摘要
目的了解云南省保山市强制戒毒人员艾滋病病毒(HIV)和丙型肝炎(简称丙肝)病毒(HCV)感染现状及相关影响因素,为制定针对吸毒人群的艾滋病和丙肝防控措施提供依据。方法对保山市强制隔离戒毒所吸毒人群开展行为学调查及血清学检测,通过χ~2检验和多因素Logistic回归方法分析HIV和HCV感染危险因素。结果800名吸毒者的HIV感染率为2.4%,HCV感染率为27.6%,HIV和HCV合并感染率为1.9%。吸毒人群HIV感染影响因素为与别人共用针具[比值比(OR)=15.669,95%可信区间(CI):3.122~78.615],HCV感染影响因素为使用传统毒品(OR=2.076,95%CI:1.194~3.608)、注射吸毒(OR=17.289,95%CI:8.469~35.295)。结论保山市吸毒人群HIV和HCV感染率较高,共用针具是HIV感染的危险因素。使用传统毒品和注射吸毒是HCV感染的危险因素。
Objective To understand HIV and HCV infection status and influencing factors of drug addicts under compulsory rehabilitation,and to provide the evidence for HIV and HCV prevention and control among drug users.Methods A questionnaire survey was conducted among 800 drug addicts under compulsory rehabilitation in Baoshan city of Yunnan province,followed by HIV and HCV testing.Chi-square test and multi-factor logistic regression methods were used to analyze HIV and HCV infection risk factors.Results The HIV infection rate among the drug users was 2.4%,and HCV infection rate was 27.6%.The prevalence of HIV/HCV co-infection was 1.9%.The HIV infection risk factors included syringes sharing(OR15.669,95%CI:3.122-78.615),and the HCV infection risk factors were the traditional drug users(OR=2.076,95%CI:1.194-3.608),and injecting drug users(OR=17.289,95%CI:8.469-35.295).Conclusion HIV and HCV infection prevalence are higher among drug users in Baoshan.Syringes sharing is the risk factor for HIV infection.Traditional drug use,and injecting drug use were the risk factors for HCV infection.We should take an integrated intervention measures for drug users to control HIV,and HCV spreading.
作者
胡安艳
邓家欢
董贤雅
徐正翠
李正旭
杨家芳
李洪
HU Anyan;DENG Jiahuan;DONG Xianya;XU Zhengcui;LI Zhengxu;YANG Jiafang;LI Hong(Baoshan Center for Disease Control and Prevention,Baoshan 678000,Yunnan,China;Kunming Medical University,Yunnan 650500;Yunnan Provincial Center for Disease Control and Prevention,Yunnan 650032)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2019年第11期1113-1116,共4页
Chinese Journal of Aids & STD
