武汉市青少年男男性接触者药物滥用及影响因素  

Drug abuse and its influencing factors among young men who have sex with men in Wuhan,China

作　　者：石慧[1] 李十月[1] 王棠 曹越[1] 李晶晶[1] 燕虹[1] 

机构地区：[1]武汉大学公共卫生学院流行病与卫生统计学系武汉大学全球健康中心,湖北武汉430071 [2]湖北省卫生和计划生育委员会

出　　处：《中国公共卫生》2016年第3期329-332,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(81273135)

摘　　要：目的了解武汉市青少年男男性接触者药物滥用流行特征及其影响因素。方法通过同伴推荐、互联网宣传、外展活动的组织以及自愿咨询检测方法,于2013年5月—11月在武汉市对青少年男男性接触者（YMSM）进行匿名问卷调查。结果 397名YMSM中,22.9%（91/397）吸食过兴奋类药物,18.7%（17/91）经常吸食;药物滥用YMSM平均年龄为（21.8±2.2）岁,35.2%（32/91）药物滥用YMSM来自学生群体。82.4%（75/91）YM SM在吸食药物后与同性发生过性行为。42.7%（32/75）报告每次均使用安全套。本次调查人群艾滋病病毒（HIV）总体感染率为6.8%（27/397）,其中药物滥用者HIV感染率为12.1%（11/91）,高于无药物滥用YMSM中HIV感染率为5.2%（16/308）（χ2=5.290,P=0.021）。活动场所为网吧（OR=1.798,95%CI=1.001-3.229）,首次喜欢同性年龄在≤15岁的YMSM（OR=1.917,95%CI=1.126-3.266）更可能滥用药物。结论药物滥用YM SM人群中HIV感染者比例较大,对药物滥用的YM SM人群应重点干预。Objective To examine epidemiological feature and influencing factors of drug abuse among young men who have sex with men（ YMSM） and to provide evidences for targeted acquired immunodeficiency syndrome / human immunodeficiency virus（ AIDS / HIV） intervention. Methods Totally 397 YMSMwere recruited through peer recommendation,internet promotion,extending activity and HIV voluntary counseling and testing（ VCT） from May to November,2013 in Wuhan,and the questionnaires were completed anonymously by the participants. Multivariate logistic regression was used to explore factors associated with drug abuse. Results Of the YMSM,22. 9%（ 91 /397） reported ever taking excitatory drugs. Of the ever drug users,35. 2%（ 32 /91） were students,with an average age of 21. 8 ± 2. 2 years; 18. 7%（ 17 /91） reported taking drugs frequently; and 84. 2%（ 75 /91） reported the experience of having homosexual behavior after taking drugs,of which,42. 7%（ 32 /75） reported consistent condom use in the sexual activities. The positive rate of HIV infection was 6. 8% among all the YMSMand the rate was 12. 1% among the self-reported ever drug users,significantly higher than that（ 5. 2%,16 /308） among the YMSMwithout drug abuse history（ χ2= 5. 290. P = 0. 021）. Logistic regression analyses showed that the YMSMhaving activities in internet cafes（ odds ratio[OR]= 1. 917,95% confidence interval[95% CI]= 1. 126- 3. 266） and having homosexual behavior with the partners ≤15 years old（ OR = 1. 917,95%CI = 1. 126- 3. 266） were more likely to have drug abuse. Conclusion The YMSMwith drug abuse history have a higher positive rate of HIV infection,suggesting specific interventions need to be promoted among the population.

关 键 词：青少年男男性接触者 药物滥用 艾滋病 影响因素 

分 类 号：R395.6[哲学宗教—心理学]