CAJ | 학술논문

目的分析全国艾滋病哨点不同类型吸毒人群血清学结果和性行为状况.方法 2012年4-6月对监管场所、社区吸毒者、美沙酮门诊最近一个月吗啡尿检阳性者进行问卷调查并采集血液.结果共纳入分析吸毒者116 279人,传统毒品(海洛因等)吸食者的HIV、梅毒、HCV阳性检出率分别为5.0％、4.4％、49.4％,新型毒品(冰毒等)吸食者的检出率分别为0.5％、4.6％、15.2％,前者的HW、HCV检出率高于后者,差异有统计学意义(P＜0.01).新型毒品吸食者最近一个月发生性行为的比例为46.3％,最近一年与固定性伴及商业性伴发生性行为的比例分别为87.2％、28.1％,高于传统毒品吸食者(40.7％、82.8％、22.2％).新型毒品吸食者最近一次与固定性伴性行为使用安全套的比例为33.3％,低于传统毒品吸食者(36.2％);最近一次商业性行为使用安全套的比例为65.1％,高于传统毒品吸食者(62.9％).传统毒品吸食者最近一年与固定性伴及商业性伴性行为时从未使用安全套的比例分别为43.2％、19.0％,高于新型毒品吸食者(41.3％、15.3％),差异均具有统计学意义(P＜0.01).结论与传统毒品吸食者相比,新型毒品吸毒者性行为更为活跃,性行为时安全套使用率低,经性传播HIV风险更高.
목적 분석전국애자병초점불동류형흡독인군혈청학결과화성행위상황.방법 2012년4-6월대감관장소、사구흡독자、미사동문진최근일개월마배뇨검양성자진행문권조사병채집혈액.결과 공납입분석흡독자116 279인,전통독품(해락인등)흡식자적HIV、매독、HCV양성검출솔분별위5.0％、4.4％、49.4％,신형독품(빙독등)흡식자적검출솔분별위0.5％、4.6％、15.2％,전자적HW、HCV검출솔고우후자,차이유통계학의의(P＜0.01).신형독품흡식자최근일개월발생성행위적비례위46.3％,최근일년여고정성반급상업성반발생성행위적비례분별위87.2％、28.1％,고우전통독품흡식자(40.7％、82.8％、22.2％).신형독품흡식자최근일차여고정성반성행위사용안전투적비례위33.3％,저우전통독품흡식자(36.2％);최근일차상업성행위사용안전투적비례위65.1％,고우전통독품흡식자(62.9％).전통독품흡식자최근일년여고정성반급상업성반성행위시종미사용안전투적비례분별위43.2％、19.0％,고우신형독품흡식자(41.3％、15.3％),차이균구유통계학의의(P＜0.01).결론 여전통독품흡식자상비,신형독품흡독자성행위경위활약,성행위시안전투사용솔저,경성전파HIV풍험경고.
Objective To analyze the serological results and sexual behavior among different types of drug users (DUS) at the HIV sentinel surveillance sites.Methods Sentinel surveillance programs were conducted between April and June annually.DUS were those involved in custodies,living at the communities and those attending the methadone maintenance treatment clinics but with positive urine tests one month before blood sampling collected and questionnaire survey started.Results 116 279 drug abusers were included in the analysis.The prevalence rates of HIV,Syphilis and HCV among traditional drug(heroin,etc.)users were 5.0％,4.4％ and 49.4％,while the prevalence rates of new narcotic (meth,etc.) users were 0.5％,4.6％,15.2％,respectively.The prevalence rates of HIV,syphilis among traditional drug uses were higher than the new narcotic users (P＜0.01).The proportion of sexual behavior in last month and the proportion of sexual behavior with casual and commercial sexual partners were 46.3％,87.2％ and 28.1％ among the new narcotic users,respectively,which were higher than those among traditional drug users (40.7％,82.8％ and 22.2％).The proportion of using condom in last sexual contact with casual sexual partner was 33.3％ among the new narcotic users which was less than traditional drug users (36.2％).The proportion of condom use in the last commercial sexual contact was 65.l％ which was higher than those traditional drug users (62.9％).The proportion of never using condom with casual and commercial sexual partners in the past year was 43.2％ and 19.0％ among the traditional drug users,which were higher than those among new narcotic users (41.3％,15.3％).Conclusion Compared with the traditional drug abusers,the sexual behavior of new narcotic users seemed more active,less engaging in condom use but with higher risk of HIV transmission through sexual contact.