贵港市吸毒人群艾滋病行为监测结果分析

目的了解贵港市吸毒人群艾滋病感染状况以及影响因素,为制定艾滋病防治策略提供科学依据。方法对贵港市2009~2013年哨点监测数据使用SPSS19.0进行调查资料的统计分析。结果在5 233名调查对象,平均年龄(33.66±7.34)岁,以本市户籍为主占99.33%,男性占94.13%。艾滋病相关知识知晓是85.86%,85.55%的人有过注射吸毒,有38.33%的人曾经有过共用针具注射吸毒行为,最近一个月,平均每天注射吸毒次数2.57次;最近一年,与商业性伴、配偶/固定性伴发生性行为坚持使用安全套的比例分别是39.52%和10.85%;监测到的吸毒人群HIV阳性检出率9.04%,2009~2013年HIV检出率在5.50%~14.77%之间波动,经卡方检验,各年度之间HIV检出率有统计学意义(χ2=66.25,P0.01)。梅毒检出率为6.23%,丙肝检出率为62.59%,年龄大于40岁、初中以下文化程度、男性、汉族、美沙酮门诊(尿检阳性者)、注射吸毒、共用注射器吸毒行为与其相应的HIV感染有统计学意义(P005)。多因素分析仅发现,样本来源、共用针具吸毒为HIV感染的影响因素。结论贵港市吸毒人群HIV感染率达到了较高的水平,共用注射器行为是促进HIV感染的主要影响因素。同时,吸毒人员经性传播HIV的危险广泛存在。

Analysis of monitoring results of AIDS behavior among drug users in Guigang City

Objective To understand the situation of HIV infection and associated factors among drug users in GuigangCity so as to provide scientific basis for making prevention and treatment strategies. Methods Data from sentinel surveillancein 2009-2013 were collected and analyzed by SPSS19.0. Results The 5 233 respondents with average age（33.66±7.34） accounted for 99.33% of local residents in Guigang City, 94.13% of them were male with awareness of HIV/AIDS and itsrelated knowledge（85.86%）, 38.33% shared the same syringe in illegal with mean injection of 2.57 times per day, 39.52% ofthem used condom use with commercial sex partner and 10.85% with regular sex partner, the positive rates were HIV, syphilis,hepatitis C were 9.04%, 6.23% and 62.59%. HIV detection rates were in the range of 5.50% to 14.77%（χ2=66.25,P0.01） with significant difference. Ages over 40, education background below junior middle school, male, the Han nationality,methadone maintenance treatment clinic, intravenous drug user were risk factors for HIV/AIDS infection（P〈0.05）. HIVinfection was associated with sample source and injecting drugs with shared needles or syringes. Conclusion HIV/AIDSinfection rate among drug users in Guigang city reached a higher level, and sharing the same syringe and sexual transmissionby drug user are predominant factor related with infection of HIV/AIDS.