论文部分内容阅读
目的了解湖南省衡阳市吸毒人群中HIV和梅毒感染流行趋势及其行为变化。方法采用《国家HIV/AIDS哨点监测方案》,从2002-2008年定时、定点在衡阳市某戒毒劳教所学员中连续开展艾滋病行为学和血清学调查。结果 7年间纳入监测对象3 251名,查出HIV阳性552人(16.98%)(年阳性检出率在11.89%~22.05%),年阳性检出率自2006年开始出现下降;查出梅毒阳性32人(1.25%)(年阳性检出率在0.99%~2.36%)。吸毒方式以注射吸毒为主,注射吸毒比例在87.41%~99.44%。年龄(OR=1.027,95%CI:1.013~1.041)、注射吸毒(OR=2.514,95%CI:1.47~4.293)、共用注射器(OR=1.448,95%CI:1.09~1.919)与HIV感染相关联。吸毒史(OR=1.089,95%CI:1.019~1.164)、有商业性行为(OR=2.262,95%CI:1.124~4.550)与梅毒感染相关。结论哨点监测结果对衡阳市吸毒人群中HIV和梅毒感染的变化、行为的影响和干预项目实施的有效性评价都能给予较好的解释。
Objective To understand the epidemiological trend of HIV and syphilis infection among drug users in Hengyang, Hunan Province and their behavioral changes. Methods The National HIV / AIDS Sentinel Surveillance Program was used to carry out HIV / AIDS behavioral and serological surveys continuously from 2002-2008 on a fixed-time basis among students in a rehabilitated drug abuse camp in Hengyang. Results A total of 3 251 subjects were included in the survey over the 7 years. 552 (16.98%) were HIV-positive (the annual positive rate was between 11.89% and 22.05%), and the annual positive rate of HIV infection decreased from 2006 onwards. 32 (1.25%) (annual positive detection rate of 0.99% ~ 2.36%). Drug abuse to inject drug-based, injecting drug abuse in the 87.41% ~ 99.44%. Age (OR = 1.027, 95% CI: 1.013-1.041), injecting drug use (OR = 2.514, 95% CI: 1.47-4.293) United The history of drug abuse (OR = 1.089, 95% CI: 1.019-1.164) was associated with syphilis infection with commercial sex (OR = 2.262, 95% CI: 1.124-4.550). Conclusions The result of sentinel surveillance can give a good explanation for the changes and behaviors of HIV and syphilis infection among drug users in Hengyang City and the evaluation of the effectiveness of interventions.