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目的通过对赣州市强制戒毒所吸毒人员抗-HIV、抗-HCV和梅毒抗体检测,了解吸毒人群HIV、HCV及梅毒感染状况及相关危险因素,为预防控制这些疾病在该人群的流行提供科学依据。方法于2008—2009年对赣州市强制戒毒所的吸毒人员采集血液标本进行抗-HIV、抗-HCV和梅毒抗体检测,并对结果进行统计和分析。结果共调查296名吸毒人员,HIV感染率为0.68%(2/296),HCV感染率为35.81%(106/296),梅毒感染率为4.73%(14/296)。注射吸毒者与非注射吸毒者HCV感染率分别为74.02%(94/127)和7.10%(12/169),差异有统计学意义(P<0.01);共用针具与无共用针具者HCV感染率分别为91.01%(81/89)和34.21%(13/38),差异有统计学意义(P<0.01)。结论赣州市吸毒人群中存在血源性疾病传播和流行的风险,应加强对吸毒人群的监测,同时开展防病知识宣传教育和行为干预,以减少HIV、HCV和梅毒在该人群中的传播和扩散,控制艾滋病等血源性传染病的蔓延和流行。
Objective To know the status of HIV, HCV and syphilis among HIV-infected drug users by detecting anti-HIV, anti-HCV and syphilis antibodies among drug users in Ganzhou compulsory drug addicts and to provide scientific evidence for the prevention and control of these diseases in this population . Methods From 2008 to 2009, blood samples were collected from compulsory drug addicts in Ganzhou City to detect anti-HIV, anti-HCV and syphilis antibodies, and the results were statistically analyzed. Results A total of 296 drug addicts were investigated. The prevalence of HIV infection was 0.68% (2/296), HCV infection rate was 35.81% (106/296) and syphilis infection rate was 4.73% (14/296). The infection rates of HCV among injecting drug users and non-injecting drug users were 74.02% (94/127) and 7.10% (12/169), respectively, with significant difference (P <0.01) The infection rates were 91.01% (81/89) and 34.21% (13/38) respectively, the difference was statistically significant (P <0.01). Conclusion There is a risk of transmission and epidemic of blood-borne diseases among drug users in Ganzhou City. Monitoring of drug addicts should be strengthened. At the same time, publicity, education and behavioral interventions should be carried out to reduce the spread of HIV, HCV and syphilis in the population Spread, control of AIDS and other blood-borne diseases spread and epidemic.