吸毒者艾滋病知识、行为及卫生服务利用调查  

Risk behavior,health needs,utilization of health services related to HIV/AIDS among drug users in Guangzhou

作　　者：林爱华[1] 沈松英[1] 王贝贝[1] 凌莉[1] 

机构地区：[1]中山大学公共卫生学院医学统计与流行病学系,广东广州510080

出　　处：《中国公共卫生》2009年第7期783-784,共2页Chinese Journal of Public Health

基　　金：2006年广州市医药卫生科技重大项目(2006-ZDa-003)

摘　　要：目的了解广东省广州市吸毒人群的艾滋病相关知识、行为特征、性病感染和卫生服务利用情况。方法采用横断面方法,对广州市某强制戒毒所的戒毒学员进行自填问卷调查。结果433名戒毒学员对艾滋病的传播途径知晓程度相对较好,但对其他知识的知晓程度相对较差;75.9%发生过婚前性行为。入所前6个月与固定性伴侣、临时性伴侣、商业性伴侣和同性性伴侣发生过性关系的比例分别为62.1%,32.8%,16.2%和1.8%;发生性关系时每次均使用安全套分别占14.0%,19.0%,31.5%,12.5%;247人有静脉注射吸毒史,占57.0%。入所前6个月内有41人与别人共用过注射器,占静脉吸毒者的16.6%;女性性病率高于男性,差异有统计学意义(χ2=14.326,P<0.001);有139人曾经接受过有关艾滋病预防措施的服务,占31.1%。结论广州市吸毒人群对艾滋病相关知识有一定程度的了解,但普遍具有传播艾滋病的高危行为,且健康水平不高,艾滋病卫生服务利用率较低,应加强艾滋病的宣传、检测和咨询服务。Objective To understand the knowledge, attitude, risk behavior, health needs, utilization of health services related to HIV/AIDS among drug users in Guangzhou. Methods Information on sociodemographics, knowledge about HIV/AIDS,risk behavior,health needs and utilization of health services related to HIV/AIDS were obtained with a self-administered questionnaire among drug users recruited from addiction treatment clinics. Results The knowledge level on AIDS transmitting route was higher than other AIDS related knowledge among 433 participants. The rate of having sex within six months before the addiction treatment with steady partners, causal partners, sex workers and MSM was 62. 1%, 32. 8% ,16. 2% and 1.8% ,respectively,and corresponding rate of condom use in every sex behavior was 14. 0% ,19. 0%, 31.5% and 12. 5% ,respectively among the participants. 57.0% （247） of the participants reported history of intravenous drug use in which 16. 6% （41） shared syringes with others within 6 months before the addiction treatment. The prevalence of STD was higher among female participants than that of among the male（χ2 = 14. 326, P 〈 0. 001 ）. There were 139 participants reporting utilization of service on AIDS prevention. Conclusion The drug users have certain knowledge about AIDS, but they have high-risk behaviors of H/V infection. The utilization of health services are not sufficiently as well. More extensive and in-depth propaganda, consulting service about HIV/AIDS and HIV test should be conducted urgently.

关 键 词：吸毒人群 艾滋病 高危行为 性病 卫生服务利用 

分 类 号：R512.91[医药卫生—内科学]