广东省静脉吸毒者吸毒行为和性行为特征研究  

Characteristics of drug use and sexual behaviors among injection drug,users in Guangdong Province

作　　者：林鹏[1] 付笑冰[1] 李江虹 王晔[1] 钟文龙[3] Merrill Singer Michael Duke 许锐恒[1] 杨放[1] 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,广州510300 [2]Institute for Community Research,美国哈特福德061065128 [3]江门市疾病预防控制中心,广东江门52905 [4]Hispanic Health Council,美国哈特福德06106 [5]Prevention Partnership,美国图森85745

出　　处：《中国艾滋病性病》2006年第2期117-119,122,共4页Chinese Journal of Aids & STD

基　　金：美国国家毒品滥用研究所(NIDA)资助(资助号:R03DA14705-01)

摘　　要：目的 了解广东省艾滋病（AIDS）高危地区静脉吸毒者（IDUs）吸毒行为和性行为特征,为进一步的HIV/AIDS预防干预研究提供建议.方法 于2002年8月至2004年3月,对200名戒毒所内的静脉吸毒者进行面对面问卷调查.结果 200名IDUs年龄为20～29岁（53.0%）,无业（42.5%）,男性（83.5%）,汉族（96.5%）,初中及以下文化程度（86.5%）.入所前30天使用的主要毒品是海洛因（99.5%）,54%的人有多药滥用.首次吸毒年龄平均为22.79±4.87岁.注射过程中各种共用行为比率为22.0%～33.5%,79.4%的人经常重复使用一支针具.29.2%的人有多性伴,与固定和临时性伴性交从不使用安全套的比率分别为67.3%、25.7%.30%的女性有过以性换钱和换毒品行为,29.2%的男性有花钱买性服务.结论 广东省静脉吸毒者HIV感染相关危险行为普遍存在,包括直接和间接的针具共用行为及危险性行为.应进一步开展危险行为的形成与降低原因的研究,并针对特定的高危行为采取合理的预防干预措施.Objective To understand HIV risk related to drug use and sexual behaviors among injection drug users in Guangdong and to make recommendations for further research and HIV/AIDS prevention interventions. Methods Structured survey were administrated for 200 injection drug users（IDUs） recruited from mandatory detoxification center between August 2002 and March 2004. Results About half（53.0 % ） of the IDUs surveyed were 20-29 years old and 42.5 % of them were unemployed; most of them were male （83.5 % ）,of Han nationality（96.5 % ）, and had junior middle school or lower education（86.5% ）.Heroin was the major drug used（99.5% ） in the last 30 days before entering the detoxification center, and abuse of multiple substances was very common （54.0 96 ）. The average age of drug use for the first time was 22.79 ± 4.87 years. The percentage of different syringe sharing behaviors during drug use was about 22 %- 33.5 % and 79.4 % reported syringe re-use. About 29.2 % of IDUs had multiple sex partners and the proportions of never using condom with regular and casual sex partners were 67.3 % and 25.7 % respectively. About 30 % of female IDUs sold sex for money or drugs in the last 30 days before receiving detoxification treatment, and 29.2 % of male IDUs reported paid sex.Conclusion IDUs in Guangdong are at high risk of HIV infection through direct and in-direct syringe sharing behaviors, as well as unsafe sex such as unprotected sex, having sex with multiple partners, exchange sex for money/drug, and paid sex. Further studies should focus on understanding various factors contributing to facilitating or reducing such risk behaviors. Prevention interventions should be tailored to address specific risk behaviors.

关 键 词：艾滋病预防 静脉吸毒 艾滋病危险行为 

分 类 号：R512.91[医药卫生—内科学]