| 2010-2014年云南省红河哈尼族彝族自治州吸毒哨点人群艾滋病相关行为变化和流行趋势分析 |
| |
| 引用本文： | 丁力,姚恩龙,张维义,白香莲. 2010-2014年云南省红河哈尼族彝族自治州吸毒哨点人群艾滋病相关行为变化和流行趋势分析[J]. 疾病监测, 2015, 30(11): 911-916. DOI: 10.3784/j.issn.1003-9961.2015.11.006 |
| |
| 作者姓名： | 丁力 姚恩龙 张维义 白香莲 |
| |
| 作者单位： | 1.红河哈尼族彝族自治州疾病预防控制中心, 云南蒙自 661100 |
| |
| 摘 要： | 目的 分析2010-2014年红河哈尼族彝族自治州(红河州)吸毒哨点人群艾滋病相关行为变化和流行趋势,为制定艾滋病防控策略和行为干预提供依据。 方法 按照《云南省艾滋病哨点监测方案》对一般人口学特征、行为学特征、血清学信息、艾滋病防治有关信息进行监测,使用SPSS 22.0软件进行统计学分析。 结果 吸毒人群年龄段以20~40岁居多,但20岁年龄组有逐年增加的趋势,40岁以上年龄组有下降趋势。民族以汉族为主,但哈尼族从2010年的4.4%,增加到了2014年的29.6%。吸食毒品以海洛因为主,但占比从2010年99.2%,下降到2014年的80.8%,而冰毒则从0上升到2014年的10.6%。虽然注射吸毒和入所前1个月注射吸毒比例有下降趋势,但是否共用针具和入所前1个月共用针具频率差异却无统计学意义。最近1年发生过商业性性行为的比例有6.8%～26.6%,且吸毒人群不安全的商业性行为比例也比较高。在吸毒人群干预覆盖构成比上却呈现逐年下降趋势。非条件logistic回归分析结果显示,年龄30岁,注射吸毒、共用针具,女性、最近1年有过商业性性行为和干预覆盖率是吸毒哨点人群艾滋病感染的危险因素。 结论 5年监测结果表明吸毒人群HIV感染率呈现下降趋势,但吸毒人群无保护的性行为仍较普遍,同时干预覆盖率呈下降趋势。针对吸毒人群除了需扩大美沙酮维持治疗的试点地区和增加针具交换点以外,还要采取以社区为基础,通过外展服务、培训、同伴教育等多种方式进行吸毒人群的高危行为干预,这对于扼制此类人群通过性途径向一般人群传播艾滋病具有重要的意义。
|
| 关 键 词： | 吸毒人群 艾滋病 哨点监测 |
| 收稿时间： | 2015-01-29 |
Sentinel surveillance for prevalence of AIDS related risk behaviors in drug users in Honghe,Yunnan,2010-2014 |
| |
| Affiliation: | 1.Honghe Prefecture Center for Disease Control and Prevention, Yunnan, Mengzi 661100, Yunnan, China |
| |
| Abstract: | Objective To understand the prevalence of AIDS related risk behaviors in drug users in Honghe prefecture in Yunnan province from 2010 to 2014 and provide evidence for the development of AIDS prevention and control measures. Methods Accoording to The AIDS surveillance protocol in Yunnan province, a sentinel surveillance was condcuted among the drug users in Yunan, and questionnaires were used collect the information about their demographic data, awareness of AIDS related knowledge and HIV infection related behavior. The data were analyzed with software SPSS 22.0. Results Most drug users were aged 20-40 years, but the number of drug users aged 20 years was in increase, and the number of drug users aged 40 years was in decline. Most drug users were ethnic Han, but the proportion of ethnic Hani drug users increased from 4.4% in 2010 to 29.6% in 2014. Heroin was prefered by most drug users, but the heroin use rate declined from 99.2% in 2010 to 80.8% in 2014. The smokable mathamphetamine use rate increased from 0% in 2010 to 10.6% in 2014. The rates of injection drug use and needle sharing showed a decline trend one month after entering drug rehabilitation center. The proportion of the drug users who had commercial sex druing the past year ranged from 6.8% to 26.6%. Logistic regression analysis indicated that age above 30 years, injection drug use, needle sharing, being female, unprotected commercial sex and low intervention coverage were the risk factors for HIV infection. Conclusion The HIV infection rate was in decline in drug users in Honghe, but unprotected commercial sex was common in the drug users and the intervention coverage was in decline. Except expanding methadone maintenance treatment coverage and increasing needle exchange sites, it is necessary to conduct risk behavior intervention among drug users through outreach service, health education and peer advice to prevent the sexual transmission of HIV to general population. |
| |
| Keywords: | |
| 本文献已被 万方数据 等数据库收录！ |
| 点击此处可从《疾病监测》浏览原始摘要信息 |
|
点击此处可从《疾病监测》下载免费的PDF全文 |
|
