广州市女性吸毒人群性病艾滋病知晓及感染情况调查

Survey on STDs /AIDS Awareness and Infection Among Female Drug Users in Guangzhou

目的了解广州市女性吸毒人群性病艾滋病知晓、高危行为特征及性病艾滋病感染情况,为制定有效的预防控制措施提供依据。方法对广州市妇教所897例女性戒毒人员进行面对面问卷调查,同时分析该所2010-2012年的性病艾滋病监测数据。结果女性吸毒人员性病艾滋病总体知晓率偏低仅为45.60%,75.25%采用静脉吸毒,16.95%曾与他人共用过针具,14.60%主要吸食冰毒等新型毒品,77.37%曾为了金钱或毒品与他人发生性关系,与固定性伴和临时性伴每次都使用安全套的比例分别为16.55%和27.52%。该人群性病总检出率为30.42%,梅毒检出率为18.42%位居首位,HIV抗体阳性率1.80%位居第四位,2.23%同时感染2种及以上性病。结论广州市女性吸毒人员性病艾滋病知晓率低而感染率高,感染和传播性病艾滋病的危险因素广泛存在,仍需加大力度开展有针对性的宣传教育和行为干预。

Objective To understand the awareness and risk factors as well as infection status of STDs＆AIDS among fe- male drug users in Guangzhou, and provide evidences for the formulation of the control and prevention meas- ures of STDs/AIDS. Methods A face to face investigation was conducted among 897 female drug users and the monitoring data of STDs/AIDS from 2010 to 2012 was analyzed. Results The total awareness rate of STDs/AIDS was only 45.60%. 75.25% of participants consumed drugs by intravenous injection. 16.95% used shared needles. 14.60% consumed new-type drugs such as methamphetamines. 77.37% had sex with others for money or drugs. The rates of using condoms every time were 16.55% and 27.52% respectively with regular partners and guests. The total detection rate of STDs was 30.42% , among which the highest one was syphilis （ 18.42% ） , HIV （ 1.80% ） was the fourth, and 2.23% with two or more STDs at the same time. Conclusion The awareness rate of STDs/AIDS was low but the infection rate was high among female drug users in Guangzhou,together with the risk factors for infection and transmission widespread. The health education and behavior intervention should be strengthened.