丽水市莲都区吸毒人员行为特征及性病、艾滋病感染情况分析
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摘要
目的了解丽水市莲都区在册吸毒人员人口学、吸毒行为、性行为特征、艾滋病知识知晓率、HIV和梅毒感染情况等。方法采用横断面设计的方法,对莲都区在册吸毒人员进行一对一的问卷调查。结果共调查吸毒人员354人,男、女比例为3. 43∶1; 20岁～39岁为主(79. 94%);初中文化为主(56. 21%);未婚为主(45. 20%);艾滋病知识总体知晓率偏低;吸食冰毒者占91. 24%;使用毒品的主要地点为小旅馆(53. 67%);使用毒品后性行为发生率为15. 25%,男性为主,不同性别在使用毒品后是否发生性行为差异有统计学意义(χ2=106. 32,P <0. 01);吸毒后发生性行为男性中有10. 00%发生过同性性行为;使用毒品后性行为的安全套使用率极低;对337人进行血清学检测,0. 30%HIV抗体检测阳性,2. 67%梅毒抗体检测阳性。结论继续扩大对吸毒人员艾滋病相关服务,加强推广安全套的使用,积极探索有效的干预模式,加强对MSM人群毒品知识的宣教。
Objective To understand the demographics,drug abuse behavior,sexual behavior characteristics,awareness of AIDS knowledge,HIV and syphilis infections in Liandu District,Lishui. Methods Cross-sectional design method was adopted to perform one-on-one questionnaire survey on drug addicts in Liandu District. Results A total of 354 drug addicts were investigated,with sex ratio of 3. 43 ∶1 and giving priority to 20-39 years old group( 79. 94%); junior middle school education level accounted for 56. 21%; the unmarried accounted for 45. 20%; the awareness of HIV/AIDS related knowledge was low; methamphetamine user accounted for 91. 24%; the main place of drug use was small hotel( 53. 67%); the incidence rate of sexual behavior was 15. 25% after drug use,with male as the predominant cases,and the incidence differences of sexual behavior after drug use between male and female were statistically significant( χ2= 106. 32,P < 0. 01); among the men who had sex after drug abuse,10. 00% of them had homosexual sex; the rate of condom use was extremely low after drug use; a total of 337 respondents were conducted for serological detection,0. 30% of whom were positive for HIV antibody,and 2. 67% of whom were positive for syphilis. Conclusion It is necessary to continuously expand AIDS related services,strengthen the use of condoms,explore the intervention mode of drug addicts,and strengthen the education of drug knowledge in MSM population.
Objective To understand the demographics,drug abuse behavior,sexual behavior characteristics,awareness of AIDS knowledge,HIV and syphilis infections in Liandu District,Lishui. Methods Cross-sectional design method was adopted to perform one-on-one questionnaire survey on drug addicts in Liandu District. Results A total of 354 drug addicts were investigated,with sex ratio of 3. 43 ∶1 and giving priority to 20-39 years old group( 79. 94%); junior middle school education level accounted for 56. 21%; the unmarried accounted for 45. 20%; the awareness of HIV/AIDS related knowledge was low; methamphetamine user accounted for 91. 24%; the main place of drug use was small hotel( 53. 67%); the incidence rate of sexual behavior was 15. 25% after drug use,with male as the predominant cases,and the incidence differences of sexual behavior after drug use between male and female were statistically significant( χ2= 106. 32,P < 0. 01); among the men who had sex after drug abuse,10. 00% of them had homosexual sex; the rate of condom use was extremely low after drug use; a total of 337 respondents were conducted for serological detection,0. 30% of whom were positive for HIV antibody,and 2. 67% of whom were positive for syphilis. Conclusion It is necessary to continuously expand AIDS related services,strengthen the use of condoms,explore the intervention mode of drug addicts,and strengthen the education of drug knowledge in MSM population.
引文
[1]辅海平,杨利群,赵峥,等.桐乡市社区矫正吸毒人群艾滋病相关疾病感染状况及影响因素调查[J].中国卫生检验杂志,2016,26(1):118-121.
[2]冯武魁.吸毒人员的共性、心理状况及矫治方法[J].黑龙江省政法管理干部学院学报,2016(3):42-44.
[3]李霞.合成毒品滥用特特征及治理对策分析——基于云南省B市L区的调研[J].中国药物滥用防治杂志,2016,22(6):349-352.
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[5]刘天军,阚震. 373名吸毒人员性病、艾滋病感染情况分析[J].预防医学情报杂志,2016,32(4):365-368.
[6]翟雯雯,杨淑娟,余刚,等. 2009-2015年四川省凉山州吸毒人群HIV感染及影响因素分析[J].现代预防医学,2017,44(18):3265-3269.
[7]金洁,罗艳,陈珺芳,等.杭州市吸毒人群艾滋病、梅毒和丙肝感染状况及影响因素分析[J].预防医学,2018,30(3):248-256.
[8]赵丽娜,王大勇,叶振淼,等.浙江省温州市新型毒品与传统毒品滥用者HIV、HCV及梅毒螺旋体感染风险的比较研究[J].疾病监测,2015,30(9):737-741.
