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四川省西昌市静脉吸毒人群梅毒感染状况研究

STUDY ON SYPHILIS PREVALENCE AMONG INJECTION DRUG USERS IN XICHANG COUNTY OF SICHUAN PROVINCE

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【摘要】 [目的]了解四川省西昌市静脉吸毒人群梅毒感染情况及其影响因素。[方法]于2005年10~11月在西昌市对静脉吸毒人群进行调查,调查内容包括社会人口学、毒品使用、共用注射器具静脉吸毒以及性行为情况等,同时采集血样进行梅毒抗体检测。[结果]在招募的325名静脉吸毒者中,梅毒感染率为17.2%(56/325),其中男性和女性的梅毒感染率分别为12.8%(35/273)和40.4%(21/53)。多因素Logistic回归模型分析结果显示,女性(OR:4.95;95%CI:2.49~9.83)、彝族(OR:2.44;95%CI:1.25~4.76)和近1个月与临时性伴发生非保护性性交(OR:2.61;95%CI:1.30~5.24)与静脉吸毒人群梅毒感染的关系有统计学意义。[结论]四川省西昌市静脉吸毒人群梅毒感染率高,迫切需要采取措施来提高该地区静脉吸毒人群中安全套的使用。

【Abstract】 [Objective]To study syphilis prevalence and the factors associated with syphilis infection among injection drug users(IDUs)in Xichang County of Sichuan Province.[Methods]During October,2005 and November,2005,IDUs were investigated to collect data of socio-demographics,behavioral characteristics of drug use,sharing injection equipments and sexual practices in Xichang County,and blood specimens were also collected to test for antibodies against syphilis.[Re-sults]Of the 325 IDUs,syphilis prevalence rate was 17.2%(56/325).The syphilis prevalence rate of male and female IDUs were 12.8%(35/273)and 40.4%(21/53),respectively.Multiple logistic regression model demonstrated that female(OR:4.95;95%CI:2.49~9.83),Yi minority(OR:2.44;95%CI:1.25~4.76)and unprotected sex with casual sex partner(s)in last month(OR:2.61;95%CI:1.30-5.24)were significantly associated with syphilis infection among IDUs.[Conclu-sion]IDUs have high syphilis prevalence in Xichang County of Sichuan Province,and interventions to strengthen the condom use are urgently needed among IDUs in this area.

【关键词】 梅毒静脉吸毒高危性行为
【Key words】 SyphilisDrug injectionHigh risk sexual behavior
【基金】 卫生部艾滋病防治应用性研究项目(WA2003-13);国家十五科技攻关项目(2004BA719A01);国家自然科学基金项目(30571612、10501052)资助
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2007年04期
  • 【分类号】R759.1
  • 【被引频次】17
  • 【下载频次】130
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