2000-2005年清远市吸毒者艾滋病监测情况分析

Analysis on the surveillance of AIDS among drug addicts in Qingyuan City from 2000 to 2005

目的了解清远市吸毒人群HIV感染情况及危险因素,为开展干预工作,预防控制艾滋病的流行提供科学依据。方法对2000-2005年在清远市清城、清新、英德和佛冈等4个戒毒所戒毒的吸毒者进行血清HIV抗体检测,并对吸毒行为调查资料进行分析。结果2000-2005年清远市吸毒人群的HIV平均感染率为3.38%,其中英德哨点的阳性率最高(9.67%);吸毒者中注射吸毒的比例为85.90%,其中共用针具者占61.75%,共用针具注射吸毒者HIV感染率显著高于未共用针具注射吸毒者(P<0.05);吸毒者中有商业性行为者占39.66%,其中坚持每次使用安全套者仅占9.07%。结论清远市吸毒人群的HIV感染率较高,吸毒人群存在共用针具及不安全的商业性性行为等高危因素;当前工作重点是加强对吸毒人群的宣传教育并尽快开展行为干预工作。

Objective The present study was conducted to find out the infection situation and the risk factors of HIV among drug addicts in Qingyuan City so as to provide a scientific basis for the intervention, prevention and control of the prevalence of AIDS. Methods From 2000 to 2005, HIV antibody test was conducted on drug addicts in 4 drug rehabilitation centers （Qingchen, Qingxin, Yingde and Fogang） of Qingyuan City, and analysis was made on the survey data on their behaviors of drug abuse. Results The average HIV infection rate among drug addicts was 3.38% in Qingyuan from 2000 to 2005, and the positive rate was the highest in Yingde sentinel （9.67%）. 85.90%of drug addicts used drugs by injection, of which 61.75% shared syringes, so those who shared syringes had a remarkably higher infection rate of HIV than those who did not （P〈0.05）. 39.66% of the drug addicts had commercial sexual behaviors, of which only 9.07% used condom each time. Conclusions HIV infection rate is relatively high among the drug addicts in Qingyuan City, and there were such risk factors as sharing syringes and unsafe commercial sexual behaviors in drug addicts. Currently, it is important to strengthen the public education and conduct the behavior intervention for drug addicts as soon as possible.