;to provide scientific basis for making prevention and control strategies.Methods Continuous sampling method was used to choose drug uses in rehabilitation centers and local communities from 2009 to 2013during surveillance period,behavior-related information was investigated by questionnaires,blood samples were collected for HIV,HCV and syphilis antibody detection.Results A total of 3 531 drug users in Yining city were monitored from 2009 to 2013,among which98.4% were male,mainly were uighurs from 20 to 39years old.The infection rates of HIV,HCV and syphilis were 17.89%、37.6% and 2.6%,respectively.Intravenous injection accounted for 68.4%,among which 26.8% shared syringes.Statistical significance was observed for HIV positive rates among different age groups or ethnic populations.Logistic regression analysis showed risk of drug users infected with HIV was highest from 40 to 50years old（OR=30.992,95%CI：7.287-131.815）,Uighur had higher risk of infection than Han population（OR=2.450,95%CI：1.203-4.989）,drug users who shared syringes had higher risk than those did not share syringes（OR=2.973,95%CI=2.346-3.769）.Awareness rate of HIV/AIDS prevention and control knowledge among drug users was 93.5%,subjects with higher education background and covered by HIV/AIDS prevention and intervention services had higher awareness rate.Conclusion Drug users are high risk population of HIV,HCV and syphilis infection.Targeted health education and high risk behavior interventions should be carried out among drug users.
出处
《江苏预防医学》
CAS
2016年第2期144-147,共4页
Jiangsu Journal of Preventive Medicine
关键词
艾滋病
吸毒人群
哨点监测
HIV/AIDS
Drug users
Sentinel surveillance
