中缅边境社区静脉注射吸毒人员高危注射行为对比分析

目的 分析中缅边境社区静脉注射吸毒人员（IDUs）高危注射行为情况,为下一步加强边境地区跨境吸毒人员综合干预提供有利依据.方法 2009年在云南2个边境县,采用滚雪球方法选取社区内跨境缅甸籍和中国籍IDUs,知情同意后,采用自行设计并经预测试的双语问卷进行调查并进行血清学检测.调查内容包括基本情况、艾滋病知识、人类免疫缺陷病毒（HIV）相关高危行为等.数据采用Excel2003建库录入,SPSS16.0 软件进行统计分析.结果 两地共调查249例吸毒人员,其中中国籍100例,缅甸籍149例.20.0%中国籍及10.1%缅籍IDUs上月注射时有共针现象,中缅IDUs的HIV感染率分别为32.0%、19.5%.两地吸毒人员上月注射时是否共用针具、或共用过毒品稀释溶液或容器及上次注射使用新针具体情况比较,差异有统计学意义（P＜0.05）.结论 为控制边境吸毒人员HIV感染传播,加强跨边境吸毒人员的综合干预,特别是边境中国吸毒人员的综合干预十分重要.

Comparative study of high risk injecting behaviors of injecting drug users in Chinese and Burmese border communities

Objective To analyze high risk injecting behaviors of injecting drug users（IDUs） in Chinese and Burmese border communities,and provide valuable references for further strengthening comprehensive intervention on cross-border IDUs. Methods Snowball method was adopted to select Chinese and Burmese IDUs in communities in 2 counties of Yunnan. In obtaining informed consent ,self-designed and tested bilingual questionnaires were used for the interview ,followed by serological test. The research collected related high risk behaviors including general information, HIV/AIDS knowledge ,human im-munodeficiency virus（HIV） and so no. The questionnaires were inputted into Excel 2003 and analyzed statistically by SPSS16.0 software. Results A total of 249 IDU were involved in the research,including 100 Chinese IDUs and 149 Burmese IDUs. 20.0% of Chinese IDUs and 10.1% of Burmese IDUs shared syringe last month. HIV infection rate of Chinese IDUs and Burmese IDUs was 32.0% and 19.5% respectively. There were statistical differences in whether or not to share syringe for injection last month ,whether or not to share drug dilute solution or container and whether or not to use new syringe in last injection （P〈0.05）. Conclusion In order to control HIV transmission among IDUs at border areas,it＇s important to strengthen comprehensive interventions for cross-border IDUs, especially the intervention on Chinese IDUs.