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目的了解江门市吸毒人群行为特征和艾滋病病毒、丙型肝炎病毒感染情况,为预防和控制艾滋病提供科学依据。方法对江门市2009-2015年6个国家级吸毒人群艾滋病哨点监测结果进行统计分析。结果 2009-2015年江门市吸毒人群哨点共监测16 517人,艾滋病相关知识知晓率、最近1年商业性行为坚持使用安全套的比例均呈逐年上升趋势(P均<0.05),知晓率由2009年的68.5%上升至2015年的99.5%,最近1年商业性行为坚持使用安全套的比例由2009年的33.9%增至2015年的89.2%;注射吸毒比例由2009年的75.7%下降至2015年的45.3%,呈逐年下降趋势(P均<0.05);HIV阳性检出率由2009年的4.8%降至2015年的0.7%,丙肝病毒阳性检出率由2009年的64.7%降至2015年的50.8%,二者均呈逐年下降趋势(P均<0.05)。结论江门市2009-2015年吸毒人群HIV阳性检出率保持在较高水平,丙肝感染率较高,高危行为依然存在,应加强对该类人群的监测和高危行为干预,控制吸毒人群中艾滋病和丙型肝炎的感染和传播。
Objective To understand the behavioral characteristics of drug addicts and HIV and HCV infection in Jiangmen and provide a scientific basis for the prevention and control of AIDS. Methods A statistical analysis was conducted on sentinel surveillance of HIV / AIDS among 6 national drug users in 2009-2015 in Jiangmen City. Results In 2009-2015, a total of 16 517 sentinel drug users were monitored in Jiangmen City. The awareness rate of AIDS-related knowledge and the proportion of condom use by commercial sex workers in the recent 1 year increased year by year (all P <0.05) Year increase from 68.5% in 2015 to 99.5% in 2015. The proportion of condom use by commercial sex practitioners in the last year increased from 33.9% in 2009 to 89.2% in 2015. The proportion of injecting drug users dropped from 75.7% in 2009 to 2015 (P <0.05). The positive rate of HIV infection dropped from 4.8% in 2009 to 0.7% in 2015, and the positive rate of hepatitis C virus infection dropped from 64.7% in 2009 to 2015 50.8%, both showed a declining trend year by year (all P <0.05). Conclusions The positive rate of HIV positive among drug users in 2009-2015 in Jiangmen City is high, the rate of hepatitis C infection is high, and the high-risk behaviors still exist. Therefore, the monitoring and high-risk behavioral intervention should be strengthened to control HIV / AIDS among drug users Hepatitis C infection and transmission.