云南省美沙酮门诊受治者甲基安非他明滥用情况及影响因素  

Meta-amphetamine abuse among methadone maintenance treatment clients in Yunnan province and its associated factors

作　　者：常亚萍[1] 袁文丽[1] 江春光[1] 朵林[1,2] 薛皓铭 杨云娟[3] 

机构地区：[1]云南省第二人民医院,昆明650021 [2]艾滋病亚洲区域项目云南省办公室,昆明650228 [3]云南省疾病预防控制中心,昆明650022

出　　处：《中国艾滋病性病》2011年第1期25-27,37,共4页Chinese Journal of Aids & STD

基　　金：中澳艾滋病亚洲区域项目;云南省全球基金/中英艾滋病项目~~

摘　　要：目的调查云南省美沙酮门诊受治者甲基安非他明滥用情况及影响因素。方法对云南省13个县的美沙酮门诊在治海洛因成瘾人员进行尿检及问卷调查,将结果进行卡方检验及多元线性回归分析。结果共调查1 514人,其中188人(占12.4%)甲基安非他明阳性。影响因素有:不同地点门诊(OR=16.51,P<0.01)、男性(OR=3.64,P<0.01)、傣族(OR=6.42,P<0.01)、结婚或同居(OR=1.70,P<0.01)、初中及以下(OR=1.82,P<0.01)、务农(OR=3.44,P<0.01),累计入组美沙酮半年及以上(OR=2.74,P<0.01)。尿检甲基安非他明阳性人员中,26.1%HIV检测阳性。结论美沙酮门诊受治者甲基安非他明滥用现象比较普遍,应有针对性地进行艾滋病预防干预。Objective To investigate the prevalence of meta amphetamine abuse among methadone maintenance treatment （MMT） clients in Yunnan province and its associated factors. Methods A total of 1514 clients from thirteen MMT clinics in Yunnan province were interviewed with questionnaires and their urine samples were tested for meta-amphetamine, Chi-square tests and multiple linear regression were used to analyze results obtained. Results Of the surveyed MMT clients , 188 （12.4 %） were tested positive for meta-amphetamine. The associated factors included： MMT clinics at different sites （OR=16.51,P〈0.01）, male（OR=3.64,P〈0.01）, Dai nationality （OR = 6.42, P〈0.01 ）, being married or cohabiting （OR = 1.70, P〈0. 01）, below junior middle schooling （OR= 1.82, P 〈0.01）, farmers（OR=3.44,P〈0.01）, receiving MMT for more than half-a-year （OR=2.74,P〈0. 01）. Of those who were positive for urine meta-amphetamine , 26. 1% were HIV positive . Conclusion Meta-amphetamine abuse was common in MMT clinics in Yunnan province, and relevant interventions should be implemented among them to prevent HIV/AIDS.

关 键 词：美沙酮门诊 甲基安非他明 滥用 

分 类 号：R996[医药卫生—毒理学]