论文部分内容阅读
目的:分析江苏省针对阿片类物质成瘾者开展美沙酮维持治疗(methadone maintenance treatment,MMT)10年后注射吸毒的人免疫缺陷病毒(human immunodeficiency virus,HIV)感染者现状。方法:从艾滋病网络直报系统中下载历年报告的HIV感染者以及参加MMT的患者信息,分析感染者接受MMT门诊服务现状。结果:江苏省医疗机构报告的HIV感染者中有430例尚未接受过MMT服务。截至2015年12月底,累计收治9 382例阿片类物质成瘾者,其中190例为注射吸毒的HIV感染者,目前31.58%仍在治疗。与未被门诊收治的感染者相比,MMT门诊收治感染者的平均年龄较大(P<0.001),HIV感染状态持续时间较长(P<0.001),汉族患者比例较高(P<0.001),初中及以上文化程度者比例较高(P<0.001)。结论:MMT门诊的覆盖面需进一步扩大,从而吸纳注射吸毒的HIV感染者接受治疗,门诊配套的综合干预服务措施亟待加强。
OBJECTIVE: To analyze the current status of human immunodeficiency virus (HIV) infection in drug abuse injecting drug users in 10 years after methadone maintenance treatment (MMT) in opiate addicts in Jiangsu Province. Methods: The information of patients with HIV infection and those who participated in MMT was downloaded from HIV / AIDS direct reporting system and the status of patients receiving MMT outpatient services was analyzed. Results: Of the HIV-infected patients reported by medical institutions in Jiangsu Province, 430 have not yet received MMT services. As of the end of December 2015, a total of 9 382 opiate addicts were admitted, of whom 190 were HIV-infected with drug abuse and 31.58% are still under treatment. The average age at admission to MMT was significantly higher (P <0.001), the duration of HIV infection was longer (P <0.001), and the proportion of Han patients was higher (P <0.001) than those who were not clinically treated , A higher proportion of junior high school education and above (P <0.001). Conclusion: The coverage of MMT clinics needs to be further expanded so as to absorb HIV-infected HIV-infected patients for treatment and comprehensive intervention services in outpatient settings need to be strengthened.