社区吸毒者HIV、HCV、梅毒检测及高危行为特征分析

Detection of HIV,HCV and syphilis in community drug users and analysis of high risk behaviors

目的了解社区吸毒者艾滋病、丙肝、梅毒的感染率及高危行为特征。方法由禁毒社工采用统一问卷进行调查,并由医务人员采集血样进行血清学检测。结果121名社区吸毒者中未检出HIV感染者,梅毒RPR阳性1例,乙肝表面抗原阳性7例,丙肝抗体阳性43例。多元Logistic回归分析显示:不同文化程度、籍贯、静脉吸毒情况的吸毒者丙肝感染率差异具有统计学意义,文化程度低、外省市、曾有静脉吸毒行为者感染率较高。54.5%有静脉吸毒行为,其中22.7%在最近一次静脉吸毒中共用注射器,外省市静脉吸毒率高于本市。结论社区吸毒者静脉吸毒率高,丙肝感染率高,应加强社区吸毒者艾滋病健康教育和行为干预工作。

Objective To understand the infection rates of HIV,HCV,syphilis and the high-risk behavior characteristics of community drug users. Methods The standard questionnaire was used in the survey and blood samples from 121 community drug users were collected and tested by medical workers. Results All the results of tested samples were negative for HIV, 1 was positive for syphilis ,7 drug uses were positive for HBVand 43 were positive for HCV. The results of multi-dimensional logistic regression analysis demonstrated the infection rate of HCV was correlated with level of education,native residental placer and history of drug injeetion.,the rate of HCV infection was higher in those with low education level,temporary floating population from outside of the areas and drug users . There 54.5%. them used drug t hrough injection . Conclusion The rate of drug injection and the infection rate of HCV in community drug users are high, thus, health education and inerventiona on high risk behaviors be strengthened.