上海药物滥用人群中HIV感染344例的分析

Retrospect analysis of 344 HIV infection in drug-abuse patients in Shanghai

目的了解上海吸毒人群中HIV阳性者的特性、规律及现状,为药物滥用监测提供依据。方法采用国家药物滥用监测中心制定的《药物滥用监测调查表》,由医务人员及管教人员询问后填写,对344例药物滥用致HIV感染者,包括人口学特征、药物滥用等情况的资料汇总分析。结果344例HIV阳性者来自上海14家戒毒机构,其中上海市公安局强制戒毒所收治286例(83.1%)。上海户籍67例(19.5%),外地户籍277例(80.5%)。男性(312例)明显多于女性(32例)。20～40岁青壮年有285例(82.5%)。药物滥用以二醋吗啡为主,有308例(89.5%)。静脉注射304例(64.4%),其中合用注射器138例(45.4%)。结论加强男性及外地户籍HIV阳性吸毒人员的监测和管理。

AIM To investigate the characteristics and current status of HIV infection population in Shanghai and to provide evidence for drug abuse surveillance. METHODS An analysis was conducted on 344 drug abuse patients with HIV infection, including their socio-demographics, behavioral characteristics of drug use, injection equipments sharing and so on. All the data were recorded in the ＂Drug Abuse Surveillance Regulation List＂ issued by National Drug Abuse Surveillance Center; through medical staffs and inspectors. RESULTS Total 344 patients with HIV infection were from 14 bureau compulsory detoxification, among 286 patients （83.1%） were from Shanghai Municipal Public Security Bureau Compulsory Detoxification. The 67 patients （19.5%） were registered permanent residence in Shanghai, the 277 patients （80.5%） were for other parts of the country. The males （312 patients） were apparently more than the females （32 patients）. There were 285 patients （82.5%） distributed 20 to 40 years in youth and prime. Heroin was the main drug abuse （89.5%） including 314 patients （88.4%） of venous injection, with 138 patients （45.4%） sharing the injector or syringe needle. CONCLUSION We should take appropriate measure with strict surveillance and management to control the spread of HIV.