云南盈江县2011-2013年吸毒人群HIV感染状况及相关因素分析  

HIV infection and its associated factors among drug users in Yingjiang county of Yunnan province during 2011-2013

作　　者：万放换 思志生 聂永英 王继娇 余顺俊 杨建华[2] 焦锋[1] 韩云涛[1] 

机构地区：[1]昆明医科大学公共卫生学院,昆明650500 [2]盈江县疾病预防控制中心,云南盈江679300

出　　处：《中国艾滋病性病》2015年第2期120-122,共3页Chinese Journal of Aids & STD

基　　金：国家艾滋病哨点监测项目~~

摘　　要：目的了解盈江县吸毒人群艾滋病病毒（HIV）感染的流行趋势及相关因素,为吸毒人群艾滋病综合防治和科学干预提供信息和依据。方法按照《全国艾滋病哨点监测方案》,对2011-2013年盈江县强制戒毒人群进行问卷调查及HIV抗体检测。结果共调查吸毒人群1207人,1195人（99.0%）为男性,30~50岁年龄740人（占61.3%）,30.7%（55/179）的人曾共用针具;最近一次商业性行为使用安全套者仅占44.9%（53/118）,HIV阳性者近一次性行为、商业性行为使用安全套的比例分别为36.7%（11/30）、50.0%（9/18）。3年HIV平均阳性率为9.6%,呈下降趋势。单因素分析提示：女性、30~50岁、离异或丧偶、缅甸、其他民族、注射过毒品、共用针具、最近一次性行为使用全套、最近一年有商业性行为,与HIV感染率相关。多因素分析发现,共用针具吸毒[比值比（OR）=5.9,95%可信区间（CI）：1.4~23.9）是HIV感染的危险因素。结论青壮年男性是盈江县吸毒人群艾滋病防制的重点,存在经血、经性行为而感染和传播HIV的危险,应加强健康教育和综合干预工作,同时给予缅甸跨境人员更多关注。Objective To understand the epidemic trend of HIV infection and related impact factors among drug users in Yingjiang county,and provide information for integrated HIV prevention and evaluation of interventions among drug users.Methods According to the Guidelines for National Sentinel Surveillance,drug users in Yingjiang detoxification centers from 2011 to 2013were interviewed face-to-face with questionnaires and tested for HIV antibody.Results Of the 1 207 participants,99.0% were male,61.3% of participants being 30~50years of age,30.7%injecting drugs with shared needles/syringes.And of the participants,only 44.9% had used condoms in the last commercial sex.In the last sexual behavior and commercial sex,the proportion of HIV-positive participants using condoms were 36.7% and 50%,respectively.The average HIV infection rate was 9.6%,and the positive rate was on a downward trend during 2011-2013.As shown by univariable-test analysis,HIV infection was associated with female,age group of 30~50years,marital status were divorced or widowed,Myanmar,group of other ethnicity,injecting drug users,injecting drugs with shared needles/syringes,condom use in latest sexual behavior and commercial sex during the last 12 months.In multivariable logistic regression,HIV infection was associated with injecting drugs with shared needles/syringes.Conclusion The young male is the focal point of HIV/AIDS prevention among drug users in Yingjiang country,and there are such risk factors as sharing needles/syringes and unprotected sex.Health education and behavioral intervention should be strengthened and more attention should be paid to cross border drug users.

关 键 词：吸毒人群 艾滋病病毒 感染状况 相关因素 

分 类 号：R373.9[医药卫生—病原生物学]