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沈月兰, 程晓莉, 姚晖, 艾平, 王祥, 朱宏斌, 丁心平, 岳嵚, 苏斌. 2010－2018年安徽省吸毒人群丙型肝炎病毒感染状况及危险行为分析[J]. 疾病监测, 2019, 34(8): 710-714. DOI: 10.3784/j.issn.1003-9961.2019.08.008
引用本文: 沈月兰, 程晓莉, 姚晖, 艾平, 王祥, 朱宏斌, 丁心平, 岳嵚, 苏斌. 2010－2018年安徽省吸毒人群丙型肝炎病毒感染状况及危险行为分析[J]. 疾病监测, 2019, 34(8): 710-714. DOI: 10.3784/j.issn.1003-9961.2019.08.008
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Yuelan Shen, Xiaoli Cheng, Hui Yao, Ping Ai, Xiang Wang, Hongbin Zhu, Xinping Ding, Qin Yue, Bin Su. Hepatitis C virus infection status and risk behaviors of drug users in Anhui, 2010–2018[J]. Disease Surveillance, 2019, 34(8): 710-714. DOI: 10.3784/j.issn.1003-9961.2019.08.008
Citation: Yuelan Shen, Xiaoli Cheng, Hui Yao, Ping Ai, Xiang Wang, Hongbin Zhu, Xinping Ding, Qin Yue, Bin Su. Hepatitis C virus infection status and risk behaviors of drug users in Anhui, 2010–2018[J]. Disease Surveillance, 2019, 34(8): 710-714. DOI: 10.3784/j.issn.1003-9961.2019.08.008
shu

2010－2018年安徽省吸毒人群丙型肝炎病毒感染状况及危险行为分析

Hepatitis C virus infection status and risk behaviors of drug users in Anhui, 2010–2018

    摘要
  • 摘要:
    目的了解安徽省吸毒人群丙型肝炎病毒（HCV）感染状况和危险行为特征，为制定预防吸毒人员感染HCV措施提供依据。
    方法对2010 — 2018年安徽省吸毒人员进行问卷调查和血清学检测，采用趋势性检验分析HCV抗体阳性率和多元logistic回归分析HCV感染的影响因素。
    结果2010 — 2018年安徽省共调查18 925名吸毒者，吸毒人群HCV抗体阳性率分别为35.2%、34.9%、39.1%、30.4%、22.5%、20.1%、20.5%、18.6%和19.1%（趋势χ2＝458.635，P＜0.001），多元logistic回归分析显示来源于社区（aOR＝1.310，95%CI：1.074 ~ 1.597）；美沙酮门诊（aOR＝3.182，95%CI：1.434 ~ 7.062）；20 ~（aOR＝2.246，95%CI：1.134 ~ 4.450）、30 ~（aOR＝5.283，95%CI：2.669 ~ 10.458）、40 ~（aOR＝7.158，95%CI：3.565 ~ 14.375）、50 ~（aOR＝3.125，95%CI：1.205 ~ 8.102）；在婚（aOR＝1.708，95%CI：1.296 ~ 2.252）、离异或丧偶（aOR＝1.818，95%CI：1.354 ~ 2.442）；注射吸毒史（aOR＝5.370，95%CI：4.239 ~ 6.804）和最近一年商业性行为中有时使用安全套（aOR＝1.254，95%CI：1.037 ~ 1.517）和从未使用安全套（aOR＝1.282，95%CI：1.021 ~ 1.610）是吸毒者感染HCV的高危因素。
    结论安徽省吸毒人群HCV感染率较高，整体呈下降趋势，需采取有效措施减少感染HCV的危险行为。

     

    Abstract:
    ObjectiveTo understand the hepatitis C virus (HCV) infection status and risk behavior characteristics of drug users in Anhui province, and provide evidence for the establishment of measures to prevent HCV infection in drug users.
    MethodsQuestionnaire survey and serological test were conducted for drug users in Anhui during 2010–2018, trend test was used to analyze the positive rate of HCV antibody and multivariate logistic regression analysis was done to identify the risk factors for HCV infection.
    ResultsA total of 18 925 drug users were investigated in Anhui from 2010 to 2018. The aanual positive rate of HCV antibody in drug users were 35.2%, 34.9%, 39.1%, 30.4%, 22.5%, 20.1%, 20.5%, 18.6% and 19.1% respectively (trend χ2＝458.635, P＜0.001). Multivariate logistic regression analysis showed that living in community (aOR＝1.310, 95%CI: 1.074−1.597), methadone treatment (aOR＝3.182, 95%CI: 1.434−7.062), 20− years old (aOR＝2.246, 95% CI: 1.134−4.450), 30− years old (aOR＝5.283, 95%CI: 2.669−10.458), 40− years old (aOR＝7.158, 95%CI: 3.565−14.375) and 50− years old (aOR＝3.125, 95%CI: 1.205-8.102), married (aOR＝1.708, 95%CI: 1.296−2.252), divorced or widowed (aOR＝1.818, 95%CI: 1.354−2.442), history of injecting drug use (aOR＝5.370, 95%CI: 4.239−6.804), seldom condom use in commercial sex in the past year (aOR＝1.254, 95%CI: 1.037−1.517) and never using condom (aOR＝1.282, 95%CI: 1.021−1.610) were high risk factors for HCV infection in drug users.
    ConclusionThe infection rate of HCV in the drug users in Anhui was high, but showed a downward trend. Therefore, effective measures should be taken to reduce the risk of HCV infection in drug users.

     

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