美沙酮维持治疗HIV阴性人员高危注射行为及安全套使用影响因素分析  

Analysis of Factors Influencing Risky Injecting Behaviors and the Condom's Use of HIV Negative Methadone Maintenance Treatment Personnel

作　　者：朵林 张志强[2] 李洪[3] 杨佳 朱靖[2] 薛皓铭 杨丽华 罗志 

机构地区：[1]中澳艾滋病亚洲区域项目,昆明653100 [2]昆明医科大学公共卫生学院,昆明650031 [3]云南省疾病预防控制中心,昆明650021 [4]昆明云迪行为与健康研究中心,昆明653100

出　　处：《医学综述》2013年第17期3192-3194,共3页Medical Recapitulate

基　　金：中澳艾滋病亚洲区域项目中国国家灵活项目(FA45HIV03)

摘　　要：目的了解美沙酮维持治疗门诊人类免疫缺陷病毒(HIV)阴性人员相关的高危行为及相关因素,为相关主管部门今后完善美沙酮维持治疗的管理工作提供科学依据。方法选取2011年4月至2011年6月在云南省12个县市美沙酮门诊点的调查资料,调查对象符合国家美沙酮维持治疗入组标准,征得被调查人员知情同意后,采用项目设计并经预实验修正后的现场调查问卷进行调查,内容包括人口学特征、高危注射行为、高危性行为等。数据采用SPSS 17.0软件进行统计分析。结果调查625例吸毒者,男性为主,有542例(86.7%),总体样本平均年龄(38.93±8.42)岁,入组后使用海洛因者有136例(21.9%),入组后注射使用新针具者有113例(18.1%),经美沙酮维持治疗HIV阴性人员安全套使用的危险因素有文化程度、年龄因素、艾滋病知识得分。结论 HIV阴性吸毒人群中存在共用针具,高危性行为等高危因素,对美沙酮受治者进行高危行为的预防及其干预和安全性行为知识的教育是非常有必要的。Objective To provide scientific basis for relevant administrative departments to improve methadone maintenance treatment management in the future through understanding human immunodeficiency virus（HIV） negative methadone maintenance treatment outpatients＇ related high-risk behaviors and reiated factors. Methods The investigation data was chosen from methadone clinics in 12 counties and municipali- ties of Yunnan province,from April to June in 2011. All investigation objects met the national entry criteria for methadone maintenance treatment. Informed consents were gained from all investigation personnel. A field investigation questionnaire after the project design and the pre-experiment correction was used, of which the contents included demographic characteristics, risky injection behaviors, and risky sexual behaviors, etc.. Excel 2003 was used for data entry and SPSS 17.0 software was used for statistical analysis. Results Alto- gether 625 cases of drug addicts were investigated,dominated by 542 male cases（86.7% ） ,with a（38.93 ＋ 8.42 ） year overall sample mean age. After entry, 136 cases （ 21.9% ） used heroin, and 113 cases （ 18.1% ） used new needling instruments. Influencing factors on the condom use of the HIV negative methadone mainte- nance treatment personnel included education degree, age, and scores of AIDS knowledge. Conclusion Risk factors like sharing needling instruments and risky sexual behaviors and so on among the HI＇V- negative drug addicts were found. Prevention from/intervention to the methadone patients＇ risky behaviors, and education to them with safe sexual behavior knowledge are very necessary.

关 键 词：美沙酮维持治疗 人类免疫缺陷病毒阴性 相关高危行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]