2020—2021年镇江市吸毒人群高危行为及HIV、TP、HCV感染情况  

High risk behaviors and HIV,TP,HCV infection among drug users in Zhenjiang City from 2020 to 2021

作　　者：刘晓霞[1] 叶鲁 胡成锋 刘超[1] 李欣琰 张明辉[1] LIU Xiaoxia;YE Lu;HU Chengfeng;LIU Chao;LI Xinyan;ZHANG Minghui(Department of AIDS and STD Prevention and Control,Zhenjiang Center for Disease Control and Prevention,Zhenjiang Jiangsu,212002,China)

机构地区：[1]镇江市疾病预防控制中心艾滋病性病预防控制科,江苏镇江212002

出　　处：《职业与健康》2024年第4期466-469,共4页Occupation and Health

摘　　要：目的了解镇江市吸毒人群高危行为以及人类免疫缺陷病毒(human immunodeficiency virus,HIV)、梅毒螺旋体(treponema pallidum,TP)、丙型肝炎病毒(hepatitis c virus,HCV)的感染状况,为开展吸毒人群的干预提供依据。方法采用分层抽样于2020年1月—2021年12月由强制戒毒所管理人员中抽取858人,其中愿意参加调查的805人,在告知检测知情同意后,收集人口学和高危行为信息,并采集静脉血进行HIV、TP、HCV检测。结果共调查805人,回收有效问卷785份,应答率为97.52%。新型毒品、传统毒品使用率分别为82.0%和18.0%。HIV、TP、HCV感染率分别为2.3%、13.0%、7.7%。多因素logistic回归分析表明学生或无业(OR=3.836,95%CI:2.044~7.497)、收入>6000元/月(OR=2.856,95%CI:1.316~6.469)人群更倾向使用新型毒品;使用新型毒品TP感染率较高(OR=3.477,95%CI:1.239~12.840),而传统毒品使用者HIV(OR=0.086,95%CI:0.018~0.357)、HCV(OR=0.082,95%CI:0.035~0.188)感染率较高(均P<0.05)。结论近年来镇江市吸毒人群新型毒品使用远超过传统毒品,其中吸食摇头丸和/或K粉等新型毒品的人群感染梅毒的危险高于传统毒品,必须加大新型毒品危害性的宣传,针对年龄小、文化低、性伴多的吸毒人群应进行重点监测和综合干预。Objective To understand the high-risk behaviors and the infection status of human immunodeficiency virus(HIV),treponema pallidum(TP)and hepatitis C virus(HCV)among drug users in Zhenjiang City,and to provide basis for the intervention of drug users.Methodss From January 2020 to December 2021,858 people were selected from the managers of compulsory drug treatment centers captured by the Public Security Bureau by stratified sampling,including 805 people who were willing to participate in the survey.After informed consent for testing,demographic and high-risk behavior information was collected,and venous blood was collected for HIV,TP,HCV testing.Results A total of 805 people were surveyed and 785 valid questionnaires were collected,with a response rate of 97.52%.The utilization rates of new drugs and traditional drugs were 82.0% and 18.0%,respectively.The infection rates of HIV,TP and HCV were 2.3%,13.0% and 7.7%,respectively.Multivariate logistic regression analysis showed that students or unemployed(OR=3.836,95%CI:2.044-7.497)and income>6000 yuan/month(OR=2.856,95%CI:1.316-6.469)were more likely to use new drugs.The infection rate of TP using new drugs was higher(OR=3.477,95%CI:1.239-12.840),while the infection rates of HIV(OR:0.086,95%CI:0.018-0.357)and HCV(OR:0.082,95%CI:0.035-0.188)among traditional drug users were higher(all P<0.05).Conclusion In recent years,the use of new drugs among drug users in Zhenjiang City is far more than that of traditional drugs,and the risk of syphilis infection among people who take new drugs such as ecstasy and/or K powder is higher than that of traditional drugs.It is necessary to increase the publicity of the harmfulness of new drugs,and focus on monitoring and comprehensive intervention should be carried out for drug users who are young,have low education and have many sexual partners.

关 键 词：新型毒品 艾滋病 梅毒 丙肝感染率 横断面研究 

分 类 号：R181.3[医药卫生—流行病学]