娄底市吸毒人群HIV、HBV、HCV、梅毒感染状况及影响因素分析

目的了解娄底市吸毒人群HIV、HBV、HCV、梅毒感染状况及影响因素,为吸毒人群中这几种疾病的综合防治提供依据。方法对娄底市戒毒所戒毒人员面对面进行匿名问卷调查,并采集静脉血进行HIV、HBV、HCV和梅毒血清学检测。结果182名吸毒人员中,HIV抗体阳性1例,阳性率为0.55%、HBsAg阳性24例,阳性率为13.19%、HCV抗体阳性92例,阳性率为50.55%、梅毒抗体阳性12例、阳性率为6.59%,合并感染HIV/HCV1例,占0.55%,合并感染HBV/HCV12例,占6.59%,合并感染梅毒/HCV7例,占3.85%。结论该市吸毒人群中HCV、梅毒感染率较高,与他们的多性伴和注射毒品行为有关,应积极开展针对性地干预措施。

Prevalence of HIV, HBV, HCV and Syphilis Infection and Re lated Risk Factors Among Drug Users in Loudi City

Objective To investigate the prevalence of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis infection and the related risk factors among drug users in Loudi City, and to provide the evidences for prevention and control of these diseases. Methods A total of 182 drug users from the detoxification center in Loudi City were investigated by using face-to-face anonymous questionnaire and tested their HBsAg, HIV, HCV and syphilis antibodies. Results The positive rates of HIV, HBV, HCV and syphilis infections among the 182 drug users were 0.55% (1/182), 13.19% (24/182), 50.55% (92/182) and 6.59% (12/182) respectively. The double positive rate of HIV HCV, HBV HCV and syphilis HCV were 0.55% (1/182), 6.59% (12/182) and 3.85% (7/182) respectively. Conclusions The prevalence rates of HCV and syphilis are very high among drug users in Loudi City. The most risk behaviors for HCV and syphilis infection are intravenous drug injection and heterosexual behavior. Directive individual intervention should be carried out among the drug users as soon as possible.