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目的了解郴州市吸毒人群中HIV病毒、梅毒感染流行状况,为针对这一人群制定艾滋病、性病健康教育及行为干预措施提供科学依据。方法对郴州市强制戒毒所新进入所人员、社区吸毒人员共计监测401人,使用国家统一的“吸毒人员健康调查问卷”进行一对一问卷调查,同时采集调查对象的血清进行HIV抗体初筛检测及梅毒初筛检测。结果在监测的401例吸毒人员中,经初筛检出抗HIV阳性9例,感染率为2.24%(9/401),梅毒初筛检出25例,感染率为6.23%,其中男性检出13例,女性检出12例,男女感染率,存在显著性差异(χ2检验,P<0.005)。使用毒品品种主要为海洛因,占97.26%。有215例(占59.2%)承认自己有过共用注射器或针头情况。有105例曾经通过钱或毒品交易与他人发生过性行为,监测对象性行为时安全套使用率平均为29.52%。结论郴州市吸毒人群中注射毒品比例较高,共用注射器现象普遍,且有性乱行为,安全套使用率低,存着经血和经性传播艾滋病的双重危险,应积极开展针对性的干预措施。
Objective To understand the epidemic situation of HIV and syphilis infection among drug users in Chenzhou and to provide a scientific basis for formulating AIDS health education and behavioral interventions for this population. Methods A total of 401 new drug users and community drug addicts in Chenzhou compulsory drug rehabilitation center were monitored and one-on-one questionnaires were surveyed using the national unified questionnaire “Health Questionnaire for Drug Addicts”. At the same time, Screening test and syphilis screening test. Results Among the 401 drug addicts monitored, 9 were positive for anti-HIV infection after initial screening (infection rate was 2.24% (9/401), 25 were detected by syphilis screening and the infection rate was 6.23% 13 cases, 12 cases of female detection, male and female infection rates, there was a significant difference (χ2 test, P <0.005). Drug use mainly heroin, accounting for 97.26%. 215 (59.2%) admitted that they had shared syringes or needles. In 105 cases, who had sex with others through money or drug trafficking, the average rate of condom use was 29.52%. Conclusion There is a high proportion of injecting drugs in drug abusers in Chenzhou City. There are common syringe synergies, sexual disturbance, low condom use rate, and double risks of menstrual and sexually transmitted AIDS. Targeted interventions should be actively carried out.