四川省达州市2003年吸毒者HIV哨点监测结果分析

Analysis on Sentinel Surveillence Results of HIV among Drug Abusers in Dazhou City of Sichuan Province in 2003

目的 观察达州市吸毒者HIV感染动态 ,分析HIV感染发展趋势并观察综合防制措施效果。方法 按《全国哨点监测方案》进行。结果 采血 4 2 4份 ,HIV和梅毒感染率分别为 6 5 0 9%和 9 2 0 %。女吸毒者梅毒感染率高于男性 (P <0 0 1)。静注和非静注吸毒者HIV感染率分别为 78 85 %和 16 13% ,二者有显著差异 (P <0 0 1)。分别有 5 7 72 %和 6 7 2 7%的男、女吸毒者承认通过钱或毒品交易与异性发生过性行为 ,发生性行为时每次使用安全套的比例分别为 0 94 %和 13 5 1% ,仅 4 0 85 %“有时使用”安全套的吸毒者“最近一次使用”了安全套。结论 HIV感染继续在达州市吸毒人群中流行。吸毒者存在性乱且安全套使用率低。艾滋病综合防制措施应进一步加强。

Objective The present study was to get an insight into the HIV infection trend among drug abusers in the city of Dazhou and the effects of comprehensive prevention and control measures. Methods The research was implemented following “National Protocols for Monitoring of Sentinel Sites” Results Infection rates of HIV and syphilis were 65.09% and 9.20%,respectively in 424 blood samples. In female,the infection rate of syphilis was higher than in male (P<0.01). For intravenous injection and non-intravenous injection drug abusers,HIV infection rates were 78.85% and 16.13%,respectively,with a significant difference between them (P<0.01). There were 57.72% of male and 67.27% of female drug abusers who admitted that they had had sexual intercourses for money or drugs,with 0.94% and 13.5% of them using condom in every intercourse.Only 40.85% of drug abusers occasionally used condom and did so in the recent time of intercourse. Conclusion HIV infection was still prevailing in drug abusers in the City. There existed sexual promiscuity among them and they seldom used condom in coitus. Comprehensive measures to prevention and control AIDS needed to be further strengthened.