2513例药物滥用者HIV检测与流行病学调查

HIV TEST AND EPIDEMIOLOGICAL SURVEY OF 2513 DRUG ABUSERS

目的·· :进一步认识与研究静脉注射毒品与艾滋病迅速传播的关系 ,为有关部门采取干预措施提供科学的依据。方法··:对2513例海洛因滥用者进行HIV血清抗体检测 ,并采用自行设计的《海洛因滥用情况登记表》及《艾滋病、性病知识调查表》 ,进行问卷调查。结果··:HIV血清学检测抗体阳性反应37例 ,全部为静脉注射毒品滥用者 ,并有经常共用注射器具史 ,所有病例对引发艾滋病传播的途径缺乏认识。结论··:静脉注射毒品已成为我国目前艾滋病传播的最主要途径 ,吸毒群体已成为潜在的HIV感染的高危人群。提出 :加强对高危人群预防艾滋病的宣传、教育、进行对高危行为的干预 ,将有利于控制艾滋病的传播 ;对吸毒人员进行常规的HIV抗体检测 ,以监控HIV流行趋势变化和发展。

Objective: To study and understand the relationship between intravenous drug use(IDU) and the rapid spread of HIV infection so as to provide scientific data for conducting intervention. Method: HIV test was carried out among 2513 drug abusers and a survey was made with self-designed questionnaires of “Heroin Abuse Register” and “Knowledge of AIDS,STD Investigation”. Result: Of 2513 drug abusers, 37 were HIV positive; all of them were intravenous drug users and often shared injectors with others. They lacked of the knowledge of HIV transmission routes. Conclusion: Intravenous drug abuse is the main route of transmitting HIV and drug abusers are high risk group of HIV infection. It is of great benefit for controlling HIV infection to strengthen the education of HIV prevention among high risk groups. Regular HIV test is necessary to be carried out among drug abusers so as to monitor the epidemiological tendency of HIV.