澂江县吸毒人群综合干预效果研究

Study on comprehensive intervention effects in drug addicts HIV infection

[目的]通过在吸毒人群中开展针具交换、美沙酮维持治疗和转介服务,对吸毒人群进行综合干预,减少吸毒人群HIV感染及传播,探索可持续发展的艾滋病防治模式。[方法]采用回顾性方法,收集了中澳项目基线调查至2010年综合干预数据、澂江县艾滋病网络直报疫情数据,用Excel 2003、SPSS 15.0软件进行分析。通过干预前后对比,对综合干预效果进行评估。[结果]吸毒人群艾滋病知识知晓率有了明显的提高、行为改变显著,吸毒人群中HIV阳性检出率由1996年的53.33%下降到2010年的11.96%,特别在实施综合行为干预2年后出现明显的下降。[结论]澂江县吸毒人群艾滋病预防知识普遍提高,高危行为得到控制,HIV阳性检出率明显下降,对吸毒人群开展综合干预工作取得了成效。

Through carrying out needle syringe exchange, MMT and referrals service, carried through comprehensive intervention to high risk behavior in drug addicts HIV infection. Reduced drug addicts HIV infection and transmission. Explored the sustainable development model of AIDS/H1V prevention and control. Methods Collected comprehensive intervention data from HAARP baseline survey to 2010, AIDS net report epidemic data in Chengjiang county in retrospective survey. Analyzed by Excel 2003, SPSS 15.0 software. Evaluated the comprehensive intervention effect through intervention before and after comparison. Results There was obvious improvement in AIDS knowledge awareness of drug addicts, behavior change significantly. HIV positive relevance ratio was from 53.33% in 1996 down to 11.96% in 2010. Especially, appeared significantly reduced that carried out comprehensive behavior intervention two years later. Conclusions AIDS/HIV prevention and control knowledge were general improvement. High risk behavior controlled. HIV positive relevance ratio reduced. The comprehensive intervene working to drug addicts had achievements.