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目的了解上海市宝山区吸毒人群艾滋病、丙型肝炎、梅毒的感染状况。方法在“中华人民共和国卫生部和国务院防治艾滋病工作委员会办公室与美国比尔及梅琳达.盖茨基金会艾滋病防治合作项目(以下简称”中盖艾滋病项目“)”的经费支持下,通过社工组织动员,对辖区内社区吸毒人员开展调查并静脉采血,对其进行艾滋病、丙型肝炎及梅毒3个项目的血清学检测。结果调查男性357人,女性87人。采集的444份血样中抗-H IV阳性者1例,阳性率0.23%;梅毒快速血清反应素环状卡片试验(以下简称梅毒RPR)阳性者37例,阳性率8.33%;丙型肝炎抗体阳性者292例,阳性率65.77%。男女性别组中,梅毒RPR阳性率分别为6.72%和14.94%,差异有统计学意义(χ2=6.19,P<0.05)。静脉吸毒组的抗-HCV阳性率69.59%,非静脉吸毒组阳性率为52.94%,两者差异有统计学意义(χ2=9.673,P<0.05)。结论吸毒人群是H IV、HCV、梅毒感染的高危人群,应加强对此群体的宣传教育和行为干预。
Objective To understand the prevalence of AIDS, hepatitis C and syphilis among drug users in Baoshan District, Shanghai. Methods Under the financial support of the “People’s Republic of China Ministry of Health and State Council AIDS Working Committee Office and the U.S. Bill and Melinda Gates Foundation HIV / AIDS Prevention and Cooperation Project (hereinafter referred to as” China-Gates HIV Program ") , Through the mobilization of social workers organizations, community drug abusers in the area to carry out investigations and intravenous blood collection, its AIDS, hepatitis C and syphilis three serological tests. Results The survey of 357 males, 87 females. Among the 444 blood samples collected, 1 was anti-H IV positive, with a positive rate of 0.23%. Thirty-seven cases of syphilis rapid serum cyclic ring test (hereinafter referred to as syphilis RPR) were positive, with a positive rate of 8.33%. Hepatitis C positive 292 cases, the positive rate of 65.77%. The positive rate of syphilis RPR was 6.72% and 14.94% respectively in male and female genders, the difference was statistically significant (χ2 = 6.19, P <0.05). The positive rate of anti-HCV in intravenous drug use group was 69.59%, and the positive rate in non-intravenous drug use group was 52.94%. The difference was statistically significant (χ2 = 9.673, P <0.05). Conclusion The drug addicts are at high risk of H IV, HCV and syphilis infection. Publicity, education and behavior intervention should be strengthened.