摘要
目的了解成都市金牛区吸毒人群相关行为特征,分析艾滋病感染状况及影响因素,为制定吸毒人群干预措施提供依据。方法对2009—2020年成都市金牛区吸毒人群监测结果进行统计分析。结果2009—2020年成都市金牛区共监测吸毒者4808人,年龄中位数为44岁,人口学特征以男性、40~<50岁、汉族、本省户籍、已婚或同居、初中及以下文化程度和艾滋病知识知晓为主,分别占73.04%、44.28%、98.73%、98.81%、40.74%、54.06%和96.69%。使用传统毒品占92.66%,不同年份使用传统毒品占比呈下降趋势(χ_(趋势)^(2)=494.615,P<0.05)、新型毒品和混合毒品占比均呈上升趋势(均P<0.05),注射毒品及共用针具情况均呈下降趋势(均P<0.05),最近1年商业性行为占比呈波动性变化(χ_(趋势)^(2)=0.127,P>0.05),人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体总阳性率、新发阳性率均呈波动性变化(均P>0.05)。汉族、离异或丧偶、艾滋病知识知晓是吸毒人群感染HIV的保护因素,共用针具是吸毒人群感染HIV的危险因素。结论2009—2020年成都市金牛区吸毒人群以使用传统毒品为主,但使用新型毒品、新型毒品和传统毒品混合使用的占比有所增加,注射吸毒和共用针具比例下降,HIV抗体阳性率呈波动性变化,需加大对青年、少数民族和流动人群的艾滋病综合防控。
Objective To understand the relevant behavior characteristics among drug users in Jinniu District of Chengdu City,analyze HIV infection status and influencing factors,and provide basis for formulating intervention measures for drug users.Methods Data of the surveillance results among drug users in Jinniu District of Chengdu City from 2009 to 2020 were analyzed statistically.Results A total of 4808 drug users were monitored in Jinniu District of Chengdu City from 2009 to 2020,with median age of 44 years old,the majority of demographic characteristics were male,aged 40-<50 years old,Han nationality,registered residence in Sichuan Province,married or cohabitation,junior high school education and below,and AIDS knowledge awareness,which accounted for>73.04%,44.28%,98.73%,98.81%,40.74%,54.06% and 96.69%,respectively.The proportion of traditional drugs using was 92.66%,and that showed downward trend in different years(χ_(trend)^(2)=494.615,P<0.05).The proportion of new drugs and both mixed use of drugs showed upward trend(all P<0.05).The situation of injecting drugs and needle sharing showed downward trend(all P<0.05).The proportion of commercial sex behavior in the last year showed an undulant change(χ_(trend)^(2)=0.127,P>0.05).The total positive rate and new positive rate of HIV antibody showed the undulant change(all P>0.05).Han nationality,divorced or widowed and AIDS knowledge awareness were the protective factors of HIV infection in this population,while drug users with sharing needles was risk factors of HIV infection.Conclusion During 2009-2020,the users in Jinniu District of Chengdu City mainly use traditional drugs,but the proportion of using new drugs and mixed use of drugs has increased,the proportion of injecting drug use and needle sharing has fallen,the positive rate of HIV antibody shows an undulant change,so is necessary to strengthen the comprehensive prevention and control of AIDS among youth,ethnic minorities and floating population.
作者
孙敏
罗叶
傅育嵩
张冉
熊洋
李欣
SUN Min;LUO Ye;FU Yu-song;ZHANG Ran;XIONG Yang;LI Xin(Third Disease Control Department,Jinniu District Center for Disease Control and Prevention,Chengdu Sichuan,610037,China;Community Drug Maintenance Treatment Clinic,Chengdu Jinniu District Second People's Hospital,Chengdu Sichuan,610031,China)
出处
《职业与健康》
CAS
2022年第1期78-83,共6页
Occupation and Health
基金
中华预防医学会社会组织参与艾滋病防治基金项目(2019-2020510106PYDDU002852C)。
关键词
吸毒人群
艾滋病
行为特征
影响因素
Drug users
AIDS
Behavior characteristics
Influencing factor
