台山市2010-2012年吸毒人群HIV、梅毒和丙肝感染状况调查分析

Investigation of HIV, syphilis and hepatitis C viral infection among drug addicts from 2010 to 2012 in Taishan city

目的了解台山市2010-2012年吸毒人群艾滋病病毒(HIV)、梅毒(TP)和丙肝(HCV)的感染情况。方法对台山市所有新入所的吸毒人群进行HIV、TP和HCV血清学检测。结果共检测吸毒者1386人,男性占94.4%,平均年龄(36.1±7.6)岁。艾滋病抗体阳性率为5.7%(79/1386),梅毒抗体阳性率为2.6%(35/1386),丙肝抗体阳性率为63.3%(878/1386)。在检出的79名艾滋病感染者中,HIV+TP、HIV+HCV、HCV+TP双重感染率分别为0.3%(4/1386)、5.5%(76/1386)和1.9%(26/1386),HIV+TP+HCV混合性多重感染率为0.3%(4/1386)。结论台山市吸毒人群HIV、TP、HCV仍存在较高感染率,应加大对吸毒人群的监测和防病知识的宣传力度,采取综合防治干预措施,降低HIV、TP、HCV从高危人群向一般人群扩散和传播的危险性。

Objective To investigate the HIV, syphilis and HCV infection among drug addicts in Taishan city and furnish a scientific basis for formulating measures for its prevention and control. Methods Serological detection of HIV, syphilis and HCV were performed for all new drug prisoners in 2010-2012 in Taishan. Results A total of 1 386 drug addicts were tested, in which male was accounted for 94.4% with an average age of （36.1±7.6） years old. The positive rates of anti-HIV, anti-syphilis and anti-HCV antibodies were 5.7% （79 / 1 386）, 2.6% （35 / 1 386）, and 63.3% （878 / 1 386）, respectively. The co-infected rates of HIV＋syphilis, HIV＋HCV, HCV＋TP and HIV＋syphilis＋HCV infection were 0.3%（4 / 1 386）, 5.5%（76 / 1 386）, 1.9% （26 / 1 386）, and 0.3%（4 / 1 386）, respectively. Conclusion The infection rates of HIV, syphilis and HCV are relatively high among drug addicts. Surveillance should be enforced and promotion of knowledge of prevention should to be strengthened among drug addicts. Comprehensive measures should be taken to reduce the risk of spreading HIV among the high-risk population.