233例静脉注射海洛因滥用者HIV感染情况分析  

Analysis of HIV infections among 233 intravenous injection heroin abusers

作　　者：高梅[1] 王艳芬[1] 

机构地区：[1]北京市公安局强制治疗管理处,北京101300

出　　处：《中国药物滥用防治杂志》2011年第1期5-9,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：北京市科委科技计划项目经费(Y0605010041491)资助;首都医学发展科研基金(2005-1002)资助

摘　　要：目的:了解静脉注射海洛因滥用者HIV感染情况及高危行为与HIV感染率的关系。方法:对北京市公安局强制隔离戒毒所2006年10月-2007年10月收治的233例静脉注射海洛因滥用者进行HIV血清抗体检测,采用自行设计的"药物滥用情况调查问卷"和"高危性行为调查问卷"进行问卷调查。结果:被调查对象男性居多(124例占61.7%),平均年龄32.9a±s8.7a(最小年龄19a,最大年龄51a),以无业者(占50.8%)和私营/个体劳动者(占15.6%)为主,有13例(占5.6%)抗-HIV阳性。该人群平均吸毒时间5.0a±s3.4a,平均吸食剂量0.37g±s0.49g,滥用场所主要集中在自己家中(87.6%)。使用的注射器主要来自药店/百货店(占79.4%),37.9%共用过注射器。有8.3%除配偶以外有4个以上性伴,有8.6%患有各种性病。结论:静脉注射海洛因滥用者是HIV感染的高危人群,静脉注射毒品、共用注射器、不安全性行为是感染HIV的主要途径,应对该人群实施有效的干预措施,增强自觉规避HIV感染高危行为的意识,从而有利于遏制HIV/AIDS在该群体中的蔓延。Objective： To understand the situation of HIV infections among intravenous injection heroin abusers and the relationship between high-risk behaviors and HW infection. Methods： HW serum antibody of 233 intravenous injection heroin abusers in Compulsory Drug Treatment and Management Center of Beijing public Security Bureau from October, 2006 to October, 2007 was tested and investigated. Self-designed questionnaire of drug abuse and high-risk sexual behavior was used. Results： Male intravenous injection heroin abusers were mainly （61.7%）. And their average age was 30.2a ± s6.7a （The minimum was 18a, while the maximum was 51a）. The majority of vocations were unemployed （50.8%） and private or self-employed （15.6%） and HIV infection rate of the abusers was 5.6% （13 cases）. Their average time of use drug was 5.0a± s3.4a. Their average dosage of use drug was 0.37g± s0.49g.These abusers took heroin mainly in their homes （87.6%）. The abusers got syringes mainly from pharmacies and department stores （79.4%）, 37.9% had shared syringes. 8.3% had more than four sexual partners other than their spouse. 8.6% were suffering from syphilis, gonorrhea and other sexually transmitted diseases. Conclusion： The intravenous injection heroin abusers were the high-risk people of HIV infection. Intravenous injection, sharing syringes, and unsafe sex were the three main ways of HIV infection. We should give them significant intervention and make them aware of high-risk behaviors and avoid them. All of these would help control the spread of HIV / AIDS.

关 键 词：静脉注射 海洛因滥用 HIV感染 共用注射器 

分 类 号：R512.91[医药卫生—内科学]