中缅静脉吸毒人员HIV、HCV、梅毒感染情况及其影响因素对比分析  

Comparative analysis of HIV, HCV, syphilis infection between IDUs in China and Myanmar

作　　者：朵林[1,2] 刘济[3,4] 高世强 罗志 薛皓铭 杨丽华 李光明 李洪[7] 

机构地区：[1]艾滋病亚洲区域项目云南办公室,云南昆明650228 [2]云南省第二人民医院,云南昆明650221 [3]昆明云迪行为与健康研究中心,云南昆明650228 [4]昆明医科大学,云南昆明650000 [5]镇康县疾病预防控制中心,云南镇康677700 [6]云迪镇康航标工作社,云南镇康677700 [7]云南省疾病预防控制中心,云南昆明650000

出　　处：《现代预防医学》2014年第11期2079-2081,2091,共4页Modern Preventive Medicine

基　　金：艾滋病亚洲区域项目(HAARP)(FA45HIV03)支持结构:云迪减少伤害网络(YDHR)

摘　　要：目的对比分析中缅静脉吸毒人员(IDUs)HIV、HCV、梅毒感染情况及其影响因素,为下一阶段干预提供科学依据。方法 2013年1月至3月,采用滚雪球抽样方法调查镇康县中缅社区静脉吸毒人员,问卷收集人口学资料、高危行为,同时进行HIV/HCV/梅毒血清学检验。DpiData3.1建立数据库,SPSS17.0进行统计分析。结果共调查241名IDUs,其中缅甸154人,中国87人。均以未婚中青年男性为主,缅甸IDU人员HIV/HCV/梅毒阳性率分别为13.6%、29.8%、2.5%;中国IDU人员HIV/HCV/梅毒阳性率分别为12.6、44.8%、0.0%。中缅静脉吸毒人员HCV感染率差异有统计学意义(P<0.05),中缅IDUs最近一次使用安全套情况与三个感染呈负相关关系(OR值分别为-2.288,-0.419,);中国IDUs最近是否发生付费性行为与三个感染呈正相关关系(OR值为0.387)结论边境双侧中缅静脉吸毒人员HIV、HCV感染率均较高,安全套使用能有效降低相关感染率,嫖娼影响中国IDU的HIV/HCV/梅毒感染率。Objective To analyze HIV, HCV, syphilis Infection of IDUS in China and Myanmar and to know their affecting factors, to provide a scientific basis for intervention. Methods From January to March in 2013, snowball sampling was used to survey intravenous drug users in Zhenkang China-Myanmar community. A questionnaire was conducted to collect demo graphic data, high-risk behaviors, at the same time carried out HIV/HCV/syphilis serology. Set up database by epidata3.1, conducted statistical analysis by SPSS17.0. Results Surveyed a total of 241 IDUs, with Burmese 154, Chinese 87. All were unmarried, young and middle-aged men, positive rates of HIV, HCV, syphilis in Burmese IDUs were 13.6%, 29.8%, 2.5%, which in Chinese IDUs were 12.6%, 44.8%, 0%, respectively. The difference in HCV infection rate was statistically significant （P 〈 0.05）, the latest time of condoms use was negatively related with three infections （OR value was - 2.288, -0.419）; whether paid sex recently in Chinese IDUs was positively correlated with three infections （OR value was 0.387）. Conclusion HCV, HIV infection rates are high among intravenous drug users in bilateral China-Myanmar border areas, condom use can effectively reduce the associated infection rate, whoring influences infection rates of HIV, HCV and syphilis among IDUs in China.

关 键 词：中缅IDU HIV HCV 梅毒 感染 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]