| 田梅丽,徐杰,罗巍.中国注射吸毒人群针具交换项目现状分析[J].Chinese journal of Epidemiology,2022,43(12):1907-1911 |
| 中国注射吸毒人群针具交换项目现状分析 |
| Analysis of the current status of needle and syringe exchange programmes for injecting drug users in China |
| Received:June 30, 2022 |
| DOI：10.3760/cma.j.cn112338-20220630-00579 |
| KeyWord: 艾滋病病毒 针具交换 注射吸毒人群 |
| English Key Word: HIV Needle and syringe exchange Injecting drug users |
| FundProject: |
| Author Name | Affiliation | E-mail | | Tian Meili | Division of Health Education and Behavioral Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Xu Jie | Division of Health Education and Behavioral Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Luo Wei | Division of Health Education and Behavioral Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | luowei@chinaaids.cn |
|
| Hits: 1949 |
| Download times: 535 |
| Abstract: |
| 目的 分析我国注射吸毒人群针具交换项目的发展与现状，为注射吸毒人群的干预工作提供科学依据。方法 从艾滋病综合防治信息系统下载2007-2021年高危行为干预统计报表，分析我国针具交换点数量、地区分布、覆盖人数和HIV抗体阳性率等变化趋势，采用Excel 2016软件绘制变化趋势图，采用SAS 9.4软件对针具回收率和HIV抗体阳性率进行χ2趋势检验。结果 截至2021年底，我国现有578个针具交换点，分布在11个省份，覆盖的注射吸毒者21 215人。2014-2021年针具交换点数量和覆盖注射吸毒人数在逐年下降，每位参加针具交换的注射吸毒者平均每年获得>200支的清洁针具。2009-2016年，针具回收率呈上升趋势（Z=170.26，P<0.001），2016-2021年针具回收率呈下降趋势（Z=-91.96，P<0.001）。参加针具交换的吸毒者HIV抗体阳性率呈下降趋势（Z=-66.53，P<0.001），从2011年的5.8%（2 709/46 591）下降到2021年的0.1%（19/21 215），下降幅度为98.3%。结论 清洁针具交换是预防HIV经吸毒途径传播的重要干预手段，当前仍面临诸多困难，应进一步加强与政府部门和公安部门沟通协调，以取得对针具交换项目的理解与支持；针对当地注射吸毒者进行宣传教育，鼓励其参加针具交换项目并减少脱失，加强对同伴教育员的监督和管理。 |
| English Abstract: |
| Objective To analyze the needle and syringe exchange programme (NSEP) implementation among injecting drug users (IDUs) in China and provide data support and a scientific reference for intervention among IDUs. Methods All the statistical reports of high-risk behavior interventions during 2007-2021 were collected from the HIV/AIDS Comprehensive Response Information Management System. Descriptive analysis was used to analyze the changes in the number of NSEP points, regional distribution of NSEP points, the number of people covered, and the HIV detection rate in China from 2007 to 2021. Excel 2016 software was used to plot the variation trend. SAS 9.4 software was used for the needle recovery and HIV-positive detection rate to do the χ2 trend test. Results There were 578 NSEP sites in 11 provinces (autonomous regions and municipalities) by the end of 2021, covering 21 215 IDUs. 2014-2021, the number of NSEP sites and the number of IDUs covered decreased year by year. Each injecting drug user participating in NSEP received more than 200 clean needles annually. The needle recovery rate showed an increasing trend(Z=170.26, P<0.001) from 2009 to 2016 but showed a decreasing trend (Z=-91.96, P<0.001) from 2016 to 2021. The rate of HIV-positive in IDUs participating in NSEP showed a downward trend (Z=-66.53, P<0.001), which decreased from 5.8% (2 709/46 591) in 2011 to 0.1% (19/21 215) in 2021, decreasing 98.3%. Conclusions NSEP is a vital intervention to prevent HIV transmission through injecting drugs. There were still many difficulties. It is necessary to strengthen further communication and coordination with government and public security departments to understand and support for NSEP. Targeted publicity and education are needed to be carried out for local IDUs to encourage them to participate in NSEP and reduce their dropout. Meanwhile, peer educators supervision and management also need to be strengthened. |
|
View Fulltext
Html FullText
View/Add Comment Download reader |
| Close |
|
|
|