广东省三市监管场所内外吸毒者HIV感染状况及规模估计研究-流行病与卫生统计学专业论文.docxVIP

暨南大学硕士毕业论文 暨南大学硕士毕业论文 广东省三市监管场所内外吸毒者 HIV 感染状况及规模估计研究 暨南大学硕士毕业论文广东省三市 暨南大学硕士毕业论文 广东省三市监管场所内外吸毒者 HIV 感染状况及规模估计研究 III III IV IV 和梅毒的感染状况不能单独依靠目前的哨点监测资料，应结合社区监测结果进行综合 判断。 2．共用针具和女性为 HIV 感染的危险因素，建议应持续长期开展针具交换项目 和社区美沙酮维持替代治疗，推广安全套的使用同时鼓励该人群参加艾滋病自愿咨询 和检测。 3. 三市吸毒人群的规模分别为 29268（17485～71154）、18950（8473～61998） 和 5904（3641～7691）人，是各自地区登记在册人数的 1.8 倍、1.3 倍和 1.8 倍。 [关键字] 艾滋病病毒；吸毒者；基数估计；哨点监测 HIV Prevalence Among Drug Users in Both Rehabilitation Center and Community and Size Estimation in Three Prefectures ， Guangdong Province [Objectives] Abstract To compare the differences of HIV prevalence between community-based and rehabilitation center-based drug users in three prefectures，Guangdong province in order to provide basis to correctly assess the HIV prevalence in this population scientifically. Estimate the size of drug users in three prefectures to evaluate the preventive and control strategies. [Methods] Respondent-Driven Sampling (RDS) was applied to recruit community-based drug users in three cities. After eligibility screening and informed consent, each participant provided 5ml intravenous blood to be tested for HIV, HCV and syphilis antibodies after face-to-face structured questionnaire interview in a private room. Data of rehabilitation-based drug users in three cities are downloaded from the system of National Center for AIDS/STD Control and Prevention，China CDC. Then analysis was conducted to compare the data from the two sources. Mulitiplier method was used to estimate the population size of drug users in the study. To combine the proportion of drug users themselves and drug users they know who had been caught by police angency and the proportions who had been placed into the detoxification centers during 2010,2011and till july 2012 and the number of registered drug users in Local Public Security Bureau detoxification center of each city in the same given period. Thus, There are six estimated numbers of each city obtained, taking the median as the final, ta