HIV、HCV And TP Infection Risk Behavior Intervention In Drug Users In Wuhan City

ObjectiveTo analyze population behavior characteristics of Drug User InWuhan, andunderstand HIV (human immunodeficiency virus comes, HIV), HCV (HepatitisC virusget, HCV, TP (Treponema pallidum, TP) infection status by serological tests,andanalyze the relationship of different ways of drug use and high-risk sexual behaviorbetween HIV, HCV, TP infection. For certain high-risk behavior to take correspondingprevention interventions, reduce new infections related to infectious diseases. Itprovides evidence for related departments that to formulate prevention and controlmeasures of AIDS and other infectious diseases. Through interventing high-riskbehavior of the AIDS and other infectious diseases, It can improve the Drug Userpopulation of AIDS prevention knowledge and skills, and curb population andspreading of HIV, HCV, TP in the crowd of the people.MethodsTo get information and data through questionnaires, interviews and follow-up, andextract675drug users demographic characteristics and relevant information usingrandom sampling method, and analyze population behavior characteristics of InjectingDrug User in Wuhan. And by taking blood sample，test HIV, HCV, TP antibody,analyze the relationship of different ways of drug use and high-risk sexual behaviorbetween HIV, HCV, TP infection.Results675Drug users is interviewed,245drug addicts have lost follow-up, actualfollow-up people is430, the follow-up rate was63.70%. Intervention group is370people,128drug addicts have lost follow-up, actual follow-up people is242, thefollow-up rate was65.41%. The control group is305people,117drug addicts have lostfollow-up, actual follow-up people is188, the follow-up rate was61.64%. Among thedrug users surveyed, the male is2.59times than female.In the drug addicts, juniormiddle school culture degree,40to50years old, unmarried accounted for the main partwhere the majority is drug users（specially injecting drug users）.The relationship of different ways of drug use and high-risk sexual behavior between HIV, HCV, TP infection. In the drug way， in the HIV positive rate, HCVpositive rate of simple intravenous drug use was significantly higher than mouth suckand mouth suck+injection,4cases of HIV were occurred in intravenous group, butthere was no statistically significant difference (p>0.05), considering associated withinadequate sample size and The basis of lower prevalence.HIV positive rate, TP positiverate has a significant difference(p <0.05) between not sharing needles and sharingneedle. HCV positive rate, TP positive rate has a significant difference(p <0.05) among1,2-4,4person of sexual partners.HIV positive rate, TP positive rate has a significantdifference(p <0.05),among each use,occasionally use, never use of condom usesituation.In the actual follow-up personnel, new HIV infection of the intervention groupis0，the new infection rate is0.00%; New HIV infection of the control group is1，thenew infection rate was0.54%. The comparison of the new infection rate of two groups(P=0.8927) has not statistical significance (P＞0.05). new HCV infection of theintervention group is3，the new infection rate is5.36%; New HCV infection of thecontrol group is10，the new infection rate was18.87%. The comparison of the newinfection rate of two groups (P=0.0296) has statistical significance (P <0.05). new TPinfection of the intervention group is3，the new infection rate is1.51%; New TPinfection of the control group is2，the new infection rate was1.31%. The comparisonof the new infection rate of two groups (P=0.7666) has not statistical significance (P＞0.05).ConclusionIDU population in Wuhan, sharing needles (including direct and indirect needlesharing behavior) and not use a condom still exists to a certain extent, closely associatedwith HIV, HCV, TP infection, specific high-risk behavior to take correspondingprevention, interventions is imminent, advice in the community to carry out HIVcounseling and testing, sexually transmitted diseases, strengthen the methadonereplacement therapy compliance education, to control the infectious diseases such asHIV/AIDS spreading from high-risk groups to the general population.