山东省强制戒毒人员新型冠状病毒认知、风险感知及预防行为影响因素分析  

Analysis on influencing factors of COVID-19 cognition,risk perception and preventive behavior among compulsory drug addicts in shandong province

作　　者：马霜 朱晓艳[2] 林彬[2] 于海英[2] 黄鹏翔[2] 赵文煜 李桂蓉 王元福 何鹏飞 康殿民 王国永[2] MA Shuang;ZHU Xiao-Yan;LIN Bin;YU Hai-ying;HUANG Peng-xiang;ZHAO Wen-yu;LI Gui-rong;WANG Yuan-fu;HE Peng-fei;KANG Dian-min;WANG Guo-yong(School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong 250012,China;AIDS Prevention and Control Institute,Shandong Center for Disease Control and Prevention;School of Public Health and Health Management,Shandong First Medical University;Laboratory Department,Shandong Drug Rehabilitation Monitoring and Treatment Institute(Shandong Shengjian 83 Hospital);Department of Internal Medicine,Shandong Drug Rehabilitation Monitoring and Treatment Center(Shandong Shengjian 83 Hospital))

机构地区：[1]山东大学齐鲁医学院公共卫生学院,山东济南250012 [2]山东省疾病预防控制中心艾滋病防制所 [3]山东第一医科大学公共卫生与健康管理学院 [4]山东省戒毒监测治疗所(山东省生建八三医院)检验科 [5]山东省戒毒监测治疗所(山东省生建八三医院)内科

出　　处：《预防医学论坛》2024年第10期773-778,共6页Preventive Medicine Tribune

基　　金：山东省强制隔离戒毒所的大力支持。

摘　　要：目的了解山东省强制戒毒人员的新型冠状病毒(以下简称新冠)感染、认知、风险感知、预防行为及相关影响因素,为特殊人群新发传染病的认知教育、封闭场所的疫情防控提供参考依据。方法2023年8月招募山东省强制隔离戒毒人员,开展面对面问卷调查,收集人口学特征、新冠认知、风险感知及预防行为等情况。采用logistic回归、多元线性回归分析新冠认知、风险感知和预防行为的相关影响因素。结果共调查戒毒人员137名,80.3%(110/137)感染过新冠,54.7%(75/137)对新冠认知较低。logistic回归分析示,男性(OR=3.788,95%CI:1.356~10.526,P=0.011)、初中及以下学历(OR=4.587,95%CI:1.095~19.230,P=0.014)、入所前职业是个体经营户(OR=6.047,95%CI:1.319~27.724,P=0.021)、隔离时长>3周(OR=3.033,95%CI:1.111~8.281,P=0.030)的戒毒人员新冠认知水平较低。多元线性回归分析示,隔离时间越长,新冠风险感知水平越高(B=2.838,P=0.007);第一次吸毒年龄越大,新冠预防行为越好(B=1.994,P=0.012)。结论山东省强制隔离戒毒所的男性、初中及以下学历等的戒毒人员新冠认知水平较低;隔离时间是新冠风险感知水平的影响因素;第一次吸毒年龄与新冠预防行为相关。今后应针对此类人群开展相应的健康教育。Objective To understand the situation of COVID-19 infection, COVID-19 cognition, risk perception, preventive behavior and related influencing factors among compulsory drug addicts in Shandong province, so as to provide reference for cognitive education of emerging infectious diseases among the special population and epidemic prevention and control in closed places. Methods Compulsory drug addicts in Shandong province were recruited in August 2023 to conduct a face-to-face questionnaire survey to collect demographic characteristics, COVID-19 cognition, risk perception and preventive behavior.Logistic regression and multiple linear regression were used to analyze the related influencing factors of COVID-19's cognition, risk perception and preventive behavior. Results A total of 137 drug addicts were investigated, of whom 65.0%(89/137) were male, 81.0%(111/137) were heterosexual, 19.7%(27/137) were HIV-infected.There were 76.6%(105/137) of drug addicts entered the drug rehabilitation center for the first time, 80.3 %(110/137) were infected with COVID-19,54.7%(75/137) had low awareness of COVID-19.Logistic regression analysis showed that male(OR=3.788,95%CI:1.356-10.526,P=0.011),junior high school education or below(OR=4.587,95%CI:1.095-19.230,P=0.014),the occupation before admission was self-employed(OR=6.047,95%CI=1.319-27.724,P=0.021),and the isolation duration of>3 weeks(OR=3.033,95%CI:1.111-8.281,P=0.030) had a lower level of awareness of COVID-19.According to the multiple linear regression equation, the longer the isolation time(B=2.838,P=0.007),the higher the risk perception level of COVID-19.The older the first drug user(B=1.994,P=0.012),the better the preventive behavior in COVID-19.Correlation analysis showed that the risk perception level of drug addicts was positively correlated with preventive behavior(r=0.226,P<0.01). Conclusion COVID-19's cognitive level of male, junior high school and below educated drug addicts is low;Isolation time is the influencing factor of risk perception level in COVID-19.The a

关 键 词：戒毒人员 HIV感染者 冠状病毒 认知 风险感知 预防行为 

分 类 号：R183.3[医药卫生—流行病学] R195.4[医药卫生—公共卫生与预防医学]