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目的了解吸食新型毒品与吸食传统毒品的人群中艾滋病、梅毒及丙型肝炎(HCV)的感染状况,为相关部门开展干预提供参考依据。方法以美沙酮门诊接受维持治疗、看守所及戒毒所和社区矫正办社区戒毒人员为调查对象,采用方便抽样抽取符合入选标准的两类人群分别为243例和150例,进行问卷调查和检测艾滋病病毒(HIV)、梅毒、丙型肝炎(丙肝)感染状况。结果新型毒品和传统毒品吸食者艾滋病知识知晓率分别为80.67%和91.33%,差异有统计学意义(P=0.004)。两组人群商业性性伴每次使用安全套率分别为27.9%和25.0%。150例吸食传统毒品组HIV阳性1例,吸食新型毒品和传统毒品两类人群梅毒感染率分别为1.69%和2.01%,HCV感染率分别为2.07%和16.67%,仅HCV感染率差异有统计学意义(P<0.01)。结论本市吸食新型毒品者艾滋病知识知晓率较吸食传统毒品者的艾滋病知识知晓率低,且两组人群发生商业性行为时,安全套使用率均较低,应针对性加强对两类人群的健康教育和行为干预工作,降低感染艾滋病梅毒及丙型肝炎的风险。
Objective To understand the prevalence of AIDS, syphilis and hepatitis C (HCV) in new drug abusers and those who consume traditional drugs, and provide references for the intervention of relevant departments. Methods Two hundred and seventy two groups of patients who met the criteria of inclusion were enrolled in maintenance treatment, detention center, detoxification center and community correction community rehabilitated drug abusers in the methadone clinic. The questionnaires and HIV / AIDS testing were conducted HIV), syphilis, hepatitis C (hepatitis C) infection. Results The awareness rate of AIDS knowledge among new drugs and traditional drug abusers was 80.67% and 91.33% respectively, with a significant difference (P = 0.004). The rate of condom use per commercial use for both groups was 27.9% and 25.0% respectively. One case of HIV-1 was taken in 150 cases of traditional drug abusers. The rates of syphilis infection were 1.69% and 2.01% respectively in new drug abusers and traditional drug abusers. The prevalences of HCV infection were 2.07% and 16.67%, respectively. Only the HCV infection rates were statistically different Significance (P <0.01). Conclusion The rate of awareness of HIV / AIDS among new drug abusers is lower than that of those who take traditional drugs, and the rate of condom use is low in commercial activities in both groups. Therefore, the health care needs to be strengthened for both groups Education and behavior intervention to reduce the risk of HIV / AIDS syphilis and hepatitis C infection.