新疆吸毒人群艾滋病感染现状及其影响因素分析  

HIV infection prevalence and influence factors among drug users in Xinjiang

作　　者：倪明健[1] 陈学玲[1] 陈晶[1] 何文 刘伟 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心性艾中心,乌鲁木齐830011 [2]乌鲁木齐市卫生局 [3]伊犁州卫生局

出　　处：《中国公共卫生》2013年第8期1101-1103,共3页Chinese Journal of Public Health

基　　金：国家"十一五"科技重大专项(2009ZX10001-019);国家"十二五"科技重大专项(2011ZX10001-001)

摘　　要：目的为了解新疆吸毒人群艾滋病病毒(HIV)感染现状及其影响因素,为艾滋病防治工作效果评价提供科学依据。方法于2010年8—12月对新疆乌鲁木齐市及伊犁州4 493名吸毒者进行问卷调查和血清学检测。结果新疆吸毒人群艾滋病感染率为21.4%(963/4 493),其中男性感染率为20.7%(864/4 175),女性感染率为31.1%(99/318);维吾尔族感染率为30.1%(800/2 660),汉族感染率为7.0%(74/1 050),回族感染率为11.3%(64/566);≤30岁者感染率为10.0%(174/1 739),>30岁者为28.6%(789/2 754);多因素logistic回归分析结果表明,吸毒者感染HIV的风险女性高于男性(OR=2.12,95%CI=1.56～2.88),维吾尔族、回族均高于汉族(OR=7.66、2.06,95%CI=5.79～10.13、1.41～3.01),注射吸毒者高于非注射吸毒者(OR=11.95,95%CI=9.26～15.42),共用针具者高于非共用针具者(OR=4.02,95%CI=3.35～4.83)。结论与其他吸毒人群聚集区比较,新疆吸毒人群HIV感染率处于中等水平,吸毒人群感染HIV的主要影响因素包括性别、民族、吸毒方式和是否共用针具等,据此应制定针对性的防治措施。Objective To study the prevalence of human immunodeficiency virus（HIV）imfection and its influencing factors among drug users in Xinjiang and to provide technical support for the evaluation of HIV prevention. Methods Questionnaire survey and blood test were conducted among 4 493 drug users in Urumuqi city and Yili prefecture of Xinjiang. Results The HIV infection prevalence in the drug users was 21.5%（963/4 470）（20.8%[864/4 152] in the male and 31.1%[99/318] in the female）.The HIV infection prevalence was 30.1%（800/2 660）in Uygur ethnic,7.1%（74/1 037）in Han ethnic,and 11.4%（64/560）in Hui ethnic,respectively.Multivariate logistic regression showed that the influencing factors of HIV infection included gender,ethnic,injection drug use,and sharing needle.Compared with the male,the female had a higher risk of HIV infection（odds ratio [OR]=2.12,95% confidence interval [95%CI]：1.56-2.80）.Compared with the Han ethnic group,the Uygur ethnic group（OR=7.66,95%CI：5.79-10.13） and Hui ethnic group（OR=2.06,95%CI：：1.41-3.01）had higher risk of HIV infection.The risk of HIV infection was higher in drug users with drug injection than those without drug injection（OR=11.95,95%CI：9.26-15.42）and in the drug users sharing needles than the drug users not sharing needles（OR=4.02,95%CI：3.35-4.83）. Conclusion The HIV prevalence among drug users in Xinjiang is at moderate level compared with the drug users in other areas and the influence factors of the prevalence include gender,ethnic,drug injection,and sharing needle.HIV prevention strategies should be planed based on the related factors.

关 键 词：新疆 吸毒人群 艾滋病病毒(HIV) 影响因素 

分 类 号：R183[医药卫生—流行病学]