瑞丽市中国籍吸毒人员与缅甸籍吸毒人员HIV、HCV及梅毒流行病学调查分析

目的了解云南省瑞丽市缅甸籍与中国籍吸毒人员HIV、丙型肝炎病毒（hepatitis C virus,HCV）、梅毒（syphilis）感染情况、艾滋病知识知晓状况、毒品使用情况、相关行为态度和预防艾滋病服务覆盖情况。方法对吸毒人群哨点监测点825名新入所吸毒人员进行一对一问卷调查并采血,同时检测抗-HIV抗体、抗-HCV抗体和梅毒抗体。结果抗-HIV、抗-HCV及梅毒抗体的阳性率分别为13.8%,18.1%和2.4%。其中,缅甸籍吸毒人员抗-HIV、抗-HCV及梅毒抗体的阳性率分别为16.4%,17.0%和4.1%。传播途径知晓率及联合国大会艾滋病特别会议（United Nations General Assembly Special Session on HIV/AIDS,UNGASS）指标知晓率分别为68.6%和35.9%,注射吸毒率与共用针具使用率分别为13.8%和34.3%,最近一次与配偶或同居者及与商业性伴性行为安全套使用率分别为12.1%和63.6%;中国籍吸毒人员抗-HIV、抗-HCV及梅毒抗体的阳性率分别为10.1%,19.5%和0.0%,传播途径知晓率及UNGASS指标知晓率分别为88.5%和65.7%,注射吸毒率与共用针具使用率分别为18.6%和27.0%。最近一次与配偶或同居者及与商业性伴性行为安全套使用率分别为13.3%和51.4%。结论此次调查注射吸毒人群艾滋病感染率比全国注射吸毒人群高。应继续加强干预工作,以防止艾滋病、丙肝、梅毒的进一步传播和蔓延。

An epidemiologic analysis on the prevalence of HIV,HCV and syphilis among the Chinese and Burmese drug users in Ruili City

Objective To understand the prevalence of HIV/AIDS,hepatitis C virus（HCV） and syphilis and get the information of HIV-related knowledge,usage of drug,relative behavior risks and attitude among drug users in Ruili.Methods A total of 825 drug user in Ruili addiction treatment center were interviewed with questionnaire and their blood specimen were collected for detecting antibodies against HIV,HCV and syphilis.Results Between Burmese drug users and Chinese drug users,the prevalence of HIV,HCV and syphilis was 16.4%,17.0% and 4.1% respectively and 10.1%,19.5% and 0.0% respectively.The awareness rate of the route of transmission and the United Nations General Assembly Special Session on HIV/AIDS（UNGASS） indicator in Burmese and Chinese was 68.6%,35.9% respectively and 88.5%,65.7% respectively;the prevalence of intravenous drug abuse and needle sharing was 13.8%,34.3% respectively and 18.6%,27.0% respectively;the reported condom use rate at the last sex with partner or clients was 12.1%,63.6% respectively and 13.3%,51.4% respectively.Conclusions The total HIV prevalence of injection drug users was higher than that of national drug users.The HCV prevalence of drug users was higher than the national level.Intervention should be strengthened to prevent further spreading of these diseases.