摘要
目的了解云南省德宏州吸毒哨点人群艾滋病病毒（HIV）、丙型肝炎病毒（HCV）感染率及相关卫生服务利用情况。方法按照《全国艾滋病哨点监测方案》的要求对2011—2013年德宏州4个吸毒人群艾滋病哨点监测对象进行问卷调查和HIV、HCV检测。结果2011—2013年共监测4878人次，其中2011年监测1597名吸毒人员，HIV和HCV的感染率分别为11．6％和20．5％；2012年监测1602名吸毒人员，HIV和HCV的感染率分别为9．6％和23．9％；2013年监测1679名吸毒人员，HIV和HCV的感染率分别为10．8％和26．1％；3年间HIV感染率变化不明显（r=0．52，P=0．471），HCV感染率明显上升（r=14．49，P=0．000）。2011—2013年德宏州吸毒哨点监测人群接受艾滋病相关卫生服务情况显著不同，其中接受“同伴教育”卫生服务的比例分别为24．4％、56．4％、51．9％，接受“安全套宣传和发放／艾滋病咨询与检测”卫生服务的比例分别为44．3％、69．O％、60．3％，接受“社区药物维持治疗／清洁针具提供／交换”卫生服务的比例分别为14．2％、2．9％、2．3％。不同HIV和HCV感染状态者接受艾滋病相关卫生服务的情况不同。结论德宏州吸毒人群HIV和HCV感染率高，但相关卫生服务利用率低，必须加强吸毒人群健康教育与高危行为干预工作。
Objective To examine the prevalence of HIV and HCV infections as well as utilization of related health services among drug users in HIV-sentinel surveillance sites in Dehong Prefecture of Yunnan Province. Methods Drug users in four HIV sentinel surveillance sites in Dehong Prefecture during 2011 -2013 were tested for HIV and HCV infections and were administered a questionnaire according to the National Protocol for HIV Sentinel Surveillance. Results A total of 4 878 person-times were monitored from 2011 to 2013. The prevalence of HIV and HCV infections was 11.6% and 20.5% for the 1 597 drug users in 2011, 9.6% and 23.9% for the 1 602 drug users in 2012, and 10.8% and 26.1% for the 1 679 drug users in 2013, respectively. Trend difference was observed for HCV prevalence （x^2 = 14. 49, P =0. 000） but not for HIV prevalence （x^2=0. 52,P = 0. 471） in the three years. Utilization of HIVrelated health services varied significantly in the three years. From 2011 to 2013, the proportion of receiving service of peer education was 24.4%, 56.4% and 51.9% ; the proportion of receiving service of condom promotion and voluntary HIV counseling and testing was 44.3% , 69.0% and 60.3% ; and the proportion of participating in service of community-based methadone maintenance treatment and/or needle exchange programs was 14.2%, 2.9% and 2.3%, respectively. Conclusion Drug users in HIV- sentinel surveillance sites in Dehong Prefecture have high prevalence of HIV and HCV infections but low utilization of HIV-related health education and behavioral interventions. Efforts are needed to promote health education and behavioral interventions targeting drug users.
出处
《上海预防医学》
CAS
2016年第12期843-847,共5页
Shanghai Journal of Preventive Medicine
基金
国家科技重大专项(2011ZX10004-903)
