云南省西双版纳自治州景洪市吸毒人群HCV感染情况及其危险因素
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1.昆明医科大学第一附属医院感染性疾病和肝病科, 云南 昆明 650032;2.昆明医科大学公共卫生学院, 云南 昆明 650500;3.昆明医科大学第一附属医院老年消化内科, 云南 昆明 650032

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游晶  E-mail: jingyoukm@126.com

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国家自然科学基金项目(81760111, 81760617);国家卫生健康委员会毒品依赖和戒治重点实验室重点项目(2020DAMARA-003);云南省中青年学术和技术带头人后备人才项目(202105AC160159)


Hepatitis C virus infection and related risk factors among drug users in Jinghong City, Xishuangbanna Autonomous Prefecture, Yunnan Province
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1.Department of Infectious Diseases and Hepatology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China;2.School of Public Health, Kunming Medical University, Kunming 650500, China;3.Department of Geriatric Gastroenterology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China

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    摘要:

    目的 分析吸毒人群丙型肝炎病毒(HCV)的感染情况及其危险因素。 方法 研究人员于2021年1—7月依据纳入排除标准招募云南省西双版纳自治州景洪市戒毒所、美沙酮门诊及社区的吸毒人员。采用结构化问卷调查形式, 并抽取被调查者3 mL血清样本, 使用酶联免疫吸附试验(ELISA)进行HCV血清学筛查测试。分析云南省西双版纳自治州景洪市吸毒人群HCV感染情况及其危险因素。 结果 共调查404例吸毒人群, HCV抗体阳性26例, 阳性率6.44%。静脉注射吸毒(OR=4.236, 95%CI: 1.644~10.913, P=0.003)、女性(OR=0.135, 95%CI: 0.019~0.987, P=0.048)、高中及以上文化程度(OR=6.745, 95%CI: 1.113~40.890, P=0.038)的吸毒人群HCV感染风险较高, 差异均有统计学意义(均P<0.05)。 结论 云南省西双版纳自治州景洪市吸毒人群中采用静脉注射吸毒方式是HCV感染的高危因素, 同时吸毒者的年龄、文化程度、性别也与HCV感染有关。

    Abstract:

    Objective To analyze the infection and risk factors of hepatitis C virus (HCV) among drug users. Methods Drug users from drug rehabilitation center, methadone clinic, and community of Jinghong City, Xishuangbanna Autonomous Prefecture, Yunnan Province were recruited by researchers from January to July 2021 according to the inclusion and exclusion criteria. A structured questionnaire was adopted, 3 mL serum specimens were taken from the respondents, HCV serological screening test was performed with enzyme-linked immunosorbent assay (ELISA). HCV infection and its risk factors among drug users in Jinghong City, Xishuangbanna Autonomous Prefecture, Yunnan Province were analyzed. Results A total of 404 drug users were investigated, 26 (6.44%) were HCV antibody positive. Intravenous drug injection (OR=4.236, 95%CI: 1.644-10.913, P=0.003), female (OR=0.135, 95%CI: 0.019-0.987, P=0.048), as well as high school and above education (OR=6.745, 95%CI: 1.113-40.890, P=0.038) drug users had a higher risk of HCV infection, differences were all statistica-lly significant (all P < 0.05). Conclusion Intravenous drug injection is a high risk factor for HCV infection among drug users in Jinghong City, Xishuangbanna Autonomous Prefecture, Yunnan Province, the age, educational level and gender of drug users are also related to HCV infection.

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李敏玥,李静,杨红菊,等.云南省西双版纳自治州景洪市吸毒人群HCV感染情况及其危险因素[J]. 中国感染控制杂志,2022,(6):541-545. DOI:10.12138/j. issn.1671-9638.20222472.
Min-yue LI, Jing LI, Hong-ju YANG, et al. Hepatitis C virus infection and related risk factors among drug users in Jinghong City, Xishuangbanna Autonomous Prefecture, Yunnan Province[J]. Chin J Infect Control, 2022,(6):541-545. DOI:10.12138/j. issn.1671-9638.20222472.

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  • 收稿日期:2022-01-25
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  • 在线发布日期: 2024-04-28
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