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目的了解有吸毒史的艾滋病病毒(HIV)感染者的艾滋病知晓情况、吸毒行为、性行为特征,为HIV/AIDS干预提供合理依据。方法采用横断面调查,于2009年4～8月,对澜沧县109名有吸毒史的HIV感染者进行面对面的调查,用SPSS13.0进行统计分析。结果 109名吸毒者中,20～40岁年龄组占74.31%,小学和初中分别占38.53%和33.03%,农民67.89%,少数民族66.06%。艾滋病知识总体知晓率为84.40%,不同文化程度、婚姻状况的人艾滋病知识知晓率差异有统计学意义(χ2值分别为8.49,9.18;P值分别为0.037,0.027);2009年4～8月期间,有7人曾共用注射器吸毒;46人与固定性伴有性行为,其中32.61%的人坚持使用安全套;4人与非商业非固定性伴有不安全性行为;8人与异性商业性伴有过性行为,5人未坚持使用安全套。结论有吸毒史的HIV感染者共用针具行为、多性伴和不安全性行为仍然存在,提示应采取宣传教育和行为干预并重的预防措施。
Objective To understand the HIV / AIDS awareness, drug use behavior and sexual behavior of people living with HIV (HIV) history and provide a reasonable basis for HIV / AIDS intervention. Methods A cross-sectional survey was conducted. From April to August 2009, 109 HIV-infected HIV-positive patients in Lancang County were investigated face to face and analyzed by SPSS 13.0. Results Among the 109 drug addicts, the age group of 20-40 years old accounted for 74.31%, primary school and junior middle school accounted for 38.53% and 33.03% respectively, farmers 67.89% and ethnic minorities 66.06%. The overall awareness rate of AIDS knowledge was 84.40%. There was significant difference in knowledge of HIV / AIDS between different education levels and marital status (χ2 = 8.49,9.18, P = 0.037,0.227, respectively); from April to August in 2009 During this period, 7 people had shared syringe drug abuse; 46 people with sexual activity with fixed sex, of which 32.61% insisted on using condoms; 4 with non-commercial non-fixed sex with unsafe sex; 8 and heterosexual commercial Accompanied by sexual behavior, 5 people did not insist on using condoms. Conclusions There is still a sharing of needle behavior among HIV-infected persons with history of drug addiction, with multiple sexual partners and unsafe sexual behaviors, suggesting that preventive measures should be adopted that combine both publicity, education and behavior intervention.