CAJ | 학술논문

目的了解浙江省新型毒品使用者艾滋病、梅毒和丙型肝炎(丙肝)感染水平、相关行为特征以及相互关系.方法 2011年在浙江省6个城市对戒毒人员进行匿名问卷调查,调查内容包括社会人口学、使用毒品种类、性行为、接受干预情况,并采集血液进行艾滋病、梅毒和丙肝抗体检测.利用SPSS 15.0统计软件进行数据分析.结果共调查3 253人,其中新型毒品使用者1 298人,占39.9％,北部和中部地区、女性、≤25岁年龄组、浙江省户籍和有商业性性行为的吸毒者中使用新型毒品的比例较高.1 298例新型毒品使用者中,使用冰毒者占91.2％,HIV抗体阳性率为0.1％(95％CI:0.0％～ 0.2％),梅毒抗体阳性率为8.1％(95％CI:6.6％～9.6％),丙肝抗体阳性率为17.3％(95％CI:15.2％～19.4％);艾滋病知识知晓率为12.7％,有注射吸毒史者占9.2％,最近一年有商业性性行为者占29.6％.曾接受安全套发放和咨询的比例为33.4％,曾接受艾滋病检测的比例为14.0％.多因素分析表明,来自中部和南部地区的新型毒品使用者的梅毒感染、丙肝感染和有注射吸毒行为比例高于来自北部地区者;女性是梅毒感染的相关因素;曾注射吸毒和最近一年有商业性性行为与丙肝感染相互关联;曾注射吸毒行为与最近一年商业性性行为相互关联.男性、浙江省户籍及未接受过安全套发放和咨询者更有可能发生商业性性行为.结论新型毒品使用者梅毒和丙肝感染水平高,不安全行为发生率高,接受干预服务比例低,提示需要提高对该人群的艾滋病、梅毒和丙肝感染风险的认识,设计制定针对该人群的有效干预措施,扩大干预覆盖率.
목적 료해절강성신형독품사용자애자병、매독화병형간염(병간)감염수평、상관행위특정이급상호관계.방법 2011년재절강성6개성시대계독인원진행닉명문권조사,조사내용포괄사회인구학、사용독품충류、성행위、접수간예정황,병채집혈액진행애자병、매독화병간항체검측.이용SPSS 15.0통계연건진행수거분석.결과 공조사3 253인,기중신형독품사용자1 298인,점39.9％,북부화중부지구、녀성、≤25세년령조、절강성호적화유상업성성행위적흡독자중사용신형독품적비례교고.1 298례신형독품사용자중,사용빙독자점91.2％,HIV항체양성솔위0.1％(95％CI:0.0％～ 0.2％),매독항체양성솔위8.1％(95％CI:6.6％～9.6％),병간항체양성솔위17.3％(95％CI:15.2％～19.4％);애자병지식지효솔위12.7％,유주사흡독사자점9.2％,최근일년유상업성성행위자점29.6％.증접수안전투발방화자순적비례위33.4％,증접수애자병검측적비례위14.0％.다인소분석표명,래자중부화남부지구적신형독품사용자적매독감염、병간감염화유주사흡독행위비례고우래자북부지구자;녀성시매독감염적상관인소;증주사흡독화최근일년유상업성성행위여병간감염상호관련;증주사흡독행위여최근일년상업성성행위상호관련.남성、절강성호적급미접수과안전투발방화자순자경유가능발생상업성성행위.결론 신형독품사용자매독화병간감염수평고,불안전행위발생솔고,접수간예복무비례저,제시수요제고대해인군적애자병、매독화병간감염풍험적인식,설계제정침대해인군적유효간예조시,확대간예복개솔.
Objective To understand the prevalence of HIV infection,syphilis and hepatitis C infection and related risk behaviors among club drug users in Zhejiang province.Methods The drug users were interviewed with questionnaires in 2011 to collect the information about their demographic characteristics,sexual behaviors,drug use behaviors and the utilization of intervention services.Blood samples were collected from them to detect HIV,syphilis and HCV antibodies.Results A total of 3 253 drug users were surveyed,in which 1 298 were club drug users,accounted for 39.9％.The proportion of club drug users was high in northern and central Zhejiang,in females,in age group ≤25 years,in local residents and in those having commercial sexual behaviors during previous 12 months.Of the 1 298 club drug users,91.2％ were methamphetamine users,0.1％ were infected with HIV(95％CI:0.0％-0.2％),8.1％ suffered from syphilis (95％CI:6.6％-9.6％),17.3％ were infected with HCV(95％CI:15.2％-19.4％).Among the interviewed club drug users,12.7％ were aware of AIDS,9.2％ had injecting drug use histories,29.6％ reported having commercial sex during the previous 12 months,only 33.4％ received free condom and counsel,14.0％ received HIV test.Multivariate logistic regression analysis indicated that living in central and southern Zhejiang was associated with syphilis prevalence,HCV infection and injecting drug use behavior,being female was associated with syphilis prevalence.Injecting drug use and commercial sex during the previous 12 months were associated with HCV infection,and injecting drug use and commercial sex during the previous 12 months were associated with each other.Among the 1 285 club drug users,males,local residents in Zhejiang and those who never received free condom or counsel were more likely to have commercial sex.Conclusion The prevalence of syphilis and HCV infection are high and unprotected sexual behaviors are common among the club drug users in Zhejiang,but less intervention services were received by them,suggesting that more attention should be paid to the prevention and control of HIV,HCV infections and syphilis in club drug users by taking effective intervention measures and increasing intervention coverage.