秦皇岛市吸毒人员636名HIV,HCV和梅毒感染情况及影响因素分析

发布时间：2018-05-05 17:35

本文选题：吸毒 + 丙肝病毒　；参考：《中国皮肤性病学杂志》2014年06期

【摘要】：目的了解秦皇岛市吸毒人群HIV,HCV和梅毒感染情况及其影响因素,为今后制定防治HIV,HCV和梅毒在吸毒人群中传播的策略提供科学依据。方法对2010年1月-2012年12月秦皇岛市美沙酮门诊和看守所636名吸毒人员进行自拟问卷调查和血清学检测,以分析HIV,HCV和梅毒阳性感染影响因素。结果 636名吸毒者中,注射吸毒占61.01%(388例),其中共用针具占29.90%(116例)。最近一年有商业性性活动者占17.30%(110例)。HIV,HCV和梅毒感染率依次为1.10%(7例)、52.20%(332例)和7.08%(45例)。吸毒人群3年来的HIV和HCV感染率差异无统计学意义(P0.05);年龄、文化程度、婚姻、户籍、民族、注射吸毒、共用针具与HIV和HCV感染相关;梅毒感染率呈显著上升趋势,3年的差异有统计学意义(P=0.028)。无因素与梅毒感染相关联。结论秦皇岛市吸毒人群HIV感染率较低,共用针具是其主要危险因素。梅毒和HCV感染率较高,注射吸毒是HCV感染的主要危险因素。积极宣传和推广美沙酮维持治疗,有针对性减少危险行为发生,可控制和降低HIV,HCV和梅毒在吸毒人群中传播和流行。
[Abstract]:Objective to investigate the prevalence of HIV / HCV and syphilis among drug users in Qinhuangdao and to provide scientific basis for the prevention and treatment of HIV / HCV and syphilis transmission among drug users in the future. Methods from January 2010 to December 2012, 636 drug users from methadone outpatient clinic and detention center in Qinhuangdao were investigated with self-designed questionnaire and serological examination to analyze the influencing factors of HIV / HCV and syphilis infection. Results among the 636 drug users, 388 cases were injected drug users, among which, the sharing of needle instruments accounted for 29.90 cases. In the last year, the infection rates of HCV and syphilis were 1.10% and 7.08%, respectively. The prevalence of HCV and syphilis was 1.10% and 7.08%, respectively. There was no significant difference in the infection rate of HIV and HCV between drug users in the past three years (P 0.05). Age, education, marriage, household registration, nationality, injecting drug use, sharing needles were related to HIV and HCV infection. The infection rate of syphilis increased significantly, and the difference in 3 years was statistically significant. No factors were associated with syphilis infection. Conclusion the infection rate of HIV among drug users in Qinhuangdao City is low and sharing needles is the main risk factor. The infection rate of syphilis and HCV is high. Injecting drug is the main risk factor of HCV infection. Active propaganda and promotion of methadone maintenance treatment, targeted reduction of risk behavior, can control and reduce HIV HCV and syphilis transmission and prevalence among drug users.
【作者单位】：秦皇岛市疾病预防控制中心;河北省疾病预防控制中心;中国医科院北京协和医学院皮肤病研究所;
【分类号】：R759.1;R512.91;R512.6

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