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目的对比分析中缅静脉吸毒人员(IDUs)HIV、HCV、梅毒感染情况及其影响因素,为下一阶段干预提供科学依据。方法 2013年1月至3月,采用滚雪球抽样方法调查镇康县中缅社区静脉吸毒人员,问卷收集人口学资料、高危行为,同时进行HIV/HCV/梅毒血清学检验。DpiData3.1建立数据库,SPSS17.0进行统计分析。结果共调查241名IDUs,其中缅甸154人,中国87人。均以未婚中青年男性为主,缅甸IDU人员HIV/HCV/梅毒阳性率分别为13.6%、29.8%、2.5%;中国IDU人员HIV/HCV/梅毒阳性率分别为12.6、44.8%、0.0%。中缅静脉吸毒人员HCV感染率差异有统计学意义(P<0.05),中缅IDUs最近一次使用安全套情况与三个感染呈负相关关系(OR值分别为-2.288,-0.419,);中国IDUs最近是否发生付费性行为与三个感染呈正相关关系(OR值为0.387)结论边境双侧中缅静脉吸毒人员HIV、HCV感染率均较高,安全套使用能有效降低相关感染率,嫖娼影响中国IDU的HIV/HCV/梅毒感染率。
Objective To compare and analyze HIV, HCV and syphilis infection among IDUs in Myanmar and its influencing factors to provide a scientific basis for the next phase of intervention. Methods From January to March 2013, the snowball sampling method was used to investigate the intravenous drug users in the Sino-Myanmar community in Zhenkang County. Demographic data and high-risk behaviors were collected from the questionnaire, and HIV / HCV / syphilis serological tests were conducted simultaneously. DpiData3.1 establish a database, SPSS17.0 for statistical analysis. Results A total of 241 IDUs were investigated, including 154 in Myanmar and 87 in China. The prevalence rates of HIV / HCV / syphilis among IDU staff in Myanmar were 13.6%, 29.8% and 2.5% respectively. The positive rates of HIV / HCV / syphilis among IDU staff in China were 12.6, 44.8% and 0.0% respectively. The prevalence of HCV infection among drug addicts in China and Myanmar was statistically significant (P <0.05). The recent use of condom among Myanmar IDUs was negatively correlated with the three infections (OR = -2.288, -0.419, respectively); IDUs (OR = 0.387) .Conclusion HIV and HCV infection rates among drug addicts on both sides of the border are high, and condom use can effectively reduce the related infection rate. The impact of prostitution on China IDU Of HIV / HCV / syphilis infection rates.