文章摘要
葛琳,崔岩,王璐,李东民,郭巍,丁正伟,王岚.2012年全国艾滋病哨点吸毒人群血清学和性行为特征分析[J].中华流行病学杂志,2014,35(2):121-123
2012年全国艾滋病哨点吸毒人群血清学和性行为特征分析
Study on the characteristics of serology and sexual behavior among drug users at the HIV sentinel surveillance sites in 2012
收稿日期:2013-08-12  出版日期:2014-09-17
DOI:10.3760/cma.j.issn.0254-6450.2014.02.004
中文关键词: 吸毒者;哨点监测;血清学;性行为
英文关键词: Drug users;Sentinel surveillance;Prevalence rate;Sexual behavior
基金项目:Ford 基金会资助项目(FF4M004/66004246)
作者单位E-mail
葛琳 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
崔岩 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
王璐 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
李东民 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
郭巍 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
丁正伟 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京  
王岚 中国疾病预防控制中心性病艾滋病预防控制中心, 102206, 北京 Email:wanglanw@163.com 
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中文摘要:
      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116279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HIV、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。
英文摘要:
      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 65.1 % 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.
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