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[目的]了解天津市吸毒人群艾滋病相关知识、行为与艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)感染状况,为制定相关干预措施提供依据。[方法]2011年4～6月,对天津市戒毒所在押吸毒人员进行问卷调查,并检测HIV、梅毒和HCV抗体。[结果]合计调查400人,年龄16～54岁,其中16～30岁占40.25%,45～54岁占47.00%;初中文化占46.00%;艾滋病相关知识知晓率为76.50%。400名吸毒人员中,注射吸毒者占75.50%;最近1个月有性行为的89人中,最近一次性行为时使用安全套的14人。检测400人,HIV抗体阳性检出率为8.25%;HCV抗体阳性检出率为73.25%;梅毒阳性检出率为1.25%。不同年龄、不同籍贯、不同文化程度、最近1个月是否有性行为者的H IV抗体阳性率差异有统计学意义(P<0.05),不同年龄、不同籍贯、不同吸毒方式、最近1个月是否有性行为者的HCV阳性率差异有统计学意义(P<0.05)。[结论]吸毒人群艾滋病相关知识知晓率较高,安全套使用率较低。
[Objective] To understand the AIDS-related knowledge, behaviors and the status of HIV, syphilis and hepatitis C virus (HCV) infection among drug users in Tianjin, and to provide the basis for the formulation of related interventions. [Methods] From April to June in 2011, a questionnaire survey was conducted on drug addicts in detoxification centers in Tianjin and HIV, syphilis and HCV antibodies were tested. [Results] A total of 400 people were surveyed, ranging in age from 16 to 54 years, of which 40.25% were from 16 to 30 years old and 47.00% were from 45 to 54 years old. The junior middle school culture accounted for 46.00%. The awareness rate of AIDS-related knowledge was 76.50%. Of the 400 drug addicts, 75.50% were injecting drug users; of the 89 people who had sex in the last month, 14 were using condoms during their most recent sexual activity. The detection rate of HIV antibody was 8.25%. The positive rate of HCV antibody was 73.25%. The positive rate of syphilis was 1.25%. The positive rate of H IV antibody in different ages, different native places, different educational level and whether there was sexual behavior in the last month was significantly different (P <0.05). The positive rates of H IV antibody in different age, origin, drug use, There was significant difference in the positive rate of HCV among the sex workers (P <0.05). [Conclusion] The rate of HIV / AIDS related knowledge among drug users is high, and the rate of condom use is low.