乌鲁木齐市1516名吸毒人员HIV、HCV和梅毒感染率和高危行为特征调查  

Investigation on the incidence of HIV/ HCV/syphilis infections among drug users and their diseases related high-risk behaviors in Urumqi

作　　者：王云霞[1] 芮宝玲[1] 马燕[1] 郝敬贡[1] 

机构地区：[1]乌鲁木齐市疾病预防控制中心,新疆乌鲁木齐830026

出　　处：《中国预防医学杂志》2012年第11期848-852,共5页Chinese Preventive Medicine

摘　　要：目的了解2010年乌鲁木齐市吸毒人群人类免疫缺陷病毒(HIV)感染率及相关行为特征。方法查询公安部门资料结合滚雪球办法招募吸毒人员,进行面对面的问卷调查,采集血样进行HIV、丙型肝炎病毒(HCV)和梅毒抗体检测。结果本组共调查和采样吸毒人员1 516名,检出HIV、HCV和梅毒的感染者分别占20.38%(309/1 516)、36.02%(546/1 516)和2.24%(34/1 516)。高危行为分析吸毒者中男性(OR:0.62;95%CI:0.40～0.96)、维吾尔族(OR:0.45;95%CI:0.34～0.60)、未接受过预防艾滋病服务者(OR:2.32;95%CI:1.65～3.26)共用注射器的比例高;安全套的使用上维吾尔族(χ2=11.98,P=0.0005),艾滋病基本知识得分低者(χ2=4.85,P=0.0275)安全套的使用率低。结论乌鲁木齐市吸毒人群HIV流行形势严峻,如何采取行之有效的干预措施降低高危行为势在必行。Objective To investigate the incidence of HIV infection among drug users （DUs） and to observe their related high-risk behaviors in Urumqi. Methods DUs were recruited using snowball method based on the information of police department. A face to face survey was conducted and blood samples were collected for antibody detection. Results A total of 1 516 DUs were enrolled in the study. The positive rates of antibodies against HIV, HCV and syphilis were 20.38% （309/1 516）, 36.02%（546/1 516） and 2.24% （34/1 516） respectively. High-risk behavior analysis revealed that Uygur （OR： 0.45, 95%CI： 0. 34-0. 60） , male （OR： 0.62, 95%CI： 0.40-0.96） andDUs without HIV prevention service （OR： 2.32, 95%CI： 1.65-3.26） were more likely to share syringes compared to other ethics, female and those having received service. While DUs of Uighur （x2=11.98, P=0.0005） and with low AIDS basic knowledge score （ 2=4.85, P=0.0275） were less likely to use condom. Conclusions HIV infection is still a big issue among DUs in Urumqi. Therefore it is urgent to apply an effective intervention to lower the risk of infection.

关 键 词：注射吸毒 获得性免疫缺陷综合征 丙型肝炎 梅毒 共用针具 安全套使用 

分 类 号：R181.3[医药卫生—流行病学]