682名吸毒人员性病、艾滋病危险行为特征及血清学调查  

作　　者：石朝辉[1] 郑艳丽[1] 

机构地区：[1]平顶山市疾病预防控制中心,河南467000

出　　处：《当代医学》2015年第14期163-164,共2页Contemporary Medicine

摘　　要：目的了解平顶山市吸毒人员的艾滋病相关危险行为特征及人类免疫缺陷病毒（HIV）、丙型肝炎病毒（HCV）、梅毒螺旋体（TP）感染现状,为制订防控策略和措施提供依据。方法对吸毒人员进行个人访谈,并采用统一调查表进行问卷调查,采集血样检测HIV抗体、HCV抗体、梅毒抗体。结果 2010~2013年平顶山市共监测682人,HIV抗体阳性者3人,阳性率0.43%;HCV阳性157人,阳性率为23.02%;TP阳性36人,阳性率为5.27%。吸毒人员年龄主要集中在20~40岁年龄段,占88.27%（602/682）;初中及以下文化程度占90.18%（615/682）。注射吸毒者占17.30%（118/682）,注射吸毒者中针具共用率为7.11%（8/118）。有商业性行为者占31.23%（213/682）,其中坚持每次使用安全套者仅占21.22%（45/213）。结论吸毒人员HIV感染率仍属低流行状态,HCV、TP的感染率显著高于一般人群。吸毒人群中存在着共用针具及商业性行为等危险因素,应进一步加强对此类人群的宣传教育和行为干预,防止HIV、HCV、TP的蔓延。Objective To understand AIDS（Acquired Immune Deficiency Syndrome）- related risk behavior characteristics and the status of the infection of Human Immunodeficiency Virus（HIV）, Hepatitis C Virus（HCV）, Treponemiapallidum（TP） in Pingdingshan, to provide the evidences for control strategies and measures of these diseases. Methods Individual interviews and a uniform questionnaire were used to survey the drug users, and the blood samples were collected to test for HIV antibody, HCV antibody, and syphilis antibody. Results Totally 682 drug addicts in Pingdingshan were monitored from 2010 to 2013 The antibody-positive rates of HIV, HCV and syphilis were 0.43%（3/682）, 23.02%（157/682） and 5.27%（36/682）. Drug users mainly concentrated on population aged 20-40 years（88.27%, 602/682）, 90.18%（615/682） of them received education below junior or middle school education. The proportion of injection drug users was 17.30%（118/682）, among which 7.11%（8/118） shared needles with other drug users. 31.23%（213/682） of the drug users ever occurred commercial sexual behavior,only 21.22%（45/213） of them using condom every time. Conclusion The prevalence of HIV infection is still low among the drug users, but the infection rates of HCV and syphilis are significantly higher than those of general population. Many risk factors existed in drug users, such as sharing syringes and commercial sexual behaviors. Education and behavioral intervention among drug users should be strengthened to prevent the spread of HIV、HCV and syphilis.

关 键 词：吸毒人员 行为特征 艾滋病 性病 血清学调查 

分 类 号：R759[医药卫生—皮肤病学与性病学] R512.91[医药卫生—临床医学]