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目的分析监管场所新入羁押人员HIV感染情况及高危行为,为高危人群干预工作提供科学依据。方法对2013—2015年新疆巴音郭楞蒙古自治州(巴州)各监管场所新入羁押人员进行HIV抗体检测及行为学问卷调查,HIV抗体初筛、复检均采用ELISA法,确诊试验采用免疫印迹法(WB),数据用Spss 19.0软件分析。结果 2013—2015年共监测6 920名新入羁押人员,其中男性6 506人、占94.00%,女性414人、占6.00%,20岁~组最多2 654人、占38.40%,未婚最多2 918人、占42.20%;检测出HIV抗体阳性43例;男性羁押人员HIV抗体阳性检出率0.58%,女性阳性检出率1.21%,差异无统计学意义(χ~2=2.45,P>0.05);30岁~组监测1 862人、阳性检出率较高(1.02%),20岁以下组监测310人、阳性检出率最低(0.00),不同年龄组差异无统计学意义(χ~2=8.355,P>0.05);高危行为监测仅静脉注射吸毒236人、阳性检出率最高(10.59%),监测无静脉注射吸毒且无性乱6 040人、阳性检出率最低(0.08%),差异有统计学意义(χ~2=431.163 5,P<0.05);男性羁押人员发生高危行为440人、发生率6.36%,女性羁押人员发生高危行为16人、发生率0.23%,差异有统计学意义(χ~2=5.311 6,P<0.05)。结论巴州监管场所羁押人员HIV抗体阳性检出率高于新疆普通人群,静脉注射吸毒是监管场所羁押人员HIV传播的主要危险因素,应加强对监管场所羁押人员的艾滋病综合干预工作力度。
Objective To analyze HIV infection and high-risk behavior of newly admitted detainees in regulatory sites and provide scientific evidence for the intervention of high-risk groups. Methods HIV antibody testing and behavioral questionnaire survey were conducted among new detainees in Xinjiang Bayingolin Mongolian Autonomous Prefecture (Bazhou) from 2013 to 2015. HIV antibody screening and retest were performed by ELISA. The diagnosis was performed by Western blot Method (WB), data was analyzed using Spss 19.0 software. Results A total of 6 920 new detainees were monitored during 2013-2015, of which 6 506 were male, accounting for 94.00%, 414 were female, accounting for 6.00%, with a maximum of 2 654 in the age group of 20 years, accounting for 38.40% and up to 2 918 unmarried , Accounting for 42.20%; 43 cases were positive for HIV antibody; the HIV positive rate was 0.58% in male and 1.21% in female, the difference was not statistically significant (χ ~ 2 = 2.45, P> 0.05); The average detection rate was 1.02% in the 30-year-old group and 1 862 in the 20-year-old group, with the lowest positive rate (0.00). There was no significant difference in different age groups (χ ~ 2 = 8.355, P> 0.05). High-risk behavior monitoring only intravenous drug users 236 people, the highest positive rate (10.59%), monitoring without drug abuse and no achondation 6 040 people, the lowest positive rate was 0.08% There were statistically significant (χ ~ 2 = 431.163 5, P <0.05). There were 440 high-risk behaviors in male detainees, the incidence rate was 6.36%, 16 high-risk behaviors in female detainees, the incidence was 0.23%, the difference was statistically significant (χ ~ 2 = 5.311 6, P <0.05). Conclusion The positive rate of HIV antibody in detainees in the state-controlled facilities in Bazhou is higher than that of the general population in Xinjiang. Intravenous drug use is the main risk factor for HIV transmission among the custodians at the regulatory sites. Comprehensive efforts should be made to strengthen the HIV / AIDS prevention among detainees in the regulatory sites.