2010-2013年安顺市西秀区国家级吸毒者监测哨点HIV、梅毒、HCV检测结果分析  

Monitoring results analysis of HIV,syphilis and HCV in national level's drug monitoring sentinel of Xixiu district in Anshun city during 2010-2013

作　　者：蒋有琴 庞芬 吴斓 朱光合 

机构地区：[1]安顺市西秀区疾病预防控制中心,贵州561000

出　　处：《医学动物防制》2014年第8期837-840,共4页Journal of Medical Pest Control

摘　　要：目的了解安顺市西秀区吸毒者中HIV、梅毒、HCV感染现状,为防治工作提供依据。方法采用描述性流行病学方法对2010-2013年安顺市西秀区网络报告吸毒者HIV、梅毒、HCV检测资料进行分析。结果 2010-2013年安顺市西秀区国家级吸毒者监测哨点HIV、梅毒、HCV感染率分别为0.94%、5.38%、53.63%;HIV合并梅毒感染者占33.33%,HIV合并HCV感染者占93.33%,梅毒合并HCV感染者占82.56%;HIV年感染率和梅毒年感染率呈逐年下降趋势,HCV年感染率在高水平范围(44.75%～60.50%)波动;梅毒感染率女性(10.94%)高于男性(3.98%)(χ2=24.33,P<0.005);HCV感染率16～25岁组(20.25%)最低,26～35岁组(60.10%)最高,以后随年龄增大逐渐降低(χ2=97.00,P<0.005);梅毒感染率以同居者(13.68%)最高,不同婚姻状况间感染率差异有统计学意义(χ2=17.94,P<0.005);HCV感染率以高中或中专(61.77%)最高,不同文化程度间感染率差异有统计学意义(χ2=14.63,P<0.01);有注射吸毒史者HIV、梅毒、HCV感染率均高于无注射吸毒史者(χ2=21.07、13.00、134.83,P<0.005);共用针具者HIV、梅毒、HCV感染率均高于未共用针具者(χ2=21.12、14.67、10.97,P<0.005),有无商业性行为者间HIV、梅毒、HCV感染率差异无统计学意义(χ2=0.02、0.15、0.95,P>0.05)。结论安顺市西秀区吸毒者HIV感染率水平不高且呈逐年下降趋势,但吸毒者中梅毒、HCV感染率处于较高水平,且HIV、梅毒与HCV之间合并感染高发。继续保持清洁针具交换门诊、美沙酮维持治疗门诊的良好运行,加大对该人群的宣传教育和干预力度,加强女性相关疾病防控,进一步遏制HIV、梅毒和HCV在高危人群中的感染。Objective Understand the infection levels of HIV, syphilis and HCV among the drug addicts in Xix- iu district, to provide basis for prevention and control work. Methods Analysis of the test data of the HIV, syphilis and HCV of the drug addicts network report by the descriptive epidemiological method in Xixiu district during 2010- 2013. Results In National drug monitoring sentinel of Xixiu district in Anshun city during 2010 -2013, the infection rates of HIV, syphilis, HCV was 0. 94%, 5.38% , 53.63% respectively; HIV merger syphilis infection accounted for 33.33%, HIV merger HCV infection accounted for 93.33%, syphilis merger HCV infection accounted for 82. 56%, HIV infection rate and syphilis infection rate were in a down- ward trend year by year, HCV infection rate was in high level range （44. 75 -60. 50% ） fluctuation. Syphilis infection rate among women （ 10. 94% ） was higher than in men （3.98%） （χ2 =24. 33, P 〈0. 005） ; HCV infection rate among 16 to 25 -years -old was the lowest （20. 25% ）, and among 26 to 35 -years -old was the highest （60. 10% ）, then increased with age gradually reduced （χ2 = 97.00, P 〈 0. 005 ） ; the highest Syphilis infection rates （13.68%） appears in the cohabitants, there were significant difference between differ- ent marital status （χ2 = 17.94, P 〈 0. 005 ） ; the highest HCV infection rate appears in high schools and tech- nical secondary schools （61.77%）, there were significant difference between different culture degree （χ2 = 14. 63, P 〈0. 01） . HIV infection, syphilis infection, HCV infection rates were all higher in injection drug users than non injection drug users （χ2 =21.07, 13.00, 134. 83, P 〈 0. 005） . HIV infection, syphilis in-fection, HCV infection rates were all higher in sharing needles than not sharing needles （χ2 = 21.12, 14. 67, 10. 97, P 〈 0. 005 ）, there were no significant difference of HIV infection, syphilis infection, HCV infection rates between whether happened commercial behaviors （X2 =0

关 键 词：吸毒者 监测哨点 检测结果 分析 

分 类 号：R512.63[医药卫生—内科学] R512.91[医药卫生—临床医学]