广东省静脉吸毒者多种成瘾物质滥用的流行病学研究  

Epidemiological survey on polydrug abuse in intravenous drug users in Guangdong Province

作　　者：付笑冰[1] 林鹏[1] 李江虹 王晔[1] 钟文龙[3] 许锐恒[1] 杨放[1] Merrill Singer Michael Duke 刘勇鹰[1] 赵茜茜[1] 何群[1] 孙宝山[1] 陈茂于 范湛丽 黄丽英[3] 

机构地区：[1]广东省疾病预防控制中心艾滋病防治研究所,广东广州510300 [2]Institute for Community Research [3]江门市疾病预防控制中心 [4]Hispanic Health Council [5]Pima Prevention Partnership

出　　处：《华南预防医学》2004年第6期8-11,共4页South China Journal of Preventive Medicine

基　　金：美国国家毒品滥用研究所 (NIDA)资助项目 (资助序号 1 R0 3DA14 70 5 0 1)

摘　　要：目的　了解广东省艾滋病 (AIDS)高危地区静脉吸毒人群 (IDUs)中多种成瘾物质的使用情况 ,为AIDS防治提供科学依据。方法　对在江门市和新会市戒毒所内抽取的 2 0 0名静脉吸毒者进行面对面问卷调查 ,了解其药物滥用种类、方式和药物来源等基本情况。结果　 2 0 0名吸毒者以 2 0～39岁 (占 96 0 % )、男性 (占 83 5 % )、未婚 (占 5 1 5 % )、无业 (占 4 2 5 % )、汉族 (占 96 5 % )和初中及以下文化程度 (占 86 5 % )为主 ;滥用药物共有 14种 ,除 10 0 %使用海洛因外 ,使用较多的毒品还包括安定、三唑轮、大麻、摇头丸等 ,使用 2种及以上者占 76 0 % ;对三唑轮等非常见毒品 ,76 9% (6 0 /78)的人主要采取口服的方式 ,其他方式有鼻吸、混合或单独注射等 ;毒品主要来源于黑市和私人药店 ;首次饮酒年龄越低 ,开始使用海洛因、安定或安定加海洛因的年龄越低 (相关系数分别为 0 2 2、0 2 4、0 2 3,P <0 0 1或P <0 0 5 )。结论　IDUs多种成瘾物质滥用现象严重 ,滥用药物广泛 ,滥用方式多样 ,必须采取相应措施 ,解决多药滥用问题。Objective To describe the characteristics and implications of polydrug use to HIV prevention among injection drug users(IDUs)in Jiangmen city, Guangdong Province. Methods Face-to-face structured survey interviews were conducted among IDUs in mandatory drug detoxification centers. Results A total of 200 IDUS were interviewed. Of which 20-39 years old accounted for 96.0%, male 83.5%, unmarried 51.5%, unemployed 42.5%, Han nationality 96.5%, and junior middle school or lower educated 86.5%. The drugs used can be classified into 14 categories. Heroin used by all subjects and the other major drugs were diazepam, triazolam, marijuana, ecstasy. 76.0% of the drug users took more than one kind of drug. Some uncommon drugs, such as triazolam, were mainly taken by mouth (76.9%, 60/78) and other ways were sniff, uni-injection and muti-injection, and etc. The main sources of drugs came from black market and private drug store. The younger began to drink, the younger began to use heroin and amphetamine. Conclusion Polydrug use was common among IDUs and effective measures should be adopted to deal with this problem.

关 键 词：获得性免疫缺陷综合征 物质滥用 静脉内 流行病学研究 

分 类 号：R163[医药卫生—公共卫生与预防医学]