论文部分内容阅读
目的通过对戒毒所和社区吸毒者的调查研究,了解株洲市吸毒人群中HIV、梅毒及丙肝感染情况,为在该人群中开展高危干预、预防疾病提供参考依据。方法抽取每年4~7月份的戒毒所新进吸毒人员和社区美沙酮戒毒人员,对其进行问卷调查,采血进行HIV、HCV和梅毒抗体检测,并对结果进行统计和分析。结果 811名吸毒人员以20~45岁的同居或在婚人群为主,同居和在婚吸毒人群最近一年的性行为中安全套每次使用率为4.11%(26/633)。HIV感染率为0.25%(2/811),HCV感染率为50.92%(413/811),梅毒感染率为8.51%(69/811)。整体HCV和梅毒疫情有上升趋势(P<0.05)。梅毒主要通过多性伴和商业性性行为感染,注射吸毒是丙肝传播的主要危险因素(P<0.05)。结论株洲市吸毒人群存在较严重的知识与行为相背离的现象,并存在注射吸毒和性乱交叉感染血源性疾病和流行传播的危险因素,须加强干预力度,加大毒品危害宣传力度及禁毒工作。
Objective To investigate the HIV, syphilis and hepatitis C infection among drug addicts in Zhuzhou City through investigation and research on drug addicts and community drug addicts so as to provide reference for high-risk intervention and disease prevention in this population. METHODS: Drug addicts and community methamphetamine drug addicts from April to July each year were recruited. Questionnaires were conducted to collect blood samples for HIV, HCV and syphilis antibody tests, and the results were statistically analyzed. Results A total of 811 drug addicts, aged 20-45, living in the same or married group, were 4.11% (26/633) each in condom use during the last year of sexual activity of cohabiting and drug abusers. The rate of HIV infection was 0.25% (2/811), HCV infection rate was 50.92% (413/811) and syphilis infection rate was 8.51% (69/811). The overall HCV and syphilis epidemic is on the rise (P <0.05). Syphilis is mainly caused by multiple sex partners and commercial sexual behaviors. Injection drug use is the major risk factor for hepatitis C transmission (P <0.05). Conclusions There is a serious deviation between knowledge-based behavior and behavioral problems among drug abusers in Zhuzhou City. There are also risk factors for blood-borne diseases and epidemic spread of injecting drug abusers and sexual intercourse, and intervention efforts should be stepped up to intensify publicity and drug control of drug hazards jobs.