美沙酮门诊吸毒人员艾滋病危险行为研究  

Risk behavior for HIV infection among injecting drug users in methadone clinic

作　　者：戴继舫[1] 周翔[1] 李丽娜[1] 

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《公共卫生与预防医学》2013年第4期54-57,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的研究和识别注射吸毒人群(IDUs)艾滋病相关危险行为,为注射吸毒人群艾滋病干预提供依据。方法对参与美沙酮维持治疗的6 633名静脉吸毒人群进行基线调查,收集相关的社会形态、吸毒、危险行为、社会因素等信息,结合HIV感染情况,对与HIV相关危险行为进行分析。结果初始吸毒平均年龄是男性(27.03±6.7)岁,女性(25.80±6.7)岁,吸毒人员以20～50岁人居多,83.80%人无业,初中以下占70.00%,安全套使用率为15.00%,共用针具比例为49.60%,注射行为与受教育程度有关,差异有统计学意义(χ2=10.6,P<0.01),多元回归分析表明,伴性行为、性别、年龄、吸毒费用、文化程度等是影响共用针具的重要因素。结论湖北省静脉吸毒人群的高危行为普遍,大多数吸毒是HIV的易感群体,美沙酮门诊应该注重艾滋病相关危险行为的行为学干预。Objectives To identify risk behaviors associated with HIV infection among injection drug users（IDUs） so as to provide evidence to develop intervention for IDUs.Methods A cross-sectional survey of IDUs（n = 6633） was conducted in an methadone clinic in Hubei,China,to collect information on demographics,drug use history,risk behavior,and other social variables.Combined with HIV infectious status,HIV related risk behavior was analyzed.Results The average age of initial use drug among males was 27.03 ± 6.7,females,25.80 ± 6.7,most of them received education under junior high school level（70%）,83.8% were unemployed,15% of the participants used a condom consistently,49.6% of them sharing needles.Injection behavior was related with educational level.（χ2 = 10.6,P 0.01）,Multivariate regression analysis showed that the times of needle sharing were associated with sex behaviors,educational level,gender,age,drug expenses.Conclusions Risk behaviors among IDUs in Hubei are common,and most IDUs are considered a vulnerable population of HIV.More attention should be paid to the intervention on risk behaviors in methadone clinic.

关 键 词：HIV AIDS 注射吸毒 多元回归分析 危险行为 

分 类 号：R532.21[医药卫生—内科学]