Chapter 5 Injection Drug Use：5章药物注射.doc

Detailed Data Tables: Injection Drug UsersDetailed Data Tables: Injection Drug UsersTable 1 People Living with HIV/AIDS by Exposure Mode: MAData as of 7/1/04HIV/AIDSExposure Mode:N%Male-to-male sex (MSM)4,86433%Injection Drug Use (IDU)4,37930%MSM/IDU4863%Receipt of Blood/Blood products1301%Pediatric921%Total Heterosexual Sex (HTSX)2,00014% HTSX w/ an Injection Drug User8656% HTSX w/ a person w/ HIV or AIDS1,0797% HTSX w/Bisexual male321% Other HTSX241%Total Undetermined/Other2,77619% Presumed Heterosexual 12,07714% Undetermined/Other26985%TOTAL14,727100%1 Heterosexual sex with partners with unknown risk and HIV status2 Includes those still being followed up for risk information, those who have died with no determined risk, those lost to follow-up, and one person with confirmed occupational exposure Data Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 2 People Diagnosed with HIV Infection by Exposure Mode: 2001 - 2003, MAHIV DiagnosesExposure Mode:N%Male-to-male sex (MSM)86732%Injection Drug Use (IDU)46917%MSM/IDU622%Receipt of Blood/Blood products51%Pediatric31%Total Heterosexual Sex (HTSX)38814% HTSX w/ an injection drug user1365% HTSX w/bisexual male51% HTSX w/ a person who received blood/blood products31% HTSX w/ a person w/ HIV or AIDS2449%Total Undetermined/Other89633% Presumed Heterosexual163624% Undetermined/Other226010%TOTAL2,690100%1 Heterosexual sex with partners with unknown risk and HIV status2 Includes those still being followed up for risk information, those who have died with no determined risk, those lost to follow-up, and one person with confirmed occupational exposure Data Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 3 People Living with HIV/AIDS by Health Service Region1 and Exposure Mode: MAData as of 7/1/04HSRMSMIDUMSM/IDUHTSXOtherPres.HTSX2Unde-term.3TotalBoston HSR45%20%3%11%1%15%5%4,841Central HSR20%40%3%19%2%13%3%1,264Metrowest HSR38%19%3%12%2%20%7%1,797Northeast HSR30%27%3%15%1%18%6%2,070Southeast HSR35%30%3%15%2%10%4%2,067Western HSR20%39%3%19%1%13%5%1,677Prison45%75%4%6%0%7%2%1,0021 Reflects the health service region of a persons residence at the time of report (not necessarily current residence) 2 Heterosexual sex with partners with unknown risk and HIV status3 Includes those still being followed up for risk information, those who have died with no determined risk and those lost to follow-up4 HSRs are regions defined geographically to facilitate targeted health service planning. While prisons do not constitute an HSR, the prison population is presented separately in this analysis because of its unique service planning needs. Prison includes only persons who were diagnosed with HIV/AIDS while in a correctional facility;MSM = Male-to-Male Sex; IDU = Injection Drug Use; HTSX = Heterosexual Sex; Pres. HTSX = Presumed Heterosexual Sex; Undeterm. = Undetermined Data Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 4 People Diagnosed with HIV Infection by Health Service Region1 and Exposure Mode: MA 2001-20032Health ServiceRegion:MSMIDUMSM/IDUHTSXOtherPres.HTSX3Unde-term.4TotalBoston HSR42%11%2%13%1%23%9%916Central HSR20%22%2%19%0%28%8%211Metro West HSR29%9%1%14%1%31%16%348Northeast HSR32%11%2%15%1%28%11%401Southeast HSR32%21%4%15%1%19%8%393Western HSR25%30%2%17%1%17%9%305Prison57%59%3%9%0%18%3%116MA Total32%17%2%14%1%24%10%26901 Reflects the health service region of a persons residence at the time of report (not necessarily current residence)2 Reflects year of HIV diagnosis among all individuals reported with HIV infection, with or without an AIDS diagnosis 3 Heterosexual sex with partners with unknown risk and HIV status4 Includes those still being followed up for risk information, those who have died with no determined risk and those lost to follow-up5 HSRs are regions defined geographically to facilitate targeted health service planning. While prisons do not constitute an HSR, the prison population is presented separately in this analysis because of its unique service planning needs. Prison includes only persons who were diagnosed with HIV/AIDS while in a correctional facilityMSM = Male-to-Male Sex; IDU = Injection Drug Use; HTSX = Heterosexual Sex; Pres. HTSX = Presumed Heterosexual Sex; Undeterm. = UndeterminedData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding), Data as of 7/1/04Table 5 Top 10 Cities/Towns1 in Massachusetts by Proportion of HIV Infection Diagnoses (HIV Dx) with Injection Drug Use or Injection Drug Use and Male-to-Male Sex as Primary Reported Exposure Mode: 2001-2003RankCity/TownNumber of HIV DX among IDUPercent of Total HIV DX1New Bedford3747%2Fall River1846%3Holyoke1838%4Springfield6637%5Worcester3927%6Lawrence918%7Quincy517%8Framingham517%9Boston11614%10Lowell1012%1 