摘要
目的掌握贺州市吸毒人群艾滋病性病感染状况、流行趋势及艾滋病知识知晓情况、相关行为特征,评价该地区近年对吸毒人群的干预效果。方法根据国家《全国艾滋病哨点监测实施方案操作手册》要求,从2009—2013年每年4～6月对贺州市强制隔离戒毒所在押吸毒人员进行艾滋病知识及危险行为问卷调查和血清学调查。结果2009—2013年共调查吸毒者1 312人,其中男1 264人,女48人,平均年龄（32.1±7.45）岁。其艾滋病感染率为16.7%（219/1 312）,呈逐年下降趋势（χ^2=17.2,P〈0.05）;梅毒感染率为5.2%（68/1 312）,年度下降趋势无统计学意义（χ^2=2.28,P〉0.05）;丙肝感染率为72.4%（950/1 312）,年度下降趋势也无统计学意义（χ^2=4.02,P〉0.05）。注射吸毒比例为75.3%（988/1 312）;最近一个月注射吸毒共用过针具比例为8.1%（80/352）;发生过商业性行为的比例为22.5%（295/1 312）,商业性行为中坚持每次使用安全套的比例为50.5%（149/295）,有时使用的比例为21.7%（64/295）,从未使用过的比例为27.5%（81/295）;接受过预防艾滋病干预服务的比例为73.2%（961/1 312）;艾滋病知识知晓率为80.3%（1 054/1 312）。结论该地区注射吸毒人群艾滋病感染率呈逐年下降趋势,非注射吸毒人群艾滋病感染率并未下降。吸毒人群商业性行为中安全套使用率低,因此在今后的干预工作中要加强安全性行为教育,提高安全套使用率,进一步降低被感染和扩散艾滋病的风险。
Objective To understand the status of infection, epidemic trend and related knowledge, behaviorscharacteristics of AIDS among drug users in Hezhou city, and to evaluate the effect of interventions on drug users of the regionin recent years. Methods According to the requirements of ＂The implementation scheme of the national AIDS sentinelsurveillance operations manual ＂, a questionnaire survey of related knowledge, risk behavior, and serological analysis of AIDSwere conducted among drug users who were forced isolation treatment in custody in Hezhou city between April and June everyyear from 2009 to 2013. Results During 2009 to 2013, 1 312 people including 1 264 male and 48 female, and averaged ageof 32.1±7.45 were surveyed. The HIV infection rate was 16.7%（219/1 312）, showed a declining trend year by year（χ^2= 17.2,P〈0.05）; Syphilis infection rate was 5.2%（68/1 312） and the annual decline had no statistical significance（χ^2= 2.28, P〉 2.28）; HCV infection rate was 72.4%（950/1 312） and the annual decline had no statistical significance（χ^2= 4.02,P〉 4.02）.Injection drug use ratio was 75.3%（988/1 312）; Last month injecting drug users shared needles ratio was 8.1%（80/352）; Theproportion of commercial sexual behavior was 22.5%（295/1 312）, only 50.5% used condom every time during their commercialsex activities; 21.7% sometimes used and 27.5% never used condom. The proportion of received AIDS prevention interventionservices was 73.2%（961/1 312）; The ratio of awareness of knowledge about AIDS was 80.3%（1 054/1 312）. Conclusion The infection rates of AIDS of injection drug users in the region showed a declining trend year by year, but the rate of noninjection drug users did not decline. Condom use is low in commercial sex behavior among drug users. The intervention work inthe future must strengthen the safe sex education, improve the rate of condom use and reduce the risk of the infection and thespread of AIDS.
出处
《中国热带医学》
CAS
2015年第12期1518-1520,共3页
China Tropical Medicine
