深圳市龙岗区吸毒人群的艾滋病、丙型肝炎、梅毒感染状况分析

目的调查分析深圳市龙岗区2012-2013年吸毒人群的艾滋病病毒(HIV)、丙型肝炎病毒(HCV)以及梅毒螺旋体(TP)的感染状况,为吸毒人群的防治和干预提供科学依据。方法采用问卷调查方法了解2012-2013年深圳市龙岗区吸毒人群的健康状况并对该人群进行HCV、HIV、TP等血清学检测,对检测结果进行统计分析。结果 801名吸毒人员共检出HCV、HIV、TP抗体阳性227、15、65例。其中男性HCV感染率(29.58%)明显高于女性(17.28%),差异有统计学意义(χ2=16.3,P0.01);男女HIV的感染率分别为1.87%、2.47%,差异无统计学意义;男性TP感染率为7.50%,低于女性的13.58%(χ2=7.90,P0.01)。HCV抗体感染率41~岁最高(50.00%),其次是31~岁(37.80%);HIV抗体感染以21~(2.67%)和31~岁(1.22%)年龄组为主;TP抗体感染以31~(15.04%)和41~(18.75%)年龄组为主。重叠感染情况:HCV和TP、HCV和HIV、HIV和TP的重叠感染率分别为3.37%、0.62%、0.12%,HCV、HIV和TP混合感染率为0。结论近年深圳市龙岗区吸毒人群HIV、HCV和TP的感染率处在较高水平,应加强宣传健康教育和进行有效防治干预,降低吸毒人群传染病的感染率。

analysis of AIDS,hepatitis C,syphilis infection among drug users in Shenzhen city Longgang district

Objective To investigateand analyze of AIDS virus,hepatitis C virus and syphilis infection in Longgang district of Shenzhen city from 2012 to 2013, and provide the scientific basis for the prevention and intervention of drug addicts. Methods Questionnaire investigation survey of the health condition and HCV, HIV, TP and serological test of the drug users were performed in 2012-2013. Results 227 HCV antibody positive cases, 15 HIV antibody positive cases and 65 TP antibody positive cases were detected among 801 drug users.The infection rate of HCV of male （29.58%） was significantly higher than that of female （17.28%）（x^2=16.3, P〈0.01）; male and female HIV infection rates were 1.87% and 2.47%, respectively, without significant differences; male TP infection rate （7.50%） was lower than that of female （13.58%）（x^2= 7.90, P〈0.01）.The infection rate of HCV of 41- years old age group was the highest, accounted for 50.00%, the second was the 31- years old age group（37.80%）.HIV antibodies positive cases were mainly 21- years old age group（2.67%） and 31- years oldage group（1.22%）; TP antibodies positive cases were mainly 31- （15.04%） and 41-（18.75%） years old age group. Co-infection rates of HCV and TP, HCV and HIV, HIV and TP were 3.37%, 0.62%, and 0.12%, respectively. HCV and HIV and TP mixed infection rate was zero. Conclusions In recent years, HIV, HCV and TP infection rates among the drug users in Longgang district of Shenzhen city were high. Health education and effective prevention and treatment interventions should be strengthened toreduce the infection rate among drug users in infectious diseases.