Among cities/towns with over 20 reported HIV infection diagnoses in the years 2001-2003Data Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding); Data as of 7/1/04Table 6 People Diagnosed with HIV Infection from 2001 to 2003 by Gender and Race/Ethnicity, Where the Mode of Exposure is Injection Drug Use (IDU)1, IDU-Related2, or Non-IDU Related3: MAData as of July 1, 2004IDU1IDU-Related2Non IDU-Related3By Gender:N%N%N%Male39875%3224%1,44671%Female13325%10476%57729%Total 531100%136100%2,023100%By Race/Ethnicity:N%N%N%White (non-Hispanic)20739%3425%84442%Black (non-Hispanic)12223%4130%72736%Hispanic19236%5943%37619%Asian/Pacific Islander31%11%543%American Indian and Alaskan Native21%00%21%Unknown51%11%201%Total531100%136100%2,023100%1 Includes primary reported exposure of injection drug use (IDU) and reported exposure of injection drug use and male-to-male sex (MSM)2 Includes heterosexual sex with an injection drug user, pediatric exposure with a maternal risk of injection drug use, and pediatric exposure with a maternal risk of sex with an injection drug user 3 Includes MSM, Heterosexual sex w/ a person w/ HIV or AIDS and unspecified risk, Heterosexual sex with a Bisexual male, other heterosexual sex, presumed heterosexual sex (pres. HTSX), Blood/Blood Products, Pediatric exposures where maternal risk was NOT injection drug use or sex with an injection drug user, and all other/undetermined exposuresData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 7 People Living with HIV/AIDS by Gender and Race/Ethnicity, Where the Mode of Exposure is IDU1, IDU-Related2, or Non-IDU Related3: MAData as of July 1, 2004IDU1IDU-Related2Non IDU-Related3By Gender:N%N%N%Male3,45871%18921%6,91377%Female1,40729%71779%2,04323%Total 4,865100%906100%8,956100%By Race/Ethnicity:N%N%N%White (non-Hispanic)1,96740%26529%4,66352%Black (non-Hispanic)1,13923%23626%2,58129%Hispanic1,72535%39544%1,47817%Asian/Pacific Islander91%41%1562%American Indian and Alaskan Native101%21%81%Unknown151%41%701%Total4,865100%906100%8,956100%1 Includes primary reported exposure of injection drug use (IDU) and reported exposure of injection drug use and male-to-male sex (MSM)2 Includes heterosexual sex with an injection drug user, pediatric exposure with a maternal risk of injection drug use, and pediatric exposure with a maternal risk of sex with an injection drug user 3 Includes MSM, Heterosexual sex w/ a person w/ HIV or AIDS and unspecified risk, Heterosexual sex with a Bisexual male, other heterosexual sex, presumed heterosexual sex (pres. HTSX), Blood/Blood Products, Pediatric exposures where maternal risk was NOT injection drug use or sex with an injection drug user, and all other/undetermined exposuresData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 8 People Living with HIV/AIDS by Gender and Exposure Mode: MAData as of 1/1/04MaleFemaleExposure Mode:N%N%Male-to-male sex (MSM)4,81246%N/AN/AInjection drug use (IDU)2,95528%1,40434%MSM/IDU4835%N/AN/AHeterosexual sex6006%1,38333%Other1311%912%Total Undetermined1,46314%1,25630% Presumed heterosexual sex199410%1,06026% Undetermined24694%1965%Total10,444100%4,134100%1 Heterosexual sex with partners with unknown risk and HIV status2 Includes those still being followed up for risk information, those who have died with no determined risk, those lost to follow-up, and one person with confirmed occupational exposure; N/A=Not ApplicableData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 9 People Living with HIV/AIDS Where the Mode of Exposure is IDU1, Gender by Race/Ethnicity: MAData as of July 1, 2004White NHBlack NHHispanicOther/UnknownTotalN%N%N%N%N%Male1,27937%81624%1,34439%191%3,458100%Female68849%32323%38127%151%1,407100%1 Includes primary reported exposure of injection drug use (IDU) and reported exposure of injection drug use and male-to-male sexData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 10 People Living with HIV/AIDS Where the Mode of Exposure is IDU-Related1, Gender by Race/Ethnicity: MAData as of July 1, 2004White NHBlack NHHispanicOther/UnknownTotalN%N%N%N%N%Male6032%5931%6836%21%189100%Female20529%17725%32746%81%717100%1 Includes heterosexual sex with an injection drug user, pediatric exposure with a maternal risk of injection drug use, and pediatric exposure with a maternal risk of sex with an injection drug user Data Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 11 People Diagnosed with HIV Infection from 2001 to 2003 by Age at HIV Diagnosis where the Mode of Exposure is IDU1, IDU-Related2, or Non-IDU Related3: MAData as of July 1, 2004Primary IDU1IDU-Related2Non IDU-related3YearsN%N%N% 0 to 1200%00%31%13 to 1931%21%372%20 to 24173%75%1246%25 to 