Chandrasekaran S, Kyaw N T T, Harries A D, Yee I A, Ellan P, Kurusamy T, Yusoff N, Mburu G, Mohammad W M Z W, Suleiman A
Malaysian AIDS Council, Kuala Lumpur, Malaysia.
International Union Against Tuberculosis and Lung Disease, Myanmar Country Office, Mandalay, Myanmar.
Public Health Action. 2017 Jun 21;7(2):155-160. doi: 10.5588/pha.17.0003.
Needle and Syringe Exchange Programme (NSEP) implemented by non-governmental organisations in Malaysia. To determine enrolment, characteristics and retention in the NSEP of people who inject drugs (PWID) between 2013 and 2015. Retrospective cohort study. There were 20 946 PWID, with a mean age of 38 years. The majority were male (98%) and of Malay ethnicity (92%). Follow-up data were available for 20 761 PWID. Annual retention of newly enrolled PWID for each year was respectively 85%, 87% and 78% for 2013, 2014 and 2015, although annual enrolment over these years declined from 10 724 to 6288 to 3749. Total person-years (py) of follow-up were 27 806, with loss to follow-up of 40 per 100 py. Cumulative probability of retention in NSEP was 66% at 12 months, 45% at 24 months and 26% at 36 months. Significantly higher loss to follow-up rates were observed in those aged 15-24 years or ⩾50 years, females, transgender people and non-Malay ethnic groups. Annual retention of new PWID on NSEP was impressive, although enrolment declined over the 3 years of the study and cumulative loss to follow-up was high. A better understanding of these programmatic outcomes is required.
马来西亚非政府组织实施的针头和注射器交换计划（NSEP）。确定2013年至2015年间注射毒品者（PWID）在NSEP中的登记情况、特征和留存率。回顾性队列研究。共有20946名PWID，平均年龄为38岁。大多数为男性（98%），马来族裔（92%）。有20761名PWID的随访数据。2013年、2014年和2015年新登记PWID的年留存率分别为85%、87%和78%，尽管这些年的年登记人数从10724人降至6288人再降至3749人。随访的总人年数（py）为27806，每100人年的失访率为40。在NSEP中留存的累积概率在12个月时为66%，24个月时为45%，36个月时为26%。在15 - 24岁或≥50岁的人群、女性、跨性别者和非马来族裔中观察到显著更高的失访率。尽管在研究的3年中登记人数下降且累积失访率较高，但新PWID在NSEP中的年留存率令人印象深刻。需要更好地理解这些项目成果。
