云南省首轮静脉吸毒人群艾滋病感染行为监测结果分析

目的 了解静脉吸毒人群中艾滋病相关知识水平及其危险行为;探索在中国开展行为监测的可行性和标准操作程序。方法 采用双阶段概率抽样对静脉吸毒人群开展一对一问卷调查。结果 艾滋病相关知识水平较低;9％的静脉吸毒者最近一次吸毒时与他人共用注射器,最近1个月从不与他人共用注射器的比例为57％,36％的静脉吸毒者在过去1年内与非固定性伴有性行为,8％的男性静脉吸毒者有嫖娼行为,21％的女性静脉吸毒者有卖淫行为。结论 1)静脉吸毒人群中的艾滋病感染的危险行为水平较高,是我省艾滋病持续蔓延的重要促进因素;2)建议加强对高危人群的艾滋病知识宣传教育和干预力度;3)行为监测在云南的开展是可行的,所获得的行为学信息是我省艾滋病监测体系的重要组成部分。

Analysis on Surveillance Result of The First Round BSS among Intravenous Drug Users in Yunnan Province

In order to understand the knowledge level of AIDS and the risk behaviors among intravenous drug users (IDUs), and to explore the feasibility and standard practicable procedures of BSS in China. PPS methods and face- to - face interview had been used. The result showed that the AIDS knowledge level was low. 9% of IDUs shared needles during the last drug using. 57% IDUs never shared needle during the last month. During the last year, 36% IDUs had unregular sexual partners.8% male IDUs visited underground CSWs and 21% female IDUs conducted commercial sex activities. This indicated that the level of risk behaviors among IDUs was high, so it was the major factor of HIV epidemic in Yunnan Province. This study showed that it was feasible to conduct BSS in Yunnan and BSS should become an important component of surveillance system.