美沙酮维持治疗门诊患者HCV感染状况及HCV知识评估

HCV KNOWLEDGE AND HCV INFECTION AMONG DRUG USERS TREATED IN A METHADONE MAINTENANCE TREATMENT CLINIC

目的:调查参加美沙酮维持治疗患者的HCV感染状况及其对HCV相关知识的了解情况。方法:对114名接受MMT治疗的患者进行HCV感染状况调查,并采用HCV相关知识调查问卷、酒精使用筛查问卷(AUDIT)对该人群的HCV相关知识和酒精使用状况进行评估。结果:MMT门诊患者中HCV感染率为57.0%,HCV知识评估平均得分为11.3±s2.1,酒精使用状况平均得分为3.2±s5.4。68.4%的患者对自身HCV感染状况不了解,其中59.2%患者为HCV阳性,15.3%的HCV阳性患者接受过HCV抗病毒治疗,18.4%的患者曾主动进行HCV相关咨询。结论:美沙酮维持治疗门诊患者HCV感染率高,但HCV相关知识缺乏,对自身感染情况缺乏了解。MMT门诊应将HCV相关知识的普及教育整合到日常工作中,对患者进行HCV相关教育。

Objective：To investigate the HCV knowledge and HCV infection among drug users onmethadone maintenance treatment（MMT）.Methods：An interview was conducted among 114 heroin users on MMT in a MMT clinic in Shanghai.A structured screening questionnaire,HCV Knowledge Scale,and the Alcohol Use Disorders Identification Test,（AUDIT）were used to collect the information regarding（1）the knowledge of hepatitis C;（2）the concordance of self-knowledge of hepatitis C virus status versus actual status;（3）alcohol use among drug users.The HCV blood test results were gathered from the MMT clinic records.Results：The average score of HCV knowledge was 11.3±s 2.1;the score of AUDIT was 3.2±s 5.4;the seroprevalence of HCV was 57.0%;68.4% participants reported that they did not know their HCV status;59.2% of them who reported did not know their HCV status were serologically HCV-positive;15.3% HCV-positive participants got anti-virus treatment;18.4% participants had counseling about HCV infection voluntarily.Conclusion：The HCV infection rate in MMT patients is high,but their knowledge about HCV and their HVC status is low in MMT clinics.Such population,with its high prevalence of HCV,should be addressed,and intervention strategies should be provided in MMT clinics.