开展美沙酮维持治疗后江苏省注射吸毒艾滋病病毒感染者现况研究

发布时间：2018-01-10 09:30

本文关键词：开展美沙酮维持治疗后江苏省注射吸毒艾滋病病毒感染者现况研究　出处：《南京医科大学学报(自然科学版)》2017年06期 　论文类型：期刊论文

【摘要】：目的:分析江苏省针对阿片类物质成瘾者开展美沙酮维持治疗(methadone maintenance treatment,MMT)10年后注射吸毒的人免疫缺陷病毒(human immunodeficiency virus,HIV)感染者现状。方法:从艾滋病网络直报系统中下载历年报告的HIV感染者以及参加MMT的患者信息,分析感染者接受MMT门诊服务现状。结果:江苏省医疗机构报告的HIV感染者中有430例尚未接受过MMT服务。截至2015年12月底,累计收治9 382例阿片类物质成瘾者,其中190例为注射吸毒的HIV感染者,目前31.58%仍在治疗。与未被门诊收治的感染者相比,MMT门诊收治感染者的平均年龄较大(P0.001),HIV感染状态持续时间较长(P0.001),汉族患者比例较高(P0.001),初中及以上文化程度者比例较高(P0.001)。结论:MMT门诊的覆盖面需进一步扩大,从而吸纳注射吸毒的HIV感染者接受治疗,门诊配套的综合干预服务措施亟待加强。
[Abstract]:Objective: to analyze methadone maintenance treatment for opioid addicts in Jiangsu province. MMTs were injected with human immunodeficiency virus (immunodeficiency virus) 10 years later. Methods: download the information of HIV infected persons and MMT patients reported in the past years from the HIV / AIDS network direct reporting system. Results: 430cases of HIV infected persons reported by medical institutions in Jiangsu Province had not received MMT service. As of the end of December 2015. A total of 9 382 opioid addicts were admitted, of whom 190 were HIV infected persons who were injected with drugs. At present, 31.58% patients are still under treatment, compared with those who have not been admitted to the outpatient clinic. The average age of MMT outpatients was longer than that of P0.001patients, and the proportion of Han patients was higher than that of Han patients (P 0.001). The proportion of middle school students with higher education level was higher than P0.0010.Conclusion the coverage of HIV clinic should be further expanded so as to absorb the patients infected with HIV who are injecting drug users to receive treatment. The comprehensive intervention service measures of outpatient service need to be strengthened.
【作者单位】：江苏省疾病预防控制中心性病艾滋病防制所;
【基金】：江苏省卫生计生委科研课题(Y2015056)
【分类号】：R512.91;R749.64
【正文快照】： 注射吸毒者共用注射针具是人免疫缺陷病毒(human immunodeficiency virus,HIV)传播的重要因素之一[1],2006年以前我国经注射吸毒途径传播的感染者占报告HIV感染者人数的44.3%[2]。与2012年相比,2015年新发现HIV/AIDS病例数由82 434例上升至115 465例,而其中因注射吸毒传播的病

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