【摘要】 目的了解静脉吸毒人群接受HIV自愿咨询检测前后其高危行为的变化情况。方法以社区为基础招募HIV血清抗体阴性的静脉吸毒人群,调查其社会人口学、近3个月吸毒相关行为和近6个月性行为情况,比较VCT前后12个月研究对象的高危行为变化情况。结果静脉吸毒人群212人接受VCT前后12个月高危行为变化为:近3个月静脉吸毒、注射海洛因、海洛因混合其他毒品使用频率≥7次/w的比例分别从79.3%、40.6%、52.4%分别下降至64.6%、25.9%、41.5%;近3个月新的共用注射器具吸毒伙伴、共用针头或注射器、共用洗针头或注射器的水、共用吸毒器皿、共用棉球和共用注射器前或后装入毒品的比例分别从14.2%、38.7%、28.3%、27.4%、7.55%、5.7%分别下降至4.3%、11.32%、11.3%、17.0%、1.9%、0.9%;近6个月以性交为条件给性伴提供钱物和有新性伴的比例分别从18.4%、27.8%下降到11.3%、18.9%。结论VCT可减少静脉吸毒人群HIV相关高危行为。更多还原

【Abstract】 Objective To describe changes of risk behaviors among injection drug users after HIV voluntary counseling and testing.Methods A community-based survey was conducted with questionnaire included demographic characteristics,drug use and sharing behaviors,sexual behaviors and condom use.Results 212 of injection drug users were recruited and followed up.The reduction rate of drug use in the past 3 months,including drug injection,heroin use,and used heroin plus another drug no less than 7 times per week were from(79.3%) to(64.6%),(40.6%) to(25.9%),(52.4%) to(41.5%),respectively;the reduction rate of sharing behaviors in the past 3 months,including any new partner shared injection equipment,shared needle and syringe,shared rinse water,shared cookers,shared cotton and front/backloading were from(14.2%) to(4.3%),(38.7%) to(11.32%),(28.3%) to (11.3%),(27.4%) to(17.0%),(7.55%) to(1.9%),(5.7%) to(0.9%),respectively;the reduction rate of sexual behaviors,including giving money for sex and any new sex partner(s) in the last 6 months were from(18.4%) to(11.3%),(27.8%) to(18.9%),respectively.Conclusions HIV voluntary counseling and testing was positively associated with reduction in unsafe injection and risk behaviors among HIV negative injection drug users.更多还原