桐乡市社区矫正吸毒人群艾滋病相关疾病感染状况及影响因素调查

Research on the infections and influence factors of acquired immure deficiency syndrome-related diseases among community correction drug users in Tongxiang

目的了解桐乡市社区矫正吸毒人群中艾滋病病毒（HIV）、梅毒及丙型肝炎（HCV）的感染状况,为相关部门开展干预提供参考依据。方法以社区矫正办社区戒毒人员为调查对象,采用方便抽样抽取符合入选标准的人群,进行问卷调查和检测HIV、梅毒、HCV感染状况。结果社区吸毒者主要以男性为主,占65.69%,年龄段集中在20岁~29岁,首次吸毒年龄中位数为23岁,以＂好奇心驱使,想试一试,尝新鲜＂居多数,占73.53%。最近一年毒品使用以新型毒品冰毒为主,占94.12%。梅毒和HCV感染率分别为3.92%和2.94%。且新型毒品吸食者中性别、首次吸毒的年龄、与家庭成员关系3个因素,差异有统计学意义（P〈0.05）。结论社区矫正人群首次吸毒年轻化,且好奇心占主导因素,梅毒及丙型肝炎感染率高,应针对性加强对社区矫正吸毒人群的健康教育和行为干预工作,在农村地区采取有效的干预措施。

Objective To investigate the infection status of human immunodeficiency virus （ HIV）, syphilis and hepatitis C （HCV） among community correction drug users in Tongxiang, so as to provide a reference for the relevant departments to carry out interventions. Methods Taking community drug addicts as the investigation objects, and the convenience sampling was used to select the population meeting the requirements for the questionnaire survey and the detection of HIV, syphilis, HCV infection. Results Community drug were mainly male - dominated, accounting for 65.69%, concentrated in the age group of 20 - 29 years old, the median age of first drug use was 23 years old, with ＂curiosity and want to try, taste fresh＂ in the majority, accounting 73.53%. Recent drug use in one year was mainly the new drugs, such as methamphetamine, accounting for 94.12%. The infection rates of syphilis and HCV were 3.92% and 2.94%. And the differences of new drug abusers in gender, age of first drug use, and relationship status with family members were statistically significant （P 〈 0.05）. Conclusion The first drug addicts of community correction population are younger, and curiosity is the dominant factor with high rate of syphilis and HCV infection, so should be aimed at strengthening the health education and behavioral intervention on drug addicts in community correction work, and take effective intervention measures in rural areas.