东莞市2004年吸毒人群艾滋病监测结果分析

Monitoring Results of AIDS among Drug Users of Dongguan City in 2004

目的 了解东莞市吸毒人群HIV感染情况及危险因素 ,从而有的放矢地开展干预工作。方法 对 2 0 0 4年 1～ 11月在东莞市强制戒毒所戒毒的 1987名吸毒者进行血清HIV抗体检测 ,同时采用统一的问卷搜集每名调查对象的人口学及行为学资料 ,将所有资料输入EPIDATA3 0 ,采用STATA8 0软件进行统计分析。结果 东莞市吸毒人群的HIV感染率为 6. 14 % ,本地吸毒人群的感染率显著低于流动吸毒人群 ,有共用针具吸毒史者的感染率显著高于无针具共用史者。吸毒者中注射吸毒率为 6 3. 5 1% ,注射吸毒者中针具.共用率为 4 6 . 4 3%。吸毒者中有商业性性行为者占 5 5 . 16 % ,其中坚持每次使.用安全套者仅占 15 . 2 4 %。结论 东莞市吸毒人群的HIV感染率有较大幅度上升 ;吸毒人群中存在着共用针具及商业性性行为等危险因素 ;建议在吸毒人群中尽快推广、美沙酮替代疗法及 10 .0 %安全套策略等干预措施。

Objective This analysis was to have a better understanding of HIV infection and related risk factors among drug users in Donggan and to provide basis for implementing intervention work. Methods 1 978 drug users who underwent compulsory drug rehabilitation in Donggan drug rehabilitation center from January to November in 2004 were inspected using serological HIV antibody test and demographic and ethological data of subjects were derived from uniform questionnaire investigation, and EPIDATA3 0 and STATA8 0 were used for statistical analysis. Results The rate of HIV infection among drug users in Donggan was 6 14%, of which the infection rate of local drug users was substantially lower than migrants, and those who shared syringes and needles had a remarkably higher infection rate than those who did not; among drug users, the rate of injection was 63 51%, of which the rate of sharing injection equipments was 46 43%; commercial sexual behavior accounted for 55 16% in drug users, of which only 15 24% used condom each time. Conclusion There has been a great increase of infection rate among drug users in Donggan and such risk factors as sharing syringes and needles as well as commercial sexual behavior still exist in drug users, therefore intervention measures including Methadone replacement therapy and 100% condom strategy should be popularized among drug users.