摘要
目的了解内蒙古自治区艾滋病哨点吸毒人群(DUs)HIV、梅毒、HCV感染状况和高危行为发生情况以及变化趋势。方法采用重复横断面调查方法,2016-2021年每年4-6月在监管场所连续抽样,对抽到的DUs进行一对一问卷调查和血清学检测。结果2016-2021年,DUs中使用传统毒品的比例为63.38%~87.71%,且呈上升趋势(χ^(2)_(趋势)=45.967,P<0.001)。最近1年有商业性性行为的占比从2016年的11.71%上升到2021年的22.78%,其中每次都使用安全套的占比从54.17%下降到36.09%,差异均有统计学意义(χ^(2)_(趋势)=22.475;χ^(2)_(趋势)=32.053;P均<0.001)。曾经注射吸毒的占比从2016年的19.80%下降到2021年的16.84%,其中共用针具的占比从2016年的40.81%下降到12.06%,差异均有统计学意义(χ^(2)_(趋势)=74.984;χ^(2)_(趋势)=66.537;P均<0.001)。HIV抗体阳性率在0~0.15%之间。梅毒抗体阳性率在1.80%~5.43%之间,呈上升趋势;HCV抗体阳性率在20.91%~30.26%之间,呈下降趋势;差异均有统计学意义(χ^(2)_(趋势)=7.326,P=0.007;χ^(2)_(趋势)=25.215,P均<0.001)。结论内蒙古自治区哨点监测DUs以使用传统毒品为主,HIV抗体阳性率较低,HCV、梅毒抗体阳性率处于中等水平;高危行为依然存在,继续有效深入地进行干预是今后工作的重点。
Objective To understand the HIV,syphilis,HCV infection status and changing trends of high-risk behaviors among drug users(DUs)from the AIDS sentinel surveillance data in Inner Mongolia Autonomous Region.Methods Repeat cross-sectional survey methods were used.Continuous sampling was conducted at the supervised premises from April to June of 2016 to 2021.Questionnaires and serological tests were conducted in drug users.Results In 2016-2021,the proportion of traditional drugs used among drug users was 63.38%to 87.71%and showed an upward trend(χ^(2)_(trend)=45.967,P<0.001).In the past year,the proportions of commercial sexual activities increased from 11.71%in2016 to 22.78%in 2021,and the constant use of condoms dropped from 54.17%to 36.09%,with differences statistically significant(χ^(2)_(trend)=22.475;χ^(2)_(trend)=32.053;P<0.001).The proportions of former injecting drug users dropped from 19.80%in2016 to 16.84%in 2021,while needles sharers decreased from 40.81%in 2016 to 12.06%,with differences all statistically significant(χ^(2)_(trend)=74.984;χ^(2)_(trend)=66.537;P<0.001).The positive rate of HIV antibodies was between 0 and 0.15%.The positive rate of syphilis antibodies was between 1.80%and 5.43%,showing an upward trend.The positive rate of HCVantibodies was between 20.91%and 30.26%,showing a downward trend.The differences were statistically significant(χ^(2)_(trend)=7.326,P=0.007;χ^(2)_(trend)=25.215,P<0.001).Conclusions The sentinel points set for drug abusers in the Inner Mongolia Autonomous Region mainly target traditional drugs.Although the HIV antibody positivity rate appeared low with the positive rate of HCV and syphilis antibodies at a medium level,high-risk behavior is still persistent.Moreover,continued effective and in-depth intervention remains the focus issue in the future.
作者
刘迎男
杨景元
李慧
杨虹
杲柏呈
刘静
李向春
李瑶
LIU Yingnan;YANG Jingyuan;LI Hui;YANG Hong;GAO Baicheng;LIU Jing;LI Xiangchun;LI Yao(Inner Mongolia Medical University,Hohhot 010000,China;Inner Mongolia Autonomous Region Comprehensive Center for Disease Control and Prevention,Hohhot 010000,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第9期1036-1040,共5页
Chinese Journal of Aids & STD
基金
内蒙古自治区科技计划项目(2020GG0218)。
