北京市吸毒人群艾滋病相关行为特征及血清学监测研究

Study on Characteristics of AIDS Related Behavior and Serological Surveillance among Drug Users in Beijing

目的 研究北京市吸毒人群HIV感染流行趋势和艾滋病相关行为特征,为制定北京市艾滋病预防控制规划提供依据。方法 2 0 0 0 -2 0 0 2年在北京市吸毒人群HIV监测哨点参照《艾滋病性病综合监测指南及方案》对吸毒人群进行行为监测和血清学监测。结果 2 0 0 0 -2 0 0 2年共发现HIV感染者10 8例,其中78例有与他人共用针具史,HIV抗体阳性率为5 18% ,属低流行,但有逐年上升趋势;吸毒者中44 90 %有注射吸毒史,其中3 1 .5 1%曾共用过针具;3 1 .76%的吸毒者曾因毒品交易而发生高危性行为,发生高危性行为时7 0 %的吸毒者从不使用安全套,只有0 . 8%的人每次都用,其余99. 2 %有时使用。结论 北京市吸毒人群存在HIV感染流行加快的潜在因素,必须加强健康教育和实施行为干预。

Objective To analyze HIV infection status and AIDS related behavior Characteristics of Drug Users in Beijing.Methods The behavioral and serological surveillance were developed from 2000 to 2002 according to The National Scheme of AIDS Surveillance Guidance.Results 108 cases with HIV positive were identified from 2000 to 2002.Of which,78 cases have ever shared syringes or needles.HIV incidence remained low but increased annually.The proportion of intravenous drug users was 44.90%, among which 31.51% shared syringes and needles with other IDUs.31.76%of the IDUs occurred high-risk sexual behaviors because of drugs dealings, while 7.0% never use condom, and only 0.8% kept condom using.Conclusions High-risk drug injection behaviors and high-risk sex behaviors were popular among drug users in Beijing, education and special intervention programs to halt HIV spreading must be taken immediately.