湖南省衡阳市某戒毒劳教所学员2002-2008年HIV哨点监测结果分析  

HIV Sentinel Surveillance in a Detoxification Center in Hengyang,Hunan Province During the Period of 2002～2008

作　　者：郑军[1] 陈曦[1] 贺健梅[1] 覃碧云[1] 彭瑾瑜[1] 刘军[2] 王璐[3] 汪宁[3] 

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410005 [2]衡阳市疾病预防控制中心 [3]中国疾病预防控制中心性病艾滋病预防控制中心

出　　处：《实用预防医学》2010年第12期2359-2362,共4页Practical Preventive Medicine

基　　金：中央财政艾滋病转移支付经费;国家科技重大专项课题(2008ZX10001-003)

摘　　要：目的了解湖南省衡阳市吸毒人群中HIV和梅毒感染流行趋势及其行为变化。方法采用《国家HIV/AIDS哨点监测方案》,从2002-2008年定时、定点在衡阳市某戒毒劳教所学员中连续开展艾滋病行为学和血清学调查。结果 7年间纳入监测对象3 251名,查出HIV阳性552人（16.98%）（年阳性检出率在11.89%-22.05%）,年阳性检出率自2006年开始出现下降;查出梅毒阳性32人（1.25%）（年阳性检出率在0.99%-2.36%）。吸毒方式以注射吸毒为主,注射吸毒比例在87.41%-99.44%。年龄（OR=1.027,95%CI：1.013-1.041）、注射吸毒（OR=2.514,95%CI：1.47-4.293）、共用注射器（OR=1.448,95%CI：1.09-1.919）与HIV感染相关联。吸毒史（OR=1.089,95%CI：1.019-1.164）、有商业性行为（OR=2.262,95%CI：1.124-4.550）与梅毒感染相关。结论哨点监测结果对衡阳市吸毒人群中HIV和梅毒感染的变化、行为的影响和干预项目实施的有效性评价都能给予较好的解释。Objective To understand the trends and behavior changes of HIV epidemic and syphilis among drug users in a detoxification center in Hengyang,Hunan Province. Methods According to National Guidance of HIV/AIDS Sentinel Surveillance,the behavior and serological cross-sectional survey was conducted every year at the same time among drug users in a detoxification center in Hengyang,Hunan Province from 2002 to 2008. Results Of 3,251 drug users,552（16.98%） were reported HIV positive and 32（1.25%） reported syphilis positive during last 7 years.The ranges of average reported positive rates of HIV and syphilis were 11.89%～22.05% and 0.99%～2.36%,respectively.The trend of HIV infection has declined since 2006.The injecting drug was the major drug use mode and the proportion was 87.41%～99.44%.Age（OR=1.027, 95%CI： 1.013～1.041）,injecting drug（OR=2.514,95%CI： 1.47～4.293） and sharing injecting equipments（OR=1.448,95%CI： 1.09～1.919） were the relative risk behavior factors of HIV infection.The history of drug user（OR=1.089,95%CI：1.019～1.164） and visiting sex workers（OR=2.262,95%CI： 1.124～4.550） were the relative risk behavior factors of syphilis. Conclusions The results explained the trends of HIV epidemic and syphilis,the relative risk behavior factors and the effectiveness of intervention programs among drug use population in Hengyang,Hunan Province.

关 键 词：HIV 梅毒 吸毒人群 哨点监测 血清学 行为学 

分 类 号：R512.91[医药卫生—内科学]