河南省2011-2015年艾滋病哨点吸毒人群HCV感染状况及影响因素分析

李宁; 王晓卫; 聂玉刚; 马彦民; 杨文杰; 樊盼英; 孙定勇; 朱谦

Abstract

李宁,王晓卫,聂玉刚,马彦民,杨文杰,樊盼英,孙定勇,朱谦.河南省2011-2015年艾滋病哨点吸毒人群HCV感染状况及影响因素分析[J].Chinese journal of Epidemiology,2016,37(6):821-825

河南省2011-2015年艾滋病哨点吸毒人群HCV感染状况及影响因素分析

HCV infection status and related risk factors in drug users under HIV sentinel surveillance in Henan province, 2011-2015

Received:January 07, 2016

DOI：10.3760/cma.j.issn.0254-6450.2016.06.016

KeyWord: 丙型肝炎病毒抗体阳性率影响因素

English Key Word: Hepatitis C Antibody positive rate Influencing factors

FundProject:国家科技重大专项(2012ZX10004905)

Author Name	Affiliation	E-mail
Li Ning	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Wang Xiaowei	Medical College of Zhoukou Vocational and Technical College, Zhoukou 466000, China
Nie Yugang	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Ma Yanmin	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Yang Wenjie	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Fan Panying	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Sun Dingyong	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Zhu Qian	Institute for Prevention and Control of STD and AIDS, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China	nyzhuq@163.com

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Abstract:

目的分析河南省艾滋病哨点吸毒人群HCV感染情况及影响因素,为制定防治策略提供依据。方法 2011-2015年,在哨点监测期(4-6月)内以重复横断面调查的方法对河南省吸毒人群进行问卷调查和血清学检测,分析该人群HCV感染情况及影响因素。结果 2011-2015年,河南省吸毒人群HCV感染率从2011年的3.70%上升到2015年的6.54%(趋势χ²=25.93,P<0.01)。多因素分析结果显示:年龄较高(OR=1.23,95%CI:1.13~1.35,P=0.00)、外省户籍(OR=3.45,95%CI:2.59~4.60,P=0.00)、传统毒品和混合毒品使用者(OR=1.46,95%CI:1.10~1.93,P=0.01;OR=1.82,95%CI:1.18~2.81,P=0.01)、有注射毒品史(OR=2.88, 95%CI:2.45~3.39,P=0.00)、最近一年有商业性行为史(OR=1.44,95%CI:1.20~1.72,P=0.00)、来自强制戒毒所和美沙酮门诊的吸毒人员(OR=1.79,95%CI:1.28~2.50,P=0.00;OR=1.74, 95%CI:1.17~2.58,P=0.01)是感染HCV的危险因素。结论河南省吸毒人群HCV抗体阳性率较高,且呈上升趋势,应加强对吸毒人群的监管,制定有效干预措施,控制HCV的传播。

English Abstract:

Objective To understand the hepatitis C virus infection status and related risk factors in drug users in Henan province during 2011-2015 and provide scientific evidence for the development of HCV infection prevention and control measures. Methods Cross-sectional questionnaire surveys were conducted among the drug users and blood samples were taken from them for HCV antibody detection during HIV sentinel surveillance period in Henan province from April to June during 2011-2015. Results The HCV infection rate in drug users increased from 3.70% in 2011 to 6.54% in 2015 (trend χ²=25.93, P<0.01). Multivariate analysis indicated that HCV infection related risk factors included age older (OR=1.23, 95%CI:1.13-1.35, P=0.00), place of domicile (OR=3.45, 95%CI:2.59-4.60, P=0.00), traditional drug user or mixed drug user (OR=1.46, 95%CI:1.10-1.93, P=0.01; OR=1.82, 95%CI:1.18-2.81, P=0.01), injecting drug user (OR=2.88, 95%CI:2.45-3.39, P=0.00), commercial sex behavior in recent one year (OR=1.44, 95%CI:1.20-1.72, P=0.00) and drug user in compulsory drug rehabilitation or those receiving methadone maintenance treatment (OR=1.79, 95%CI:1.28-2.50, P=0.00; OR=1.74, 95%CI:1.17-2.58, P=0.01). Conclusion The HCV infection rate in drug users was higher in Henan and increased rapidly with years. In order to control HCV spread, it is necessary to strengthen the management of drug users and take effective intervention measures.

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