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目的分析广州市荔湾区接受美沙酮维持治疗者HIV、HCV和梅毒感染状况,为采取针对性干预措施提供依据。方法收集广州市荔湾区2012年-2013年接受美沙酮维持治疗的282名吸毒者的资料,对照他们的HIV、HCV和梅毒感染状况,分析他们的人群特征以及感染差异。结果广州市荔湾区美沙酮维持治疗者中HIV感染率为4.3%、HCV感染率为95.1%、梅毒感染率为7.1%。注射吸毒者和有注射吸毒史者HCV感染率明显高于口吸或烫吸者和无注射吸毒史者;女性的HIV和梅毒感染率明显高于男性;服务业人群梅毒感染率明显高于其他职业人群。结论广州市荔湾区吸毒人群HIV、HCV和梅毒感染率较高,注射吸毒和不安全性行为是感染的主要因素,对该人群应加强HIV、HCV和梅毒筛查检测,积极开展健康教育和行为干预。
Objective To analyze the infection status of HIV, HCV and syphilis in methamphetamine maintenance treatment in Liwan District of Guangzhou City, and to provide the basis for taking targeted interventions. Methods The data of 282 drug addicts receiving methadone maintenance treatment in Liwan District of Guangzhou from 2012 to 2013 were collected and compared with their HIV, HCV and syphilis infection status to analyze their demographic characteristics and infection differences. Results The HIV infection rate was 4.3% for methadone maintenance treatment in Liwan District, Guangzhou City. The HCV infection rate was 95.1% and the syphilis infection rate was 7.1%. The infection rate of HCV among injecting drug users and drug addicts with drug abuse history was significantly higher than that of those with or without oral drug addicts. The prevalence of HIV and syphilis in women was significantly higher than that of men. The syphilis infection rate among service workers was significantly higher than other Occupation groups. Conclusions HIV, HCV and syphilis infection among drug users in Liwan District of Guangzhou City are high. Infection and unsafe drug abuse are the main factors of infection. Screening HIV, HCV and syphilis should be strengthened in this population, and health education and behavior should be actively carried out Intervention.