海洛因静脉吸毒者共用针具行为检出率及危险因素  

Needle-sharing behavior among intravenous heroin users：prevalence and risk factors

作　　者：张现国 高艳杰[4] 张宝华[5] 方强 范强 钟宝亮[2,3] 禚传君[3,4] 

机构地区：[1]宁波市安康医院,宁波315500 [2]天津市安宁医院 [3]天津市公安局安康医院 [4]华中科技大学同济医学院附属精神卫生中心 [5]天津市安定医院功能影像科

出　　处：《中华行为医学与脑科学杂志》2015年第9期842-844,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：宁波市安康医院学科建设基金项目（2011A09）

摘　　要：目的 探讨海洛因静脉吸毒者共用针具行为的检出率及危险因素.方法 调查474例海洛因静脉吸毒者（IDUs）的社会人口学特征、吸毒特征和HIV知识知晓情况,并用简明国际神经精神访谈诊断IDUs的反社会人格障碍.结果 海洛因IDUs共用针具行为检出率为53.8％,IDUs共用针具吸毒的危险因素为男性、未婚、离异或丧偶、本地户籍、开始吸毒年龄小和反社会人格障碍（OR=1.11～6.69,P＜0.05）.结论 海洛因IDUs共用针具行为检出率高,有必要采取综合性的社会-行为-心理干预才能有效预防IDUs感染HIV.Objective To investigate the prevalence and risk factors of needle-sharing behavior among intravenous drug users （IDUs）.Methods Data regarding socio-demographics,drug abuse characteristics and HIV related health literacy of 474 heroin IDUs were collected.Antisocial personality disorder of IDUs was diagnosed through Mini international neuropsychiatric interview.Results The prevalence of needle sharing among IDUs was 53.8%.Needle-sharing behavior of IDUs was significantly associated with male gender,marital status of being single and separated/divorced,local dwelling,an early age of first drug abuse and antisocial personality disorder （OR =1.11 ～ 6.69,P〈0.05）.Conclusion Heroin IDUs have high prevalence of needle sharing.A comprehensive social,behavior and psychology based intervention is needed to effectively prevent HIV infection in IDUs.

关 键 词：静脉吸毒 共用针具 反社会人格障碍 艾滋病 

分 类 号：R749.64[医药卫生—神经病学与精神病学] R512.91[医药卫生—临床医学]