武汉市吸毒人群梅毒、丙肝感染现状与相关因素调查研究  

RESEARCH ON INFECTION OF SYPHILIS,HEPATITIS C AND RELATIVE FACTORS AMONG DRUG USERS IN WUHAN CITY

作　　者：石萍 许骏 刘聪 李雪华 胡晶 周旺 

机构地区：[1]湖北武汉中盖艾滋病防治项目办公室,430030 [2]武汉市皮肤病防治研究所

出　　处：《现代预防医学》2011年第7期1201-1203,1206,共4页Modern Preventive Medicine

基　　金：中盖艾滋病项目(国艾办[2008]6号)

摘　　要：[目的]了解武汉市吸毒人群梅毒、丙肝的感染现状,探讨吸毒人群感染梅毒、丙肝的相关因素,为制定和实施干预措施提供参考依据。[方法]采用分类滚雪球非概率抽样方法,从武汉市16家社区美沙酮药物维持治疗门诊选取新入组且符合筛选条件的吸毒者,由同伴招募社区和当地自愿戒毒所内的吸毒人群,进行问卷调查,并采集吸毒者静脉血样。[结果]调查吸毒人群梅毒阳性率为5.39%,丙肝阳性率为77.21%,女性感染梅毒的危险性大于男性,OR=7.100;注射过毒品、在戒毒所参与戒毒过(即重复吸毒者)的吸毒人员感染丙肝的危险性大于未注射吸毒、未戒毒过的吸毒人群,OR值分别为23.967、2.748。[结论]吸毒人群的梅毒、丙肝感染率均显著高于普通人群,应采取相应的预防措施,减少吸毒人群共用针具与不安全性行为。[Objective]To understand the infection of syphilis,hepatitis C and relative factors among drug users in Wuhan,so as to provide the basis for implementation of the intervention.[Methods]The classification of non-probability snowball sampling method was used.The research places were in the 16 methadone maintenance treatment clinics,and the new qualified participants were chosen for methadone therapy.At the meantime,the qualified companions from the community and drug rehabilitation center were recruit.Then questionnaire was made and the blood sample of them collected.[Results]In this survey,the positive rate of syphilis was 5.39%,the positive rate of hepatitis C was 77.21%.Women were more risky than men in infected syphilis,OR=7.100.The factors of infected hepatitis C were injecting drug,staying in the drug rehabilitation center in the past（repeated using drugs）,OR=23.967,2.748.[Conclusion]The infected rates of syphilis and hepatitis C among drug users are significantly higher than the general population.We should take appropriate preventive measures to reduce needles sharing and unsafe sex behavior among drug users.

关 键 词：吸毒人群 梅毒 丙肝 感染率 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R512.63[医药卫生—临床医学]