2004年东莞市395名吸毒人员HIV、梅毒感染状况分析

HIV,syphilis infection rate among drug users in Dongguan city in 2004: survey on 395 cases

目的:了解东莞市吸毒人员HIV、梅毒的感染状况,为干预措施的制定提供理论数据。方法:对吸毒人员吸毒方式、性行为等进行问卷调查,并采血样检测HIV抗体、梅毒抗体。结果:395名吸毒者中,HIV、梅毒感染率分别为6.84%和9.62%。单一口吸者、口吸并静注者、单一静注者HIV感染率分别为0%、8.14%、23.08%;梅毒感染率分别为10.81%、9.30%、7.69%;这3种吸毒方式之间HIV感染率有显著性差异,单一静注者感染率最高。有静脉注射史者(包括单一静注者和口吸并静注者)占71.9%(284/395),其中共用针具者与非共用针具者HIV感染率分别为18.42%(21/114)、3.53%(6/170),两者相比有显著性差异;非共用针具静注者与单一口吸者之间HIV感染率并无显著性差异。以上各组间梅毒感染率无显著性差异。本次调查中吸毒者不同性行为(有无用安全套)之间HIV、梅毒的感染率无显著性差异。结论:本市吸毒人群HIV的感染率处于中等水平,共用注射器吸毒是HIV感染的主要因素。有必要在吸毒人群中开展艾滋病知识的宣传和干预。

Objective：To understand the epidemiology of HIV and syphilis infection among drug users in Dongguan city , and provide the evidence for establishing the intervention strategies. Methods： A standard questionnaire was conducted and the HIV,syphilis antibody in the blood samples of drug users were detected. Results： In all, 395 cases of drug users were recruited. The seropositive rate of HIV in smoking drug users,injection drug users,smoking and injection drug users were 0% ,8. 14% ,23.08% respectively; The sero- positive rate of syphilis in smoking drug users, injection drug users, smoking and injection drug users were 10. 81% ,7. 69% ,9. 30% respectively; There were significant differences among the above three different groups in HIV infection rate ; The HIV sero - positive rate of injection drug users group was the highest. The percentage of drug users who had a injection experience was 71.9% （284/395） ; therein, there was significance difference between the drug users who had the experience of needles haring and who had not the experience of needle sharing; there was significance difference between the drug users who had not the experience of needle sharing and the smoking drug users. There were no significant differences among the above different group in the syphilis infection rate. There was no significance difference in the HIV and syphilis sero - positive rate between the different sex behavior. Conclusion： The HIV infection rate of dong guan city in drug using population was middle level, injection drug use（IDU） is the most risk behavior for the HIV transmission. Enhancing propaganda and intervention to drug users is necessary.