论文部分内容阅读
目的了解乌鲁木齐市女性吸毒者的人类免疫缺陷病毒(HIV)感染状况及其影响因素,为吸毒人群艾滋病预防和控制及效果评价提供科学依据。方法 2009—2015年,调查乌鲁木齐市739名女性吸毒者的HIV感染率及行为学特征,采用多因素logistic回归分析其影响因素。结果 2009—2015年乌鲁木齐市女性吸毒者HIV感染率为20.0%,历年的感染率依次为34.3%、21.1%、20.8%、17.1%、16.8%、16.4%和16.4%。多因素logistic回归分析显示,乌鲁木齐市女性吸毒人群感染HIV的主要影响因素包括民族、吸毒方式、是否共用针具、和最近1年内做过HIV检测等;少数民族感染HIV的危险性高于汉族(OR=0.269,95%CI=0.152~0.475),注射吸毒者高于非注射吸毒者(OR=11.973,95%CI=4.212~34.040),共用针具者高于未共用针具者(OR=8.107,95%CI=4.987~13.180),最近1年内做过HIV检测者感染HIV的危险性低于未检测者(OR=0.503,95%CI=0.334~0.758)。结论乌鲁木齐市女性吸毒人群高危行为较普遍,HIV感染率较高,应进一步制定针对性的高危行为干预等防治措施。
Objective To understand the status of human immunodeficiency virus (HIV) infection and its influencing factors among female drug users in Urumqi and to provide a scientific basis for prevention and control of HIV / AIDS among drug users and the evaluation of their effects. Methods From 2009 to 2015, HIV prevalence and behavioral characteristics of 739 female drug users in Urumqi were investigated. Multivariate logistic regression analysis was used to analyze the influencing factors. Results In 2009-2015, the HIV infection rate of female drug users in Urumqi was 20.0%. The infection rates in successive years were 34.3%, 21.1%, 20.8%, 17.1%, 16.8%, 16.4% and 16.4%, respectively. Multivariate logistic regression analysis showed that the main influencing factors of HIV infection among female drug users in Urumqi include ethnicity, drug use patterns, sharing of needles, HIV testing in the past year, etc. The risk of HIV infection among ethnic minorities is higher than that of Han nationality OR = 0.269, 95% CI = 0.152-0.475), those with injecting drug users were higher than non-injecting drug users (OR = 11.973, 95% CI = 4.212-34.040) 8.107, 95% CI = 4.987-13.180). The HIV infection rate of HIV-infected persons in the recent 1 year was lower than that of non-detected HIV patients (OR = 0.503, 95% CI = 0.334-0.758). Conclusion The high risk behavior among female drug users in Urumqi is common and the HIV infection rate is high. Targeted prevention and treatment measures such as high-risk behavioral intervention should be further developed.