云南某口岸跨境缅甸籍静脉吸毒人群HIV阳转暴露因素分析  

The Analysis of the exposure factors for HIV acquisition among Myanmar cross-border IDU in one port of Yunnan

作　　者：邓玲 朵林[2] 薛皓铭 梅红英 杨世明 闫萍 赵谨明 杨泽鸿 杨丽华 季雪 钟君睿 

机构地区：[1]云南省艾滋病亚洲区域项目,云南昆明650228 [2]云南省第二人民医院,云南昆明650021 [3]陇川县防艾办,德宏陇川678700

出　　处：《皮肤病与性病》2013年第6期319-320,共2页Dermatology and Venereology

基　　金：艾滋病亚洲区域项目

摘　　要：目的了解在中缅边境单纯发放清洁针具条件下,跨境缅甸籍静脉吸毒人员HIV阳转情况及暴露因素,为跨境静脉吸毒人群(IDUs)干预提供科学依据。方法以滚雪球方式对社区18岁以上、HIV阴性跨境缅甸籍静脉吸毒人群组117名的前瞻性闭合性队列,单纯发放清洁针具,半年后进行高危注射、性行为的调查及HIV检测。结果半年后脱失22名,完成研究的95名调查对象中9名转为HIV阳性,阳转人员共用针具风险RR=0.95、共用注射用水风险RR=1.57、上月商业性行为中使用安全套风险RR=2.16。结论在单纯发放针具条件下,半年内缅甸籍IDUs阳转率为9.47%,共用注射用水及付费性行为未使用安全套成为阳转的两个主要原因,建议加强缅甸籍IDUs安全注射用水的宣传,加入使用安全套的行为改变培训。Objective To investigate the HIV incidence and exposure factors among Myanmar cross-border IDUs under the condition of simple distributing clear needle in Sino-Myanmar border area, and to provide data for cross-border IDUsj intervention. Methods 117 Myanmar cross-border IDUs who were above 18 years old and HIV negatives have been enrolled in this prospective cohort study using Snowballing. They were simple distributed clear needle, and investigated high risk injection, sexual behavior, while HIV test were con- ducted after six months. Results Six months later, 22 subjects were lose, 9 subjects in 95 effective subjects were HIV positive. The risk ratio （RR） of sharing needles, sharing injection water and using condoms in Commercial sexual behavior among HIV positives is 0.95, ~. 57 and 2.16 respectively. Conclusions Under the condition of single clear needle distribution, the HIV incidence rate is 9.47% a- mong Myanmar IDUs in six months. Sharing injection water and no use condom in paid sex were two main reasons for HIV incidence. It is suggested to enhance the dissemination of safe injection water and to provide educations about condom use.

关 键 词：跨境 缅甸静脉吸毒人员 HIV阳转 暴露因素 

分 类 号：R512.91[医药卫生—内科学]