Analysis On Characteristics Of HIV/AIDS Sentinel Surveillance And High-risk Behavior Influencing Factors Among Drug Users In Gansu

Objective:The study mainly understand the general characteristics,knowledge,risk behavior,health needs and utilization of health services related to HIV/AIDS among drug users of GanSu province during 2005～2009, and to take a targeted AIDS prevention strategies and health education and behavioral interventions to provide scientific evidence among drug users in Gansu province.Methods:To collect the date of AIDS comprehensive,national and provincial surverillance in GanSu province. The survey were the monitor point of the community, drug rehabilitation centers and detention facilities of drug users.Take the same monitoring questionnaire.Results:From 2005 to 2009,the positive rate of HIV antibody was from 0.21% to 0.67% among drug users of Gansu province, it didn’t show a linear increasing trend(P>0.05), the drug users of other province HIV infection rate was higher than Gansu, there was significant difference among them(P<0.05), it showed a linear increasing trend among the other province. HIV-positive of intravenous drug users was higher than oral drug uses, there was significant difference among them(P<0.05).the injection drug users increased from 6.07% to 14.81%,the rate of the needle sharing was from 8.61% to 37.24%,the rate of sexual promiscuity was from 10.53% to 17.03%, they showed a linear increasing trend(P<0.05).From 2006 to 2009,The awareness rate of AIDS related knowledge increased from 45.03% to 76.27% among drug users in Gansu province,it showed a linear increasing trend(P<0.05);the awareness rate of transmission routes of HIV/AIDS related knowledge was 45.99%-58.10%(P>0.05);the rate of intravenous drug use was 0.16%-4.02% in the latest,it showed a linear increasing trend(P<0.05);the rate of commercial sexual behavior was 1.12%-19.91%, it showed a linear increasing trend(P<0.05):the condom use rate at the latest sex remained was from 18.69%-31.00%, it showed a linear increasing trend(P<0.05); the needle exchange/medicine maintenance treatment,VCT and peer education were increasing from 0.64%,13.30%,6.09% to 19.79%,54.99%,27.43%, they showed a linear increasing trend(P<0.05).The major influencing factors of injecting drug users were age, nationality, whether to accept HIV counseling and testing/community service and maintenance treatment(P<0.05). The major influencing factors of sharing needle was the different injection frequencies(P<0.05). The major influencing factors of the drug users with commercial sex in the latest did not use condoms were gender and the awareness of AIDS related knowledge (P<0.05).Conclusion:The awareness rate of the transmission routes of HIV/AIDS relate knowledge was low among drug users in GanSu, the injection using in drug abusers was serious in GanSu,there were still needle- sharing,sexual promiscuity and so on in the city,and the usage of condom was still low. Use of health services utilization among drug users was low, in particular, should increase the peer education,needle exchange and methadone maintenance treatment.Needle sharing was a serious health problem among injection drug users in Gansu, daily times of injecting drugs was the influence factors of needle sharing. The drug users in a recent commercial sex did not use condoms with a spouse or cohabitant every time was low.