深圳市龙岗区吸毒人群HIV、HCV、TP感染状况分析

目的分析深圳市龙岗区2009～2011年吸毒人群的艾滋病病毒、丙肝肝炎病毒以及梅毒螺旋体的感染状况,为吸毒人群防治提供科学依据。方法根据全国哨点监测方案的要求,以重复横断面调查的方法对吸毒人群进行监测,收集2009～2011年深圳市龙岗区吸毒人群的健康调查问卷以及血清学检测3种传染病抗体的结果,对结果进行统计分析。结果所调查的深圳市龙岗区吸毒人员HCV抗体阳性率为47.8%,HIV抗体阳性率为3.8%,TP抗体阳性率为14.0%,其中男性HCV感染率49.8%高于女性34.4%(x2=12.70,P<0.01),男性TP感染率12.5%低于女性24.7%(x2=16.57,P<0.01),男女HIV感染率差异无显著性;HCV的感染率静脉注射组比非静脉注射组高(x2=92.96,P<0.01),HIV与TP感染率静脉注射组与非静脉注射组差异无显著性;女性HCV和TP混合感染率较男性高(x2=8.10,P<0.01),男性组的HIV和HCV混合感染率、HIV和TP混合感染率、HIV、HCV和TP混合感染率与女性组比较差异均无显著性(P>0.05)。结论 HIV、HCV和TP在深圳市龙岗区吸毒人群中的感染率较高,应该有针对性地开展健康教育和行为干预,降低吸毒人群传染性疾病的感染率。

Analysis on the infection situation of AIDS,hepatitis C and syphilis of Shenzhen Longgang district drug abusers

Objective To analyze the infection situation of AIDS,hepatitis C and syphilis among Shenzhen Longgang district drug abusers between 2009 and 2011 and hence provide a scientific basis for intervention.Methods According to the requirements of the national sentinel surveillance program,the method of repeating the cross-sectional survey is used to monitor the drug abusers and collect the health survey questionnaires of Shenzhen Longgang district drug abusers between 2009 and 2011 as well as the results of using serology to test the antibodies of the three infectious diseases;then,an analysis is made on the data.Results The results shows that Shenzhen Longgang district drug abusers positive rate of HCV antibody was 47.8%,the positive rate of HIV antibody was3.8%,and then the positive rate of TP antibody was14.0%.The result also shows that the hepatitis C infection rate (49.8%) of men was higher than the rate (34.4%) of women(x 2=12.70,P<0.01),and the Syphilis infection rate (12.5%)of men was lower than the rate(24.7%) of women(x 2=16.57,P<0.01),there are no significant differences in the HIV infection rates according to statistics between women and men;the infection rate of hepatitis C of intravenous injection takes up a higher proportion than non-intravenous injection(x 2=92.96,P<0.01),there are no significant differences in the HIV and Syphilis infection rates according to statistics between women and men;the mixed infection rate of hepatitis C with syphilis (13.0%) of women is higher than the rate (6.6%) of men(x 2=8.10,P<0.01),there are no significant differences between women and men in the mixed infection rate of HIV with hepatitis C,HIV with syphilis and HIV with hepatitis C and syphilis(P > 0.05).Conclusion The infection rate of HIV,hepatitis C and syphilis in Shenzhen Longgang district drug abusers is very high;it is necessary to develop the health education among drug abusers,and hence reduce the infection rate of the infectious diseases among drug abusers.