镇江市新型毒品滥用及艾滋病 梅毒相关危险行为的现况  

Across-sectional study on the prevalence of drug use and AIDS-related behaviors among synthetic drug abusers in Zhenjiang

作　　者：刘晓霞[1] 叶鲁 胡成锋 刘超[1] 阮芸[1] 张明辉[1] 李建军[2] 陈国红[2] 还锡萍[2] LIU Xiaozia;YE Lu;HUChengfeng;LIU Chao;RUAN Yun;ZHANG Minghui;LI Jianjun;CHEN Guohong;HUAN Xiping(Zhenjiang Municipal Center for Disease Control and Prevention,Zhenjiang 212003,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009)

机构地区：[1]镇江市疾病预防控制中心,江苏镇江212003 [2]江苏省疾病预防控制中心,南京210009

出　　处：《中国艾滋病性病》2018年第10期1047-1050,共4页Chinese Journal of Aids & STD

摘　　要：目的了解镇江市新型毒品使用人群的特征和艾滋病、梅毒感染状况,为在新型毒品滥用人群中开展性病艾滋病防治工作提供参考资料和依据。方法采用分层整群抽样方法,抽取镇江市7个县区450人,采用自设问卷对社区戒毒人员进行社会人口学、新型毒品使用情况、行为学等方面的调查,并采集静脉血,检测艾滋病病毒(HIV)和梅毒感染状况。结果 450名调查对象中,HIV感染率为0.2%(1例),梅毒感染率为4.0%(18例)。新型毒品中冰毒使用率最高,占91.1%(410/450),冰毒使用率在工作状况(χ^2=7.632,P=0.006)和月均收入(χ^2=8.804,P=0.032)上的差异有统计学意义。最近3个月,调查对象未使用新型毒品时与配偶性行为中安全套的使用率(χ^2=18.837,P<0.001)和最近一次临时性行为安全套使用率(χ^2=4.016,P=0.045)均显著高于吸食新型毒品后的使用率。结论镇江市新型毒品使用人群中,艾滋病和梅毒疫情处于低流行水平,但危险因素广泛存在,应及早采取干预措施,控制其在该人群中的传播。Objective To explore the characteristics and the infection status of HIV and syphilis among synthetic abusers in Zhenjiang,and provide reference for prevention and control of sexual transmitted diseases(STD)and AIDS.Methods Drug abusers in the community and drug rehabilitation center were investigated by self-designed questionnaire.Blood samples were collected for HIV and syphilis detection.Results Among the 450 subjects investigated,0.2% were diagnosed with HIV,and the rate of new syphilis infection was 4.0%.Methamphetamine was most widely used,and the usage rate was significantly correlated with working condition(χ^2=7.632,P=0.006)and monthly income(χ^2=8.804,P=0.032).When the subjects did not use the new drug,the frequency of condom use among regular partner/couples(χ^2=18.837,P=0.000)and the condom use rate with temporary sexual partners in the last sexual behavior(χ^2=4.016,P=0.045)were significantly higher than those with sexual behavior after they used drugs.Conclusion Current HIV epidemic is still low among the synthetic drug users in Zhenjiang.However,the risk factors of AIDS epidemic are widely present in the population.Pertinent and feasible measures should be taken to control HIV prevalence and high risk behaviors in the population.

关 键 词：新型毒品 艾滋病 梅毒 高危行为 

分 类 号：R512.91[医药卫生—内科学]