三峡库区监管场所9430名羁押人员HIV抗体筛查分析

HIV antibody screening in 9 430 individuals detained in jails,compulsory detoxification institutes and detention houses

目的 了解三峡库区监管场所被监管人群中艾滋病病毒（HIV）感染情况及影响因素，为制定HIV控制策略和措施提供依据。方法 采用HIV1＋2酶联免疫吸附试验（ELISA）试剂盒双抗原夹心法做筛查，应用免疫印迹法（WB）进行确认。结果 9430人中检出HIV抗体阳性84例，占被监管人员0．89％。其中男83人，女1人，年龄19～52岁，传播途径以静脉注射吸毒为主，其次是经性途径传播。结论 HIV感染在三峡库区被监管人群中形势严峻，特别在吸毒及性乱人群中感染率高达2．27％。因此，加强高危人群的HIV检测，进行相关知识健康教育和监管措施控制，对预防和控制HIV传播有重要意义。

Objective To understand HIV infection and high risk factors among individuals detained in jails, cornpulsory detoxification institutes and detention houses and to provide evidence for the prevention and oontrol of HIV in the Yangtze River Gorges areas.Methods HIV infections were screened by using enzyme linked immunosorbent assay（ELISA） ,and were then oonfinned by the Western Blot（WB）. Results Of all the subjects studied, 84 were HIV positives（0.89 % ）. They were aged 19 to 52 years and the ratio of male to female was 83 ： 1. The major transmission mute was through intravenous drug use,and the next one was sex eontact. Conclusions Relatively high HIV prevalence is found in studied subjects, particularly in IDUs （ as high as 2.27 % ）. Therefore,it is important to strengthen HIV surveillance among the high risk population,and carry out related health education and managament activities for the prevention and eontrol of HIV transmission.