昆明女性吸毒者使用兴奋类合成毒品的趋势与相关因素分析  

Trends on stimulantsynthetic drug use and associations among female drug users

作　　者：李婕[1] 李怡[1] 张婉筠[1] 程晓藕 赵山平[1] 廖斌[1] LI Jie;LI Yi;ZHANG Wan-yun;CHENG Xiao-ou;ZHAO Shan-pin;LIAO Bin(Division of AIDS/STD Control and Prevention,Kunming Center fbrDisease Control and Prevention,Kunming,Yunnan 650228,China)

机构地区：[1]昆明市疾病预防控制中心艾滋病性病防制科,云南昆明650228

出　　处：《皮肤病与性病》2021年第4期472-474,506,共4页Dermatology and Venereology

摘　　要：目的了解女性吸毒者使用兴奋类合成毒品的趋势和相关因素的年度变化,为相关疾病防控提供决策参考信息。方法(2011—2018)年采用结构问卷对云南省女子戒毒所新入所者进行横断面调查,分析变化趋势和相关因素。结果共3512名女性吸毒者纳入分析,8年间使用兴奋类合成毒品的比例逐年上升(r_(s)=0.230,P<0.001),从2011年19.3%升至2018年57.1%;最近1个月发生性行为比例上升(r_(s)=0.100,P<0.001);曾注射比例下降(r_(s)=-0.090,P<0.001)。多因素分析结果显示年度、最近1个月发生性行为、最近1年性伴类型仅商业性伴、未曾注射毒品、年龄偏小的女性吸毒者更可能使用兴奋类合成毒品(均P<0.05)。结论女性吸毒者使用兴奋类合成毒品和性行为的发生呈上升趋势,需警惕疾病传播从经血途径向经性途径转变。Objective To analyze the trends on stimulant synthetic drug useassociations among female drug users by time and provide supported data for construction of disease prevention and controlling strategy.Methods During 2011—2018,continuous cross-sectional surveywas conducted using structure questionnaire-based interviews in Yunnan provincial female detoxification center.Trends on stimulant synthetic drug use and associations were analyzed.Results In total,3512 female drug users were included in analysis.Within 8 years,stimulant synthetic drug use was increased by year(r_(s)=0.230,P<0.001),with 193%in 2011 and 57.1%in 2018;sex behavior in a recent month was also increased(r_(s)=0.100,P<0.001);while injection drug use was decreased(r_(s)=-0.090,P<0.001).Multivariate logistic regression analysis showed that year passing,had sexual behavior in a recent month,only commercial sex partners in a recent year,never inj ected drugs and younger female drug users were likely to use stimulant synthetic drug(all P<0.05).Conclusions Increasing trends on stimulant synthetic drug use and active sexual behavior among female drug users were observed during long years,cautions to the transmission mode transforming from blood to sexual mode must be taken.

关 键 词：趋势分析 兴奋类合成毒品 高危行为 女性吸毒者 

分 类 号：R969.3[医药卫生—药理学] R512.91[医药卫生—药学]