西安市吸毒人群HCV感染状况及影响因素分析

发布时间：2018-01-23 02:33

本文关键词： 肝炎病毒属危险因素流行病学方法　出处：《中华疾病控制杂志》2015年12期 　论文类型：期刊论文

【摘要】：目的了解吸毒人群丙型肝炎病毒(hepatitis C virus,HCV)感染状况及影响因素,为制定吸毒人群HCV防治策略提供依据。方法采取整群抽样的方法,对400名吸毒人群进行行为学调查及血清学检测,通过x~2检验及多因素Logistic回归方法分析HCV感染危险因素。结果西安市吸毒人群HCV感染的危险因素为:本省户籍(OR=0.185,95%CI:0.051~0.664)、静脉注射吸毒(OR=0.030,95%CI:0.016~0.057)及共用注射器(OR=0.261,95%CI:0.073~0.930)。HCV感染率为50.8%,感染者以本省户籍(53.8%)为主,其中注射吸毒者HCV感染率为88.3%,共用针具者HCV感染率为95.3%。结论 HCV的传播途径主要为经血传播,静脉注射吸毒和共用注射器是吸毒人群HCV传播的主要途径,应开展针对性健康教育和行为干预,建立健全HCV感染者管理体系,阻止HCV在吸毒人群中进一步蔓延。
[Abstract]:Objective to investigate the prevalence and risk factors of hepatitis C virus (HCV) infection in drug users. Methods A cluster sampling method was used to investigate the behavior and serology of 400 drug users. The risk factors of HCV infection were analyzed by x2 test and multivariate Logistic regression method. Results the risk factors of HCV infection among drug users in Xi'an were 0.185. At 95: 0.051 / 0.664m, the intravenous injection of drug addicts was 0.030 and 95% CI: 0.016 / 0.057) and the sharing of syringes was 0.261. The infection rate of 95 CI: 0.073 + 0.930% was 50.8%, and the main infection rate was 53.83.80.The HCV infection rate of injecting drug users was 88.3%. The infection rate of HCV among needle users was 95.30.Conclusion the main route of transmission of HCV is blood transmission. Intravenous drug use and sharing syringe are the main routes of HCV transmission among drug users. Health education and behavioral intervention should be carried out to establish and improve the management system of HCV infected persons and to prevent the further spread of HCV among drug users.
【作者单位】：西安交通大学医学部;西安市疾病预防控制中心性病艾滋病防治科;
【分类号】：R512.63;R749.64
【正文快照】： 丙型肝炎是由丙型肝炎病毒(hepatitis C virus,HCV)引起的一种传染病,目前已成为全球性健康问题,引起各方广泛关注[1]。丙肝病毒主要传播途径为血液传播,感染高危行为包括输血、血液透析、静脉吸毒和不安全的多性伴行为[2]。随着我国献血筛查制度的逐步完善,经输血感染的HCV大

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