2011年绵阳市吸毒人群艾滋病综合监测结果分析

AIDS Surveillance Among Drug Users in Mianyang,2011

目的了解吸毒人群艾滋病相关知识、行为及生物学现状,为开展健康教育和行为干预提供依据。方法在绵阳市涪城区、游仙区社区内采用滚雪球方法招募吸毒人员400名,由经过培训的专业人员逐一进行问卷调查,并采血作艾滋病病毒(HIV)抗体、丙型肝炎病毒(HCV)抗体和梅毒抗体检测。结果 400名吸毒人员中,艾滋病相关知识知晓率为85%;当前使用的主要毒品为海洛因,占91.25%,静脉注射吸毒占65.75%,最近1个月与他人共用针具的比例为0.76%;最近1次性行为时安全套使用率为38.36%;最近1次与商业性伴发生性行为时安全套使用率为52.94%;最近1年接受艾滋病预防服务措施覆盖率为95%;HIV抗体阳性率为1.25%,HCV抗体阳性率为67.25%,梅毒抗体阳性率为3.50%。结论绵阳市吸毒人群艾滋病相关知识知晓率较高,HIV抗体阳性率和注射毒品共用针具的比例低,但安全套使用率仍低,高危行为依然存在,需要继续加强各项干预措施的落实。

Objective To understand the awareness of AIDS related knowledge, behaviors and HIV infection sta- tus among drug users in Mianyang, so as to provide evidence for the health education and intervention. Meth- ods A total of 400 drug users were selected randomly from Fucheng and Youxian district of Mianyang and were conduct questionnaire survey and blood samples of them were tested for HIV, HCV and syphilis. Results To- tally 400 drug users were investigated. The awareness rate of AIDS related knowledge was 85%. Intravenous drug users （IDUs） accounted for 65.75% , and the sharing rate of needles in the last month was 0.76%. There were 38.36% of drug users used condoms in the last time sex, and 52.94% of drug users used condoms at last time commercial sex. Up to 95% of drug users received preventive service of AIDS in the last year. The positive rate of HIV, HCV and syphilis antibody were 1.25% , 67.25% and3.50% respectively. Conclusion The awareness rate of AIDS related knowledge is comparatively high among the drug users in Mianyang, and the positive rate of HIV antibody and the rate of sharing needles are lower than before, yet the condoms usage rate is low, high risk behaviors of HIV infection are still exist. It is necessary to strengthen the implementation of intervention measures.