云南省保山市美沙酮门诊吸毒人群HCV感染影响因素分析

发布时间：2018-05-22 14:34

  本文选题：美沙酮维持治疗 + 吸毒人群　； 参考：《中国卫生统计》2017年02期

【摘要】：目的分析保山市美沙酮维持治疗吸毒人群HCV感染状况及其影响因素。方法 2015年7月采用抽样调查的方法对保山市MMT吸毒人员进行问卷调查和血清学检测,调查问卷由中国疾病预防控制中心统一设计,内容包括调查对象的人口学基本信息、丙肝知晓率、吸毒方式、吸毒年龄、接受干预等情况。同时抽取5m L静脉血进行HCV抗体检测。使用EpiData 3.0建立数据库和SPSS 19.0软件包进行数据处理和统计分析。结果 MMT吸毒人群HCV感染率55.50%(222/400),HCV总知晓率为62.50%(250/400);HCV感染者和非感染者丙肝知晓率分别为70.27%(156/222)和52.81%(94/178),差异有统计学意义(χ~2=12.852,P0.01);非条件logistic回归分析显示,未婚(OR=5.539,P=0.029,95%CI:1.191~25.745)、知晓丙肝(OR=2.266,P=0.033,95%CI:1.070~4.802)和首次吸毒年龄≥30岁(OR=0.467,P=0.002,95%CI:0.287~0.760)是美沙酮维持治疗吸毒人群丙肝感染的影响因素。结论保山市MMT吸毒人群HCV感染比较高,对未婚、丙肝知晓率低和首次吸毒年龄小于30岁的吸毒者应加强健康教育和干预,预防感染HCV。
[Abstract]:Objective to analyze the prevalence of HCV infection in drug users treated with methadone in Baoshan City and its influencing factors. Methods A sample survey was conducted on MMT drug users in Baoshan City in July 2015. The questionnaire was designed by the China Center for Disease Control and Prevention and included the basic demographic information of the subjects. Hepatitis C awareness rate, drug use, drug abuse age, accept intervention and so on. At the same time, 5 L venous blood was taken to detect HCV antibody. EpiData 3.0 was used to build database and SPSS 19.0 software package for data processing and statistical analysis. Results the total awareness rate of HCV infection in drug users with MMT was 62.50%, 250 / 400 and 70.27% / 156 / 222, respectively, and 52.81 / 94178% with significant difference (蠂 212.852%, P 0.01; non-conditional logistic regression analysis, P 0.01), the rate of HCV infection was 70.27% and 15.6% / 222% respectively (蠂 212.852 P 0.01; non-conditional logistic regression analysis showed that the rate of HCV infection was 70.27% / 156% 22 / 22) and 52.81% / 94 17 8% respectively (蠂 212.852% P 0.01; non-conditional logistic regression analysis showed that:) The factors affecting the maintenance of methadone in the treatment of hepatitis C infection among drug users were: 5.539%, 0.029%, 95% CI: 1.191 1, 25.745%, knowing that 2.266C, 2.266C, 0.03395, CI: 1.070395, 4.802) and the age of first drug use 鈮，

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