北京市社区吸毒人群艾滋病病毒感染相关因素分析  

Risk factors for HIV infection among community drug users in Beijing

作　　者：李桂英[1] 卢红艳[1] 夏冬艳[1] 褚天新[1] 刘国武[1] 

机构地区：[1]北京市疾病预防控制中心,北京100013

出　　处：《中国预防医学杂志》2011年第8期673-676,共4页Chinese Preventive Medicine

基　　金：北京市科委课题(课题编号:D090600304059)

摘　　要：目的了解北京市社区吸毒人群艾滋病病毒（HIV）感染率及其相关因素,为在该人群中开展监测和行为干预提供依据。方法 2007年9~12月采用滚雪球的方法对北京市社区吸毒者进行专题调查,调查采用结构式问卷,内容包括人口学信息、吸毒行为、性行为的情况等,同时采集静脉血进行HIV抗体检测（WB阳性即判定为阳性）。结果共调查529名社区吸毒者,其中62.8%为京籍,社区吸毒者HIV感染率为2.7%（14/525）,社区吸毒者HIV感染的相关因素有维族（OR=21.622,95%CI=3.879~120.521）和共用针头/注射器（OR=8.074,95%CI=1.832~35.589）。结论 应适当调整北京市吸毒人群监测网络,加强社区吸毒人群的监测力度;社区吸毒者的干预重点是美沙酮维持治疗和清洁针具交换。Objective To learn the epidemics and the risk factors for HIV infection among community drug users,so that we can provide information for HIV surveillance and behavioral intervention.Methods A snow sampling method was used to recruit drug users for the study from communities in the 11 districts of Beijing.The survey was carried out from September to December,2007.All participants completed questionnaires and had blood tested for anti-HIV antibodies.Results A total of 529 drug users were included,62.8% of which were the residents of Beijing.The rate of HIV infection was 2.7%（14/529）.The risk factors of HIV infection included sharing needles or syringes（OR=8.074,95%CI=1.832-35.589）among injection drug users and Ugur ethnic group（OR=21.622,95%CI=3.879-120.521）.Conclusion It is important to enhance HIV surveillance system for drug users,especially in communities.Intervention strategies should focus on methadone maintenance treatment and disposable needle service.

关 键 词：吸毒者 艾滋病病毒感染 危险因素 

分 类 号：R512.91[医药卫生—内科学]