清远市2007年吸毒人群高危行为及HIV、梅毒感染状况

Survey on the High Risk Behaviors and HIV/Syphilis Infection among the Drug Users in Qingyuan City in 2007

目的了解清远市2007年吸毒人群HIV、梅毒感染状况及危险行为的特征，为制定艾滋病预防控制策略提供科学依据。方法2007年6—12月对清远市3家强制戒毒所的所有吸毒者进行行为学调查，并采集血样进行HIV、梅毒抗体检测。结果共调查1073名吸毒者，吸毒者以20～39岁男性为主，吸毒方式以静脉注射为主，占75．58％，其中共用针具占53．21％；曾有性乱经历的人数占53．22％（571／1073）；安全套每次使用的人数占11．56％（66／571），偶尔使用的人数占22．24％（127／571），从来不使用的人数占66．20％（378／571）。共检测3家戒毒所1073名吸毒者血清样本，HIV抗体阳性率为3．08％（33／1073），梅毒抗体阳性率为9．97％（107／1073），其中同时感染HIV和梅毒的2例，感染率为0．19％。结论清远市吸毒人群HIV和梅毒感染虽属低流行，但感染HIV的危险因素普遍存在，应尽快采取有效措施防止HIV在该人群中传播以及该人群向其他高危人群和一般人群传播。

[Objective]To understand HIV/syphilis prevalence and high risk behaviors among drug users in Qingyuan city during 2007, and to provide scientific evidence for the establishment of prevention and control measures against AIDS. [ Methods] During June to December 2007, behavioral survey was conducted among all drug users in three drug detoxification centers in Qingyuan; serum samples were collected and screened by HIV antibody and syphilis antibody test. [ Results] The 1073 investigated drug addicts were mainly males aged between 20 and 39; 75.58% of them used vein injection, 53.12% of which had injector sharing experiences; 53.22% had ever sexual promiscuity; 11.56% （66/571） used condom consistently, 22.24% （ 127/571 ） used condom occasionally, 66.20% （378/571） never used condom; the positive rates of HIV and syphilis antibody were 3.08% （33/1073） and 9.97% （107/1073） respectively; 2 cases （0.19%） were infected with beth HIV and syphilis. [Conclusion] The infection of HIV and syphilis were in a low prevalence among drug users in Qingyuan city, but the risk factors of HIV infection does commonly exist; effective measures should be taken to prevent HIV transmission among this population and the spreading from this population to other high risk population and common population.