浙江省温州市吸毒人员中四种性传播疾病感染状况及影响因素调查

浙江省温州市吸毒人员中四种性传播疾病感染状况及影响因素调查

Infection status of HIV, hepatitis B virus, hepatitis C virus and Treponema pallidum and related risk factors among drug users in Wenzhou

摘要

摘要: 目的了解浙江省温州市吸毒人员艾滋病病毒(HIV)、乙型病毒性肝炎病毒(HBV)、丙型病毒性肝炎病毒(HCV)以及梅毒螺旋体(TP)感染状况及影响因素,为开展干预工作,预防控制相关疾病在该类人群中流行提供依据。方法 2011年新入住温州市强制戒毒所戒毒的人员作为本次调查对象进行匿名问卷调查,采集静脉血进行HIV、HBV、HCV、TP血清学检测,并对结果进行统计分析。结果 403名吸毒人员HIV、HBV、HCV、TP阳性率分别为0.50%、16.87%、55.09%和9.68%。合并HBV/HCV、HBV/TP二重感染分别占60.49%和8.64%,HBV/HCV/TP、HIV/HBV/HCV三重感染分别占27.16%和2.47%,HIV/HBV/HCV/TP四重感染占1.23%。结论吸毒人员是HIV、HBV、HCV、TP感染的高危人群,应加强对该类人群的宣传教育和行为干预,以降低这几种疾病在该人群中的传播和扩散。

Abstract: Objective To understand the infection status of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) and Treponema pallidum (TP) and related factors among drug users in Wenzhou,and provide evidence for the prevention and control of the diseases. Methods A total of 403 drug users from the compulsory rehabilitation center in Wenzhou were surveyed with anonymous questionnaires and blood samples were collected from them to detect HBsAg and the antibodies to HIV, HCV and TP. Results The positive rates of HIV, HBV, HCV and TP were 0.50%, 16.87%, 55.09% and 9.68% respectively. The co-infection rates of HBV/HCV, HBV/TP, HBV/HCV/TP, HIV/HBV/HCV and HIV/HBV/HCV/TP were 60.49%, 8.64%, 27.16%, 2.47% and 1.23% respectively. Conclusion Drug users are the high risk population to HIV, HBV, HCV and TP infections. It is necessary to strengthen the health education and behavior intervention in this population to reduce the transmission of HIV infection, hepatitis B, hepatitis C and syphilis among them.

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