摘要
目的:通过建立吸毒人员HIV阴性队列,获得吸毒人员艾滋病、梅毒、丙型肝炎患病率和发病率;依托队列对吸毒人员进行健康教育等干预活动,评估干预效果,为制定有关决策提供依据。方法:建立队列,2010年9月进行基线调查,半年后随访调查。结果:半年队列保持率97.0%,丙肝和HIV未发生阳转,梅毒阳转1例,阳转率1.25/100人年;丙肝阳性率高达49.7%。干预后,目标人群艾滋病知识知晓率大幅度提高,注射毒品比例降低,商业性行为安全套使用率提高,自我报告最后1次安全套使用率达100%,最近1年接受艾滋病健康服务的比例提高。结论:依托队列对吸毒人员进行健康教育、咨询服务、心理辅导等是非常有效的行为干预方式,能极大降低该人群感染HIV/HCV的风险。
Objectives： To acquire prevalence and incidence of human immunodeficiency virus（HIV）, hepatitis C virus （HCV）, syphilis by setting up prospective cohort among Drug Users （DUs） to evaluate effects of Health Education and intervention to DUs in the cohort, and to provide scientific reference for prevention and control policy. Methods： 165 HIV seronegative DUs were enrolled and investigated in September, 2010, reinvestigated after half a year later. Results： The retention rate of 6 months was 97.0% （160/165）. One case was infected with syphilis during the follow-up, so the incidence of syphilis was 1.25 per 100 person-years. The prevalence of HCV reaches up to 49.7%. The level of understanding AIDS and rate of condom-use with commercial sex workers increased by a large margin, the proportion of self-reported condom- use was 100% in last commercial intercourse, the ratio of accepted aids-related service in the last year enhanced after intervention. Conclusion： It indicated implement health education, consulting service, psychological guidance in the cohort were very useftil ways to reduce the risk of infected HIV/HCV among DUs.
出处
《医学与社会》
2012年第11期1-3,共3页
Medicine and Society
基金
国家"十一五"科技重大专项项目
编号为2009ZX10001-018
关键词
吸毒人员
干预
Drug Users
Intervention