29275%2216%25313%30 to 348316%2317%39419%35 to 3912524%2518%44722%40 to 4412123%2418%33417%45 to 499618%2015%21010%50+5911%1310%22111%Total 531100%136100%2,023100%1 Includes primary reported exposure of injection drug use (IDU) and reported exposure of injection drug use and male-to-male sex (MSM)2 Includes heterosexual sex with an injection drug user, pediatric exposure with a maternal risk of injection drug use, and pediatric exposure with a maternal risk of sex with an injection drug user 3 Includes MSM, Heterosexual sex w/ a person w/ HIV or AIDS and unspecified risk, Heterosexual sex with a Bisexual male, other heterosexual sex, presumed heterosexual sex (pres. HTSX), Blood/Blood Products, Pediatric exposures where maternal risk was NOT injection drug use or sex with an injection drug user, and all other/undetermined exposuresData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 12 People Living with HIV/AIDS by Current Age where the Mode of Exposure is Primary IDU1, or Non-Primary IDU2: MAData as of July 1, 2004Primary IDU1Non-Primary IDU2YearsN%N%0 to 1200%331%13 to 1911%601%20 to 24211%1812%25 to 29711%4625%30 to 342966%1,05811%35 to 3988218%1,95820%40 to 441,29827%2,30123%45 to 491,22725%1,73118%50+1,06922%2,07821%Total 4,865100%9,862100%1 Includes primary reported exposure of injection drug use (IDU) and reported exposure of injection drug use and male-to-male sex (MSM)2 Includes heterosexual sex with an injection drug user, pediatric exposure with a maternal risk of injection drug use, pediatric exposure with a maternal risk of sex with an injection drug user, MSM, Heterosexual sex w/ a person w/ HIV or AIDS and unspecified risk, Heterosexual sex with a Bisexual male, other heterosexual sex, presumed heterosexual sex (pres. HTSX), Blood/Blood Products, Pediatric exposures where maternal risk was NOT injection drug use or sex with an injection drug user, and all other/undetermined exposuresData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding)Table 13 Reported AIDS Cases by Exposure Mode and Year of Diagnosis: MA, 1985-20031MSMIDUMSM/IDUHTSXOtherPres.HTSX2Unde-term.3To-talN%N%N%N%N%N%N%N198514263%3214%125%73%136%177%42%227199048044%34432%454%747%585%535%272%1,081199362536%70940%805%16810%543%634%613%1,760199447632%58039%654%19513%292%654%685%1,478199543531%58142%614%16312%363%695%524%1,397199635230%44138%343%17315%353%756%514%1,161199724427%36040%334%12314%202%799%506%909199825527%34136%273%12013%192%14315%536%958199922725%36340%233%11212%40%16017%263%915200016522%26234%132%12817%111%15020%324%761200116024%20030%244%10415%122%13119%426%673200215025%16627%203%9816%41%12721%468%6112003210424%11527%113%6014%20%9923%409%4311 2003 data are preliminary 2 Heterosexual sex with partners with unknown risk and HIV status3 Includes those still being followed up for risk information, those who have died with no determined risk and those lost to follow-upMSM = Male-to-Male Sex; IDU = Injection Drug Use; HTSX = Heterosexual Sex; Pres. HTSX = Presumed Heterosexual Sex; Undeterm. = UndeterminedData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding), Data as of 7/1/04Table 14 Deaths Among Persons Reported with AIDS by Mode of Exposure and Year of Death: MA, 1985-20031MSMIDUMSM/IDUHTSXOtherPres.HTSX2Unde-term.3To-talN%N%N%N%N%N%N%N19857261%1613%87%00%108%119%22%119199035256%15625%274%254%274%284%163%631199345944%34133%565%717%363%404%374%1,040199445638%46639%484%1059%403%504%423%1,207199543438%44138%363%12811%414%262%464%1,152199625433%32242%304%8211%203%334%263%76719979425%17747%205%4612%144%62%205%37719988025%17254%83%258%31%124%165%31619995918%16752%155%278%134%258%134%31920005719%16454%134%217%134%238%114%30220017522%16649%185%257%62%288%237%34120025521%14756%114%218%73%145%83%263200324820%12752%104%2912%52%125%146%2451 2003 data are preliminary 2 Heterosexual sex with partners with unknown risk and HIV status3 Includes those still being followed up for risk information, those who have died with no determined risk and those lost to follow-upMSM = Male-to-Male Sex; IDU = Injection Drug Use; HTSX = Heterosexual Sex; Pres. HTSX = Presumed Heterosexual Sex; Undeterm. = UndeterminedData Source: MDPH HIV/AIDS Surveillance Program (percentages may not add up to 100% due to rounding), Data as of 7/1/04Table 15 Percentage of Massachusetts Youth Risk Behavior Survey Respondents Reporting Lifetime (Ever) Injection Drug Use by Year and Gender: MA, 1993-20031MalesFemalesTotalMale + FemaleYear%Total N2%Total N2%Total N219933.81,4921.21,5352.63,03119954.52,0561.02,0382.84,10219972.91,9661.11,9532.03,93019993.62,1881.62,1782.74,38220012.42,0980.92,0321.74,14420032.91,7651.51,8162.23,5881 A random sample of high schools is selected for participation eac