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云南省保山市美沙酮門診吸毒人群HCV感染影響因素分析

發(fā)布時間:2018-05-22 14:34

  本文選題:美沙酮維持治療 + 吸毒人群 ; 參考:《中國衛(wèi)生統(tǒng)計》2017年02期


【摘要】:目的分析保山市美沙酮維持治療吸毒人群HCV感染狀況及其影響因素。方法 2015年7月采用抽樣調(diào)查的方法對保山市MMT吸毒人員進(jìn)行問卷調(diào)查和血清學(xué)檢測,調(diào)查問卷由中國疾病預(yù)防控制中心統(tǒng)一設(shè)計,內(nèi)容包括調(diào)查對象的人口學(xué)基本信息、丙肝知曉率、吸毒方式、吸毒年齡、接受干預(yù)等情況。同時抽取5m L靜脈血進(jìn)行HCV抗體檢測。使用EpiData 3.0建立數(shù)據(jù)庫和SPSS 19.0軟件包進(jìn)行數(shù)據(jù)處理和統(tǒng)計分析。結(jié)果 MMT吸毒人群HCV感染率55.50%(222/400),HCV總知曉率為62.50%(250/400);HCV感染者和非感染者丙肝知曉率分別為70.27%(156/222)和52.81%(94/178),差異有統(tǒng)計學(xué)意義(χ~2=12.852,P0.01);非條件logistic回歸分析顯示,未婚(OR=5.539,P=0.029,95%CI:1.191~25.745)、知曉丙肝(OR=2.266,P=0.033,95%CI:1.070~4.802)和首次吸毒年齡≥30歲(OR=0.467,P=0.002,95%CI:0.287~0.760)是美沙酮維持治療吸毒人群丙肝感染的影響因素。結(jié)論保山市MMT吸毒人群HCV感染比較高,對未婚、丙肝知曉率低和首次吸毒年齡小于30歲的吸毒者應(yīng)加強(qiáng)健康教育和干預(yù),預(yù)防感染HCV。
[Abstract]:Objective to analyze the prevalence of HCV infection in drug users treated with methadone in Baoshan City and its influencing factors. Methods A sample survey was conducted on MMT drug users in Baoshan City in July 2015. The questionnaire was designed by the China Center for Disease Control and Prevention and included the basic demographic information of the subjects. Hepatitis C awareness rate, drug use, drug abuse age, accept intervention and so on. At the same time, 5 L venous blood was taken to detect HCV antibody. EpiData 3.0 was used to build database and SPSS 19.0 software package for data processing and statistical analysis. Results the total awareness rate of HCV infection in drug users with MMT was 62.50%, 250 / 400 and 70.27% / 156 / 222, respectively, and 52.81 / 94178% with significant difference (蠂 212.852%, P 0.01; non-conditional logistic regression analysis, P 0.01), the rate of HCV infection was 70.27% and 15.6% / 222% respectively (蠂 212.852 P 0.01; non-conditional logistic regression analysis showed that the rate of HCV infection was 70.27% / 156% 22 / 22) and 52.81% / 94 17 8% respectively (蠂 212.852% P 0.01; non-conditional logistic regression analysis showed that:) The factors affecting the maintenance of methadone in the treatment of hepatitis C infection among drug users were: 5.539%, 0.029%, 95% CI: 1.191 1, 25.745%, knowing that 2.266C, 2.266C, 0.03395, CI: 1.070395, 4.802) and the age of first drug use 鈮,

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