2014—2018年宜昌市吸毒人群艾滋病哨点监测结果分析  

Analysis of AIDS sentinel surveillance results among drug users in Yichang City (2014-2018)

作　　者：梁艺 张慧琦[1] 田雨[1] 李芳芳 LIANG Yi;ZHANG Huiqi;TIAN Yu;LI Fangfang(Yichang Center for Disease Control and Prevention,Yichang,Hubei443000,China)

机构地区：[1]湖北省宜昌市疾病预防控制中心,湖北宜昌443000

出　　处：《公共卫生与预防医学》2019年第1期80-83,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的了解湖北省宜昌市2014—2018年吸毒人群中HIV、梅毒及HCV的感染情况,分析其相关高危行为的变化趋势,为更好地开展干预工作并制定防控策略提供依据。方法按照国家艾滋病哨点监测方案,采用统一的调查问卷,收集吸毒人群人口学和行为学等方面资料,并采集血样进行HIV、梅毒和丙肝抗体检测。结果 2014—2018年宜昌市共监测1 499名吸毒者,以40岁左右已婚男性为主,文化程度偏低;HIV、梅毒、HCV阳性率分别为0.27%、1.00%、54.44%,35岁以上高于35岁以下,女性高于男性;注射吸毒者占70.38%,其中曾经与他人共用针具吸毒者占53.93%;近一年内发生商业性行为的占13.74%,其中一直坚持使用安全套的占30.10%,比例均呈上升趋势;至少接受过一项干预服务的有1 243人,干预措施覆盖率82.92%。结论宜昌市吸毒人群HIV感染率总体处于低流行水平,但共针吸毒、商业性行为比例呈上升趋势,安全套使用率低,干预服务覆盖率未达标,应加大对吸毒人群的健康教育宣传和高危行为干预工作,预防和控制HIV、梅毒、丙肝等疾病的传播。Objective To understand the infection status of HIV,syphilis and HCV among drug users in Yichang,Hubei Province from 2014 to 2018,and to analyze the trends of related high risk behaviors and provide the basis for better strategies for intervention,and prevention and control of these infectious diseases in the future.Methods According to the National AIDS Sentinel Surveillance Program,a unified questionnaire was used to collect demographic and behavioral data of drug users,and blood samples were collected and tested for HIV,syphilis and HCV antibodies.Results A total of 1 499 drug users were monitored from 2014 to 2018.The majority were married men aged about 40 years,with a low education level.The positive rates of HIV,syphilis and HCV were 0.27%,1.00%and 54.44%,respectively.The infection rate was higher in people over 35 years old than people under 35 years old and was higher in females than in males.The injecting drug users accounted for 70.38%,of which 53.93%were those who had shared needles with others.In the past year,13.74 percent of the drug users committed commercial sex,of which 30.10%had consistently used condoms.The proportion of condom use was on the rise.At least 1 243 people received one intervention,with an intervention coverage at 82.92%.Conclusion The prevalence of HIV among drug users in Yichang City was generally low,but the proportion of drug abuse was increased,the rate of condom use was low,and the coverage rate of intervention service was not up to standard.Health education and high risk behavior intervention should be strengthened to prevent and control the spread of diseases such as HIV,syphilis,and HCV.

关 键 词：吸毒人群 艾滋病 哨点监测 

分 类 号：R183[医药卫生—流行病学]