云南盈江县2011-2013年吸毒人群HIV感染状况及相关因素分析

发布时间：2018-11-14 07:46

【摘要】：目的了解盈江县吸毒人群艾滋病病毒(HIV)感染的流行趋势及相关因素,为吸毒人群艾滋病综合防治和科学干预提供信息和依据。方法按照《全国艾滋病哨点监测方案》,对2011-2013年盈江县强制戒毒人群进行问卷调查及HIV抗体检测。结果共调查吸毒人群1207人,1195人(99.0%)为男性,30~50岁年龄740人(占61.3%),30.7%(55/179)的人曾共用针具;最近一次商业性行为使用安全套者仅占44.9%(53/118),HIV阳性者近一次性行为、商业性行为使用安全套的比例分别为36.7%(11/30)、50.0%(9/18)。3年HIV平均阳性率为9.6%,呈下降趋势。单因素分析提示:女性、30~50岁、离异或丧偶、缅甸、其他民族、注射过毒品、共用针具、最近一次性行为使用全套、最近一年有商业性行为,与HIV感染率相关。多因素分析发现,共用针具吸毒[比值比(OR)=5.9,95%可信区间(CI):1.4~23.9)是HIV感染的危险因素。结论青壮年男性是盈江县吸毒人群艾滋病防制的重点,存在经血、经性行为而感染和传播HIV的危险,应加强健康教育和综合干预工作,同时给予缅甸跨境人员更多关注。
[Abstract]:Objective to investigate the prevalence trend and related factors of HIV (HIV) infection among drug users in Yingjiang County, and to provide information and evidence for comprehensive prevention and treatment of HIV / AIDS among drug users and scientific intervention. Methods according to the National AIDS Sentinel Surveillance Program, the compulsory drug addicts in Yingjiang County from 2011 to 2013 were investigated by questionnaire and HIV antibody test. Results A total of 1207 drug users were investigated, 1195 (99.0%) were male, 740 (61.3%) were aged 30 to 50 years old, 30.7% (55 / 179) had shared needles. Only 44.9% (53 / 118), HIV positive) had condom use in the last commercial sex, and 36.7% (11 / 30) of commercial sex had condom use. The average positive rate of HIV in 3 years was 9. 6% (9 / 18). Univariate analysis showed that: female, 300-year-old, divorced or widowed, Myanmar, other ethnic groups, injecting drugs, sharing needles, the latest one-time use of a full set, the latest year of commercial sex, associated with HIV infection rate. Multivariate analysis showed that drug use with needle sharing [ratio of (OR) = 5.9% 95% confidence interval (CI): 1.423.9] was a risk factor for HIV infection. Conclusion Young and middle-aged men are the focus of AIDS prevention and control among drug addicts in Yingjiang County. There is a risk of infection and transmission of HIV through blood, sex and sex. Health education and comprehensive intervention should be strengthened, and more attention should be paid to cross-border people in Myanmar.
【作者单位】：昆明医科大学公共卫生学院;盈江县疾病预防控制中心;
【基金】：国家艾滋病哨点监测项目~~
【分类号】：R512.91

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