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中文摘要: 目的 了解英德市吸毒人群艾滋病相关行为特征及其HIV感染状况,为制定艾滋病防控措施提供科学依据。方法 根据《全国艾滋病哨点监测实施方案》要求,对2013—2017年在英德市强制戒毒所的戒毒人员进行问卷调查并采集血样开展HIV抗体检测。结果2013—2017年共监测吸毒者1 920人,年龄分布在25~49岁之间,以男性、初中及以下学历为主,已婚者居多。HIV感染率为0.52 %,HCV感染率为27.55%;主要吸毒方式为口吸(64.64 %),有24.69 %的吸毒者使用传统毒品,59.53%吸毒者使用新型毒品。35.36%以注射吸毒为主,33.33 %最近一个月曾共用注射器。34.81%的吸毒者曾有过商业性行为。结论 英德市吸毒人群HIV感染率总体处于低流行水平,HCV感染率高,共用注射器吸毒和不安全商业性行为等高危行为仍然存在,今后应有针对性地开展吸毒人群健康教育和行为干预工作,采取综合干预措施,遏制HIV、HCV等疾病在吸毒人群中传播。
Abstract:OBJECTIVE To understand the AIDS-related behavioral characteristics and HIV infection among drug users in Yingde City, and to provide scientific basis for AIDS prevention and control measures. METHODS According to the requirements of the National HIV sentinel surveillance implementation plan, a questionnaire survey was conducted among drug addicts in compulsory detoxification centers in Yingde City from 2013 to 2017, and blood samples were collected for HIV antibody detection. RESULTS A total of 1 920 drug addicts were monitored from 2013 to 2017. Their age ranged from 25 to 49 years old. Most of them were male, junior high school or below, and most of them were married. HIV infection rate was 0.52% and HCV infection rate was 27.55%. The main drug use mode was oral drug use (64.64%). 24.69% of drug users used traditional drugs (P<0.05). 59.53% of drug users used new drugs, showing an increasing trend year by year (P<0.05). 35.36% were injecting drug users, 33.33% had shared syringes in the last month, also showing a downward trend year by year (P<0.05). 34.81% of drug addicts had commercial sex. CONCLUSION The HIV infection rate of drug users in Yingde City was generally at a low epidemic level, and the HCV infection rate was high. High-risk behaviors such as sharing syringes and unsafe commercial sex still existed. In the future, health education and behavioral intervention should be carried out among drug users, and comprehensive intervention measures should be taken to curb the spread of HIV, HCV and other diseases among drug users.
keywords: AIDS drug users sentinel surveillance drugs sexual behavior
文章编号:3201906024 中图分类号:R1-9 文献标志码:
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