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[目的]了解山东省吸毒人群艾滋病病毒(HIV)感染的相关行为信息,为制定艾滋病预防控制措施提供科学依据。[方法]对2005~2008年在山东省安康医院戒毒的吸毒者进行血清HIV抗体检测,并对吸毒者吸毒方式及性行为进行分析。[结果]2005~2008年共监测814名吸毒者,吸毒者年龄以21~40岁男性为主,占78.13%;吸毒方式以口吸多见,占71.87%,但感染艾滋病的途径主要通过静脉注射传播;性行为中未使用安全套的占67.89%;共检出65名HIV抗体阳性者,平均检出率为7.99%;65例阳性者中,山东省户籍吸毒者只有1例,其余均为外省户籍吸毒者,以四川省和新疆为主。[结论]山东省吸毒人群中HIV感染总体上处于低流行水平,但与艾滋病传播的相关危险行为依然存在,不仅存在因静脉吸毒经血液传播HIV的危险,还存在因性乱行为传播的危险因素,当前工作重点应在吸毒人群中开展艾滋病宣传教育及行为干预措施。
[Objective] To understand the behavioral information of HIV infection among drug addicts in Shandong Province and provide a scientific basis for the development of AIDS prevention and control measures. [Methods] Serum HIV antibody was detected in drug addicts who were drug-detoxified in Ankang Hospital of Shandong Province from 2005 to 2008, and drug abuse patterns and sexual behaviors of drug addicts were analyzed. [Results] A total of 814 drug abusers were monitored from 2005 to 2008. The age of drug addicts was mainly male 21 to 40 years old, accounting for 78.13%. The way of drug abuse was more common with oral absorption, accounting for 71.87%. However, the main route of HIV infection was through the veins Injection and transmission; 67.89% did not use condoms in sexual behavior; a total of 65 HIV-positive were detected, the average detection rate was 7.99%; 65 cases were positive, only 1 case of household drug addicts in Shandong Province, the rest were Other provinces registered drug users, mainly in Sichuan Province and Xinjiang. [Conclusion] The prevalence of HIV infection among drug users in Shandong Province is generally low, but the risk behaviors associated with HIV transmission still exist. There is not only the risk of transmitting HIV through blood by intravenous drug use, but also the risk factors of sexual promiscuity At present, the focus of work should be AIDS awareness education and behavioral interventions among drug users.