2002-2004年东莞市吸毒人群艾滋病监测结果分析

目的 了解东莞市吸毒人群的HIV感染情况及危险因素,预测艾滋病在吸毒人群中的流行趋势,为制定针对吸毒人群的艾滋病防控措施提供依据.方法 对2002-2004年在东莞市强制戒毒所戒毒的3 766名吸毒者检测血清HIV抗体,采用统一问卷搜集每名研究对象的人口学及行为学资料.将所有资料输入EPIDATA 3.0,采用STATA 8.0软件进行统计分析.结果 东莞市吸毒人群的HIV感染率为5.47%,男性吸毒人群的感染率高于女性,流动吸毒人群的感染率高于本地吸毒人群,有共用针具吸毒史者的感染率高于无针具共用史者.吸毒者中注射吸毒率为64.29%,注射吸毒者中针具共用率为44.75%.吸毒者中有商业性性行为者占46.55%,其中坚持每次使用安全套者仅占17.46%.东莞市吸毒人群的HIV感染率有逐年上升趋势.结论 东莞市吸毒人群的感染率有较大幅度上升;吸毒人群中存在着共用针具及商业性性行为等危险因素;应在吸毒人群中尽快推广针具交换、美沙酮替代疗法及100%安全套策略等干预措施.

Analysis of Surveillance Result of AIDS Among IDUs in Dongguan City During 2002-2004

Objective To understand the epidemic situation and risk factors of HIV infection among IDUs of Dongguan City and to practice the special intervention measures in the group. Methods Serum samples from 3 766 IDUs in Dngguan compulsory giving up drugs institute during 2002-2004 were tested for HIV antibody, and demographic and behavioral data were collected by questionnaires. All data were inputted in EPIDATA 3.0 and analyzed by STATA 8.0. Results Infection rate of HIV in Dongguan IDUs was 5.47% and the infec- tion rate in males was higher than that in females. The infection rate of HIV in local IDUs was significantly lower than that of flow IDUs and the HIV infection rate of people with sharing syringes history was higher than that of people without sharing syringes history. People who injected drugs accounted for 64. 29% in IDUs, in which 44. 75% shared syringes with other people. And 46.55% IDUs experienced commercial sexual activities, in which only 17.46% used condoms every time. Conclusion Infection rate of IDUs in Donggnan in- crease significantly and risk factors, such as sharing syringes and commercial sexual behaviors exist. Intervention programs, such as syringes exchanging, meishartone substitute therapy and 100% condom using strategies should be carried out among IDUs in Dongguan as soon as possible.