云南19个县静脉注射吸毒人员HIV感染影响多因素分析  

Comparative analysis of HIV infection influencing multifactors in intravenous drug users from Yunnan 19 counties

作　　者：薛皓铭 朵林[2] 杨丽华 季雪 赵欣如 钟君睿 

机构地区：[1]云南省艾滋病亚洲区域项目办公室,云南昆明650228 [2]云南省第二人民医院,云南昆明650021

出　　处：《现代医药卫生》2011年第17期2578-2580,共3页Journal of Modern Medicine & Health

基　　金：艾滋病亚洲区域项目~~

摘　　要：目的:了解静脉注射吸毒人员HIV感染及相关影响因素,为中澳项目静脉吸毒人员综合干预提供科学有效依据。方法:选取中澳项目所有19个项目县,采用项目设计并经预实验修正后的现场调查问卷进行调查,内容包括人口学特征、高危注射行为、高危性行为等,HIV采用ELISA试剂进行筛查检测,筛查阳性送确证实验室进行复核和确证。Excel 2003建立数据库,单录入并随机抽取10%进行核查。SPSS10.0进行数据分析。结果:1 828例吸毒人员平均年龄32.1岁,HIV阳性率为32.4%,单因素分析发现重复使用注射器及未接受艾滋病咨询组,多因素分析与年龄、婚姻状况呈正相关关系,OR值分别为1.055、1.152,第一次注射毒品年龄、最近1年接受清洁针具交换、最近1年接受同伴教育服务三个因素呈负相关关系,OR值分别为0.944、0.797和0.581。结论:云南省静脉注射吸毒为受HIV感染高危中青年人群,重复使用注射器及未接受过咨询检测服务与感染HIV密切相关,年龄越大、结婚或离异,第一次注射毒品年龄越小、接受清洁针具交换和同伴教育少的吸毒人员HIV感染率越高。加强吸毒人群的综合干预,同时加强吸毒人员配偶及固定性伴的宣传干预十分重要。Objective：To understand the HIV infection and related influencing factors in intravenous drug users（IDUs） from Yunnan HIV/AIDS Asia Regional Program（HAARP） project counties so as to provide scientific and effective evidence for comprehensive intervention to IDUs.Methods：All 19 HAARP Yunnan project counties were selected to be investigated with questionnaire designed by HAARP Yunnan staff,including demographic character,high risk injection behavior and sexual behavior,etc.positives ELISA samples were sent to confirmation lab for double check.Database was set up by Excel 2003,and 10% of the data was randomly selected for recheck.SPSS 10.0 was used for data analysis.Results：The average age of 1828 IDUs was 32.1 years old;32.4% of the total subjects were HIV positives.The single factor analysis found that HIV result showed syringe reuse and not receiving HIV Voluntary Counseling and Testing（VCT） with P0.01.Multi factors logistic analysis showed the positive correlativity with age and marital status,OR values were 1.055 and 1.152 respectively.On the opposite,it showed the negative correlativity with age of first injection,receiving clean needle and peer education in last year,the OR values were 0.944,0.797 and 0.581 respectively.Conclusion：Yunnan province IDUs are young and middle people susceptible to HIV infection.Syringes reuse and not receiving VCT service are closely related to HIV positive result.Older IDUs or divorced,first injection low age groups and IDUs receiving less clean needle service and peer education have higher rate of HIV infection.It is very important to strengthen the comprehensive intervention for IDUs and the service among IDU＇s mates and regular sexual partners in the same time.

关 键 词：静脉吸毒人员 HIV 影响因素 

分 类 号：R5[医药卫生—内科学]