2010-2018年重庆市九龙坡区吸毒人群艾滋病哨点监测结果分析

Analysis of AIDS Sentinel Surveillance Results of Drug Users in Jiulongpo District of Chongqing From 2010 to 2018

目的了解重庆市九龙坡区吸毒人群艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)的感染状况和高危行为变化趋势,为制定艾滋病防控措施提供科学依据。方法按照国家哨点监测方案要求,对吸毒人群进行问卷调查,并采集血液进行HIV、梅毒、HCV检测。结果2010-2018年重庆市九龙坡区共监测吸毒者3649人,以男性为主,年龄25~49岁组占78.3%。艾滋病相关知识知晓率95.3%,曾注射吸毒和共用针具、最近1个月注射吸毒和共用针具的比例不同年份差异有统计学意义,最近1年发生商业性行为比例、最近1年发生商业性行为时每次使用安全套的比例不同年份间差异有统计学意义。HIV、梅毒、HCV阳性检出率分别为2.4%、5.5%和78.3%,女性HIV和梅毒感染率明显高于男性,注射吸毒者HCV感染率明显高于非注射吸毒者,2项或3项重叠感染率分别为5.8%、0.2%。结论九龙坡区吸毒人群HIV感染率较低,但梅毒和HCV感染率较高,危险因素普遍存在,应将丙肝和梅毒防控纳入吸毒人群健康教育,并加大行为干预力度,有效遏制艾滋病等疾病的流行和蔓延。

Objective To understand infection status and the change trends in high-risk behaviors among drug users of human immunodeficiency virus(HIV),syphilis and hepatitis C virus(HCV),and to provide references for AIDS prevention and control.Methods According to the national requirements,questionnaire conducted on drug users,and their blood was collected for HIV,syphilis and HCV tests.Results A total of 3649 drug users were monitored during 2010-2018 in Jiulongpo district of Chongqing,most of them were males,those with age 25~49 accounted for78.3%of the total.The awareness rate of HIV/AIDS related knowledge was 95.3%.The differences between the ratios of ever had and recent month had of injecting drug abuser and needle sharing were statistically significant in different years.The differences of ratios of commercial sexual behavior and the proportion of commercial sexual behavior with condom were statistically significant in different years.The detection rate of HIV,syphilis and HCV were 2.4%,5.5%and 78.3%respectively.The HIV and syphilis infection rates of female were significantly higher than male,the HCV infection rate of injecting drug users was significantly higher than non-injecting drug users,two or three overlapping infection rates were 5.8%,0.2%respectively.Conclusion The infection rates of HIV were low in Jiulongpo district,but that of syphilis and HCV were high,the risk factors were prevailing.To prevention and control of Hepatitis c and syphilis should be included in the content of health education among drug users,the intensity of behavioral interventions should be strengthened to curb the epidemic and the spread of AIDS and Other diseases.