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目的:了解静脉注射海洛因滥用者HIV感染情况及高危行为与HIV感染率的关系。方法:对北京市公安局强制隔离戒毒所2006年10月-2007年10月收治的233例静脉注射海洛因滥用者进行HIV血清抗体检测,采用自行设计的“药物滥用情况调查问卷”和“高危性行为调查问卷”进行问卷调查。结果:被调查对象男性居多(124例占61.7%),平均年龄32.9a±s8.7a(最小年龄19a,最大年龄51a),以无业者(占50.8%)和私营/个体劳动者(占15.6%)为主,有13例(占5.6%)抗-HIV阳性。该人群平均吸毒时间5.0a±s3.4a,平均吸食剂量0.37g±s0.49g,滥用场所主要集中在自己家中(87.6%)。使用的注射器主要来自药店/百货店(占79.4%),37.9%共用过注射器。有8.3%除配偶以外有4个以上性伴,有8.6%患有各种性病。结论:静脉注射海洛因滥用者是HIV感染的高危人群,静脉注射毒品、共用注射器、不安全性行为是感染HIV的主要途径,应对该人群实施有效的干预措施,增强自觉规避HIV感染高危行为的意识,从而有利于遏制HIV/AIDS在该群体中的蔓延。
OBJECTIVE: To understand the relationship between HIV infection and high-risk behaviors among HIV-infected heroin abusers and HIV infection rates. Methods: 233 cases of heroin abusers who were admitted to Beijing Municipal Public Security Bureau for Compulsory Detachment for Detoxification from October 2006 to October 2007 were tested for HIV seropositivity by self-designed questionnaire “Drug abuse” “High-risk sexual behavior questionnaire ” questionnaire. Results: The majority of men were surveyed (124 cases, 61.7%), mean age 32.9a ± s8.7a (minimum age 19a, maximum age 51a), unemployed (50.8%) and private / individual workers %), 13 cases (5.6%) were anti-HIV positive. The average drug use time of this population was 5.0a ± s3.4a and the average ingestion dose was 0.37g ± s0.49g. The abuse sites were mainly concentrated in their own homes (87.6%). Syringes used mainly from pharmacies / department stores (79.4%) and 37.9% shared syringes. 8.3% had 4 or more partners except spouse and 8.6% had STDs. Conclusion: Intravenous injection of heroin abusers is a high risk population of HIV infection. Intravenous injection of drugs, sharing of syringes and unsafe sex are the main ways of HIV infection. Effective interventions should be implemented for this population and the awareness of evading HIV risk behaviors consciously should be strengthened. , Thus helping to contain the spread of HIV / AIDS in this population.