美沙酮维持治疗者药物滥用行为及影响因素  

Influencing factors associated with behavior characteristics of drug abuse in a community-based methadone maintenance treatment among drug users

作　　者：郝超[1] 周建波[1] 李建华[1] 徐威[1] 刘树芳[1] 季晓红[1] 许晓国[1] 陈抒蕾[1] 

机构地区：[1]江苏省常州市疾病预防控制中心,213000

出　　处：《中国公共卫生》2009年第7期781-783,共3页Chinese Journal of Public Health

基　　金：常州市科技局项目资助(CS2007211)

摘　　要：目的了解社区美沙酮维持治疗者的药物滥用相关行为特征及其影响因素,为制定相应干预策略与措施提供依据。方法对江苏省常州市美沙酮维持治疗门诊655名海洛因成瘾者进行问卷调查,采用单因素及多元Lo-gistic回归分析其影响因素。结果该人群以中青年、已婚男性为主。75.4%曾经注射过毒品,6.5%与他人共用过注射器。73.%承认在过去1个月有过注射吸毒行为,平均注射吸毒100次,其中仅1.7%(8人)承认共用过注射器。在最近3个月内有过性行为的382人中,多性伴者占13.1%,且在最近1次性行为时承认使用安全套仅占11%。无业者相比有自己劳动收入的更容易发生注射吸毒行为;自身年龄、首次吸毒年龄越大或吸毒年限越短,发生注射吸毒行为的概率就越小。结论常州市美沙酮维持治疗者存在人类免疫缺陷病毒(HIV)感染的危险性,应尽早进行美沙酮维持治疗。Objective To investigate the performance characteristics and influencing factors of drag abuse in a community-based methadone maintenance treatment among drug users and to provide evidence for constituting strategies and measures on AIDS behavioural intervention. Methods A total of 655 drug users recruited from methadone maintenance treatment clinic in Changzhou were surveyed. Univariate analysis,multivariate Logistic regression analysis were used to explore influencing factors of drug abuse. Results Most of the subjects were middle-aged married male. The majority （ 75.4% ） were intravenous drag users（IDUs） and 6.5% reported sharfng inection equipments. There were 73.1% of 655 drug users reported having intravenous drug abuse behaviors;the average times were 100. But only 1.7% of them reported sharing injection equipments. There were 13.1% of 382 drug users who admitted having sex with multiple sex partners within the three months recently, and only 11% admitted using condoms in the last sex. Subjects without occupation tended to have injection drug abuse behaviors more than those who had self-labor income. The older their own age or the age of first drug abuse was, the less the probability of intravenous drug abuse was. Condusion Drug users recruited from methadone maintenance treatment clinic in Changzhou are potential high risk population for HIV/AIDS. Methadone maintenance treatment should be carded out as soon as possible. All sectors of the society should pay more attention to living conditions of the population.

关 键 词：海洛因 吸毒 美沙酮维持治疗 危险行为 

分 类 号：R971[医药卫生—药品]