连云港市强制戒毒人员HCV、HIV与梅毒感染状况

目的了解连云港市吸毒人群感染HCV、HIV和梅毒的行为危险因素,为预防控制HCV、HIV和梅毒在这类人群中的流行提供科学依据。方法采用中国疾病预防控制中心《艾滋病性病综合监测指南及方案》（试行）中的吸毒者监测登记表对调查对象（连云港市强制戒毒所吸毒人员）进行面对面的个人访谈和收集相关资料,输入Epidata 3.0数据库进行分析,抽取检测对象静脉血检测HCV、HIV和梅毒抗体。结果168例戒毒人员中HCV的感染率为16.67%（28/168）,注射吸毒者HCV的阳性率（32.86%）高于非注射吸毒HCV的阳性率（5.10%）;注射吸毒人员中,共用注射器或针头的吸毒者HCV的感染率（68.97%）高于非共用注射器或针头的吸毒者HCV的感染率（7.32%）。吸毒人员在20～39岁这个年龄段HCV的感染率最高。吸毒人员中HIV阳性数为0,检测出梅毒阳性者4例,阳性率为2.38%。结论连云港市强制戒毒人员HCV感染率高于一般人群,因此,应加强对吸毒人群的监测,同时开展防病知识宣传教育和行为干预,以降低HCV在该人群中的传播和扩散,控制HCV等血源性传染病的蔓延和流行。

Infection Status of HCV, HIV and Syphilis among Drug Addicts under Compulsory Rehabilitation in Lianyungang City

[Objective]To understand the behavioral risk factors of HCV, HIV and syphilis infection among drug addicts in Lianyungang City, and provide scientific evidence for developing control measures for this population. [ Methods ] The registration form for drug addicts survey from China CDC＇s ＂ AIDS and STD Integrated Monitoring Program Guide＂ （ Trial） was adopted to conduct face-to-face interview on drug addicts from compulsory rehabilitation center of Lianyungang City, the relevant data were input into Epidata 3.0 database for analysis, blood samples from sampling objects were collected and detected HCV, HIV and syphilis antibodies. [ Results] HCV infection rate for 168 cases was 16.67% （28/168 ）. HCV positive rate of injecting drug users （32.86% ） was higher than that of non-injecting drug users （ 5.10% ）. HCV infection rate of Injection drug users sharing the needles or syringes （68.97% ） was higher than that of drug users not sharing syringes or needles （ 7.32% ）. The peak of HCV incidence appeared in the age group of 20-39 years. No HIV positive ones were detected, 4 cases （2.38%） were syphilis positive. [ Conclusion] HCV infection rate of drug addicts who conduct compulsory drug treatment in Lianyungang City was higher than that of the general population. Therefore, it is necessary to strengthen the monitoring of drug users, and carry out publicity and education of prevention knowledge simultaneously so as to reduce the spread of HCV in this population and control the epidemic of HCV and other blood-borne infectious diseases.