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目的:了解滥用阿片类物质成瘾者艾滋病相关知识、行为及生物学现状,为开展健康教育和行为干预提供依据。方法:在绵阳市涪城区、游仙区社区内采用滚雪球等方法招募滥用阿片类物质成瘾者319名,在绵阳市强制隔离戒毒中心随机抽取新入所的滥用阿片类物质成瘾者82名,由经过培训的专业人员逐一进行问卷调查,并采血作H IV抗体、HCV抗体和梅毒抗体检测。结果:调查滥用阿片类物质成瘾者401名,艾滋病相关知识总知晓率为92.61%;当前使用的主要毒品为海洛因者占96.01%,静脉注射吸毒占69.33%,最近1个月(或入所前1个月)未与他人共用过针具;最近1次性行为时安全套使用率为62.82%;最近1次与商业性伴发生性行为时安全套使用率为75%;最近1年接受艾滋病预防服务措施覆盖率为97.26%;H IV抗体阳性率为1%,HCV抗体阳性率为66.83%,梅毒抗体阳性率为1.51%。结论:绵阳市滥用阿片类物质成瘾者艾滋病相关知识知晓率较高,H IV抗体阳性率和注射毒品共用针具的比例明显下降,但安全套使用率较低,高危行为依然存在,需要继续加强各项干预措施的落实。
Objective: To understand the status quo of HIV / AIDS related knowledge, behavior and biology in abuse of opioid addicts and provide basis for health education and behavior intervention. Methods: 319 abusers of opiate addicts were enrolled in the community of Fucheng District and Youxian District in Mianyang City by means of snowballs and so on. 82 people were randomly selected to add opiate addicts in the newly admitted places in Mianyang forced isolation and rehab center. Questionnaires were conducted one by one by trained professionals and blood was collected for H IV, HCV and syphilis antibody tests. Results: A total of 401 abusers of opioid abusers were surveyed. The total awareness rate of AIDS-related knowledge was 92.61%. The major drugs currently used were heroin, 96.01% and intravenous drug use accounted for 69.33%. In the last month 1 month) did not share needle with others; condom use rate was 62.82% in the last one sex; condom use rate was 75% in the last sexual intercourse with commercial partners; AIDS prevention services in the recent one year The coverage rate was 97.26%. The positive rate of H IV antibody was 1%, the positive rate of HCV antibody was 66.83%, and the positive rate of syphilis antibody was 1.51%. Conclusion: The awareness rate of AIDS-related knowledge of abusers of opiates in Mianyang City is high, the positive rate of H IV antibody and the proportion of injecting drug needles are obviously decreased, but the condom use rate is low and high-risk behavior still needs to be strengthened The implementation of various interventions.