襄樊市吸毒人群艾滋病综合监测分析

Behavior analysis and HIV surveillance for drug users in Xiangfan City

目的了解吸毒人群艾滋病防治知识知晓情况和相关行为特征。方法对襄樊市社区及戒毒所的吸毒人员进行艾滋病行为监测。结果部分知识点正确率较高,但传播途径全部知晓的比例只有54.22%,且随文化程度的提高,知晓率也呈上升趋势,差异有统计学意义(X^2=13.17,P=0.009)。戒毒所里戒过毒的比例为77.5%。注射过毒品的占60.3%,共用过针具的25.3%。最近一个月有过性行为的20.7%,最近一次安全套使用率39.8%。未发现艾滋病病毒感染者,梅毒感染率为1.88%,其中女性梅毒感染率达4.60%。吸毒者存在知识与行为分离的现象。结论针对吸毒人群的艾滋病防治知识的宣传教育仍有待于进一步加强,并且提高针对性。必须采取以宣传教育与安全套推广、清洁针具交换和美沙酮替代治疗等行为干预并重,提高防治效果。

Objective To investigate knowledges and behavior characteristics of drug users. Methods The behavior of drug users was investigated in communities and addiction treatment centers. Results There was 54. 2% of participants gaving right answers for all HIV transmission associated topics. Awareness of HIV was also associated with the level of education. Drug injection accounted for 60. 3%. There were 25.3% of the participants that had shared syringes. The proportion of recent condom use was 39. 8% among those who had sex in the last month. Syphilis infection rate was 1.88%, and nobody had HIV infection yet. Knowledge and behavior were found to be segregative in the drug users. Conclusion Eductaion of HIV/AIDS knowledge needs to be strengthened. It is essential to take intervention measures, such as promoting using condom, clean injection equipment and methadone substitute treatment, in preventing from HIV infection among drug users.