2009—2015年乌鲁木齐市女性吸毒者艾滋病哨点监测结果

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英文篇名：Surveillance results of HIV sentinel among female drug users in Urumqi from 2009-2015 作者：阿克拉依·喀依力 ; 张曼 ; 芮宝玲 ; 马燕 ; 买吾拉尼·买买提依明 ; 米娜瓦尔·艾拜 英文作者：Akelayi·Kayili;ZHANG Man;RUI Bao-ling;MA Yan;Maiwulani·Maimaitiyiming;Minawaer·Aibai;Department of Epidemiology and Health Statistics,College of Public Health,Xinjiang Medical University;Department of AIDS/STD Control and Prevention,Urumqi Center for Disease Control and Prevention; 关键词：女性吸毒者 ; 艾滋病 ; 哨点监测 英文关键词：Female drug users;;AIDS;;Sentinel surveillance 中文刊名：ZYJK 英文刊名：Occupation and Health 机构：新疆医科大学公共卫生学院流行病与卫生统计学教研室;乌鲁木齐市疾病预防控制中心性病艾滋病防治科; 出版日期：2016-05-01 出版单位：职业与健康 年：2016 期：v.32 语种：中文; 页：ZYJK201609031 页数：4 CN：09 ISSN：12-1133/R 分类号：102-105

摘要

目的了解乌鲁木齐市女性吸毒者的人类免疫缺陷病毒(HIV)感染状况及其影响因素,为吸毒人群艾滋病预防和控制及效果评价提供科学依据。方法 2009—2015年,调查乌鲁木齐市739名女性吸毒者的HIV感染率及行为学特征,采用多因素logistic回归分析其影响因素。结果 2009—2015年乌鲁木齐市女性吸毒者HIV感染率为20.0%,历年的感染率依次为34.3%、21.1%、20.8%、17.1%、16.8%、16.4%和16.4%。多因素logistic回归分析显示,乌鲁木齐市女性吸毒人群感染HIV的主要影响因素包括民族、吸毒方式、是否共用针具、和最近1年内做过HIV检测等;少数民族感染HIV的危险性高于汉族(OR=0.269,95%CI=0.152~0.475),注射吸毒者高于非注射吸毒者(OR=11.973,95%CI=4.212~34.040),共用针具者高于未共用针具者(OR=8.107,95%CI=4.987~13.180),最近1年内做过HIV检测者感染HIV的危险性低于未检测者(OR=0.503,95%CI=0.334~0.758)。结论乌鲁木齐市女性吸毒人群高危行为较普遍,HIV感染率较高,应进一步制定针对性的高危行为干预等防治措施。
        [Objective]To understand the infection status of HIV among female drug users in Urumqi and its influencing factors,and provide scientific basis for AIDS prevention and control and effect evaluation.[Methods] The infection rate of HIV and behavioral feature of 739 female drug users in Urumqi from 2009-2015 were investigated,and the influencing factors were analyzed by multivariate logistic regression analysis.[Results]The overall infection rate of HIV among female drug users in Urumqi was20.0%,and the infection rates during 2009-2015 were 34.3%,21.1%,20.8%,17.1%,16.8%,16.4% and 16.4%,respectively.The multivariate logistic regression analysis showed that the influencing factors were ethnic,drug using method,whether sharing needles and taking HIV testing in the last year. The risk of HIV infection was higher in the Han ethnic group than in minority group(OR=0.269,95%CI=0.152-0.475),higher in the injection drug users than in non-injection drug users(OR=11.973,95%CI=4.212-34.040),higher in the drug users who sharing needles than those who not sharing needles(OR=8.107,95%CI=4.987-13.180),and higher in drug users who taking HIV testing in the last year than those who not taking HIV testing(OR=0.503,95% CI =0.334-0.758).[Conclusion]The high-risk behaviors is common in female drug users in Urumqi,and the infection rate of HIV was higher.The control measures such as high-risk behaviors intervention should be further developed.

引文

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