上海市嘉定区吸毒人群艾滋病哨点监测结果分析

Analysis of Drug Users Based on the AIDS Sentinel Surveillance in Jiading District, Shanghai

目的了解嘉定区吸毒人群对于艾滋病相关知识和行为的了解情况,以及人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和梅毒的感染状况,为采取防控措施提供依据。方法对嘉定区吸毒人员进行匿名问卷调查,共调查340人,其中325人采集静脉血进行HIV、HCV和梅毒检测。结果调查对象对艾滋病传播途径的知识知晓率较高。340人中有292人(85.89%)答对6道及以上题目,但蚊虫叮咬是否会传播艾滋病的回答正确率较低,为80.6%。325名吸毒者中,HIV抗体阳性0人;HCV抗体阳性的有59人,检出率为18.2%;梅毒抗体阳性的有9人,检出率为2.8%。结论加强对吸毒人群防病知识的宣传教育和行为干预,降低HIV、HCV和梅毒在该人群中的传播和扩散,控制血源性疾病的蔓延,同时继续加强对吸毒人群的监测工作。

Objective To understand the status of knowledge and behavior regarding AIDS among drug users and their infection of HIV, HCV and Syphilis diseases, to provide the scientific basis for prevention and control of HIV,HCV and Syphilis diseases among this population. Methods A total of 340 residents who were drug users in Jiading District were face to face interviewed anonymously. Of the 340 residents, 325 had HIV, HCV and Syphilis tests by collecting the venous blood samples. Results: The level of knowledge and awareness regarding transmission routes of HIV was higher. Among the 340 respondents, 292 correctly answered six or more questions, which accounted for 85.89%. But the correct answering the question of whether mosquito-bite can transmit HIV was relatively lower(80.6%). None of those 325 drug users' HIV tests were positive; however, 59 of them(18.2%) HCV test were positive; 9 of them had the positive Syphilis tests, which accounted for 2.8%. Conclusion In order to reduce the transmission of HIV, HCV and Syphilis diseases among drug users, it is necessary to develop programs that aim to strengthen education and behavior intervention on them and also to enhance the sentinel surveillance.