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预防医学  2022, Vol. 34 Issue (11): 1125-1131    DOI: 10.19485/j.cnki.issn2096-5087.2022.11.010
  艾滋病防治专题 本期目录 | 过刊浏览 | 高级检索 |
内蒙古自治区吸毒人群丙型肝炎和梅毒感染分析
刘迎男1,2, 杨景元2, 李慧2, 杨虹2, 杲柏呈2, 高雅2
1.内蒙古医科大学公共卫生学院,内蒙古 呼和浩特 010110;
2.内蒙古自治区综合疾病预防控制中心,内蒙古 呼和浩特 010080
Prevalence of hepatitis C and syphilis infections among drug users in Inner Mongolia Autonomous Region
LIU Yingnan1,2, YANG Jingyuan2, LI Hui2, YANG Hong2, GAO Baicheng2, GAO Ya2
1. Sohool of Public Health, Inner Mongolia Medical University, Hohhot, Inner Mongolia 010110, China;
2. Inner Mongolia Autonomous Region Comprehensive Center for Disease Control and Prevention, Hohhot, Inner Mongolia 010080, China
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摘要 目的 了解内蒙古自治区吸毒人群丙型肝炎病毒(HCV)和梅毒感染状况。方法 通过国家艾滋病哨点监测数据管理系统收集2021年内蒙古自治区5个国家级艾滋病监测哨点吸毒人群资料,分析性行为、毒品使用、HIV检测和接受行为干预情况;采用多因素logistic回归模型分析吸毒人群HCV和梅毒感染的影响因素。结果 监测吸毒人员2 019人,年龄为(43.32±9.88)岁。男性1 958人,占96.98%。本地户籍1 830人,占90.64%。在婚/同居1 038人,占51.41%。初中及以下学历1 410人,占69.84%。汉族1 884人,占93.36%。使用传统毒品1 605人,占79.49%;使用新型毒品283人,占14.02%;使用混合毒品131人,占6.49%。注射吸毒340人,占16.84%,其中共用针具41人,占12.06%。近1年有商业性行为460人,占22.78%。HCV阳性477例,阳性率为23.63%;梅毒阳性77例,阳性率为3.81%;未检测发现HIV阳性。多因素logistic回归分析结果显示,年龄(40岁~,OR=3.747,95%CI:2.161~6.497;≥50岁,OR=5.302,95%CI:3.064~9.177)、本地户籍(OR=3.409,95%CI:1.935~6.008)、使用传统毒品(OR=1.477,95%CI:1.035~2.108)和注射吸毒(OR=2.700,95%CI:2.067~3.527)的吸毒人员HCV感染风险升高;离异/丧偶(OR=3.413,95%CI:1.463~7.962)和外地户籍(OR=2.404,95%CI:1.304~4.433)的吸毒人员梅毒感染风险升高。结论 内蒙古自治区哨点监测吸毒人群以中年男性为主,HCV和梅毒感染与年龄、户籍、婚姻状况、使用毒品类型、吸毒方式有关。
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刘迎男
杨景元
李慧
杨虹
杲柏呈
高雅
关键词 吸毒人群艾滋病病毒丙肝病毒梅毒内蒙古自治区    
AbstractObjective To investigate the prevalence of hepatitis C virus (HCV) and syphilis among drug users (DUs) in Inner Mongolia Autonomous Region. Methods DUs' epidemiological data were collected from 5 national AIDS surveillance sentinels in Inner Mongolia Autonomous Region in 2021 through the National HIV/AIDS Sentinel Surveillance Data Management System, and sexual behaviors, DU behaviors, HIV testing and behavioral interventions were descriptively analyzed. The factors affecting the HCV and syphilis infections were identified among DUs using a multivariable logistic regression model. Results A total of 2 019 DUs were enrolled, with a mean age of (43.32±9.88) years. Among the participants, there were 1 958 males (96.98%), 1 830 with local registered residence (90.64%), 1 038 with marriage/cohabitation (51.41%), 1 410 with an educational level of junior high school and above (69.84%), and 1 884 with Han Ethnicity (93.36%). There were 1 605 DUs with use of conventional drugs (79.49%), 283 with use of new drugs (14.02%) and 131 with use of mixed drugs (6.49%), and there were 340 DUs with injection drug use (16.84%), including 41 that shared the needles (12.06%). There were 460 DUs with commercial sexual behaviors in the past year (22.78%). The percentage of HCV and syphilis positive was 23.63% and 3.81%, respectively, while no HIV positive case was detected. In addition, multivariable logistic regression analysis showed that age (40 years- , OR=3.747, 95%CI: 2.161-6.497; 50 years and older, OR=5.302, 95%CI: 3.064-9.177), local registered residence (OR=3.409, 95%CI: 1.935-6.008), use of conventional drugs (OR=1.477, 95%CI: 1.035-2.108), and injection drugs (OR=2.700, 95%CI: 2.067-3.527) caused an increased risk of HCV infections among DUs, and divorced/widowed (OR=3.413, 95%CI: 1.463-7.962) and non-local registered DUs (OR=2.404, 95%CI: 1.304-4.433) had an increased risk of syphilis infections. Conclusions Middle-aged men are predominant DUs in national AIDS surveillance sentinels in Inner Mongolia Autonomous Region, and the prevalence of HCV and syphilis infections correlates with age, household registration, marital status, type of drugs used and route of drug use.
Key wordsdrug user    HIV    hepatitis C virus    syphilis    Inner Mongolia Autonomous Region
收稿日期: 2022-08-01      修回日期: 2022-09-30      出版日期: 2022-11-10
中图分类号:  R183.9  
基金资助:内蒙古自治区科技计划项目(2020GG0218)
通信作者: 杨景元,E-mail:neimengyjy@126.com   
作者简介: 刘迎男,硕士研究生在读,主要从事性病艾滋病流行病学研究
引用本文:   
刘迎男, 杨景元, 李慧, 杨虹, 杲柏呈, 高雅. 内蒙古自治区吸毒人群丙型肝炎和梅毒感染分析[J]. 预防医学, 2022, 34(11): 1125-1131.
LIU Yingnan, YANG Jingyuan, LI Hui, YANG Hong, GAO Baicheng, GAO Ya. Prevalence of hepatitis C and syphilis infections among drug users in Inner Mongolia Autonomous Region. Preventive Medicine, 2022, 34(11): 1125-1131.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.11.010      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I11/1125
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