[9]郭慧,刘曦朦,王干一. 2016年河南省合成毒品滥用者现状分析[J].中国药物依赖性杂志,2018,27(1):67-71.
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[11]帕热扎木·木塔力甫,王学敏,姬尔高,等. 2015年伊犁州吸毒人群艾滋病知晓率及感染状况分析[J].中国初级卫生保健,2016,30(9):55-57.
[12]金樱枝,陈盼盼,付文捷,等.浦东新区吸毒人群梅毒和HCV感染情况与高危行为的相关性[J].中国艾滋病性病,2016,22(1):38-41.
[13]黎远帆,黄颉刚,黄礼平,等. 2016年广西鹿寨县吸毒人群新型毒品使用影响因素研究[J].中国预防医学杂志,2018,19(1):38-42.
[14]樊盼英,王增强,王俊杰,等.北京地区部分新型毒品滥用者HIV/STIs感染现状调查[J].中国艾滋病性病,2010,16(5):485-488.
[15]樊盼英,汪宁.新型毒品滥用者对艾滋病流行的影响[J].中华流行病学杂志,2010,31(3):340-343.
[16] Lydia ND,Thomas LP,Steffanie AS. Club drug as caual risk factors for HIV acquisition among men who have sex with men a review[J]. Subst Use Misuse,2006,41(10/12):1551-1601.
[17] Mansergh G,Purcell DW,Stall R,et al. CDC consultion on methamphetamine use and sexual risk behavior for HIV/STD infection summary and suggestions[J]. Public Health Rep,2006,121(2):127-132.
[18]杨江华,凌剑波,袁浩泉,等.江川县吸食新型毒品人群吸毒行为特征及性行为与安全套使用调查[J].皮肤病与性病,2015,37(1):37-39.
[19] Enisha S,Luke S,Michael S,et al. Human right abuses and suicidal ideation among male injecting drug users in Delhi,India[J].Intern J Drug Policy,2011,22(2):161-166.
[20]黄喜明,林鹏,李艳,等. 2011~2013年广东省吸毒人群丙肝感染状况及危险因素分析[J].预防医学论坛,2016,22(2):88-90.
[21]刘燕,方巧云,曾健君,等. 2011-2016年某市吸毒人群HIV、梅毒、梅毒螺旋体及丙肝病毒感染现状[J].使用预防医学,2018,25(4):452-454.
[22]濮志清,张敏,陈鑫,等. 2011-2015年南京市吸毒人群梅毒及丙肝感染状况[J].江苏预防医学,2016,27(4):445-446.
[2]冯武魁.吸毒人员的共性、心理状况及矫治方法[J].黑龙江省政法管理干部学院学报,2016(3):42-44.
[3]李霞.合成毒品滥用特特征及治理对策分析——基于云南省B市L区的调研[J].中国药物滥用防治杂志,2016,22(6):349-352.
[4]王艳芬,刘志民.我国“新型毒品”的滥用特征及其危害[J].中国预防医学杂志,2007,13(2):63-67.
[5]刘天军,阚震. 373名吸毒人员性病、艾滋病感染情况分析[J].预防医学情报杂志,2016,32(4):365-368.
[6]翟雯雯,杨淑娟,余刚,等. 2009-2015年四川省凉山州吸毒人群HIV感染及影响因素分析[J].现代预防医学,2017,44(18):3265-3269.
[7]金洁,罗艳,陈珺芳,等.杭州市吸毒人群艾滋病、梅毒和丙肝感染状况及影响因素分析[J].预防医学,2018,30(3):248-256.
[8]赵丽娜,王大勇,叶振淼,等.浙江省温州市新型毒品与传统毒品滥用者HIV、HCV及梅毒螺旋体感染风险的比较研究[J].疾病监测,2015,30(9):737-741.
[9]郭慧,刘曦朦,王干一. 2016年河南省合成毒品滥用者现状分析[J].中国药物依赖性杂志,2018,27(1):67-71.
[10]冯艳洁,王岚,梁良,等.秦皇岛市吸毒人群HIV、HCV及梅毒调查结果分析[J].中国卫生检验杂志,2014,24(8):1180-1182.
[11]帕热扎木·木塔力甫,王学敏,姬尔高,等. 2015年伊犁州吸毒人群艾滋病知晓率及感染状况分析[J].中国初级卫生保健,2016,30(9):55-57.
[12]金樱枝,陈盼盼,付文捷,等.浦东新区吸毒人群梅毒和HCV感染情况与高危行为的相关性[J].中国艾滋病性病,2016,22(1):38-41.
[13]黎远帆,黄颉刚,黄礼平,等. 2016年广西鹿寨县吸毒人群新型毒品使用影响因素研究[J].中国预防医学杂志,2018,19(1):38-42.
[14]樊盼英,王增强,王俊杰,等.北京地区部分新型毒品滥用者HIV/STIs感染现状调查[J].中国艾滋病性病,2010,16(5):485-488.
[15]樊盼英,汪宁.新型毒品滥用者对艾滋病流行的影响[J].中华流行病学杂志,2010,31(3):340-343.
[16] Lydia ND,Thomas LP,Steffanie AS. Club drug as caual risk factors for HIV acquisition among men who have sex with men a review[J]. Subst Use Misuse,2006,41(10/12):1551-1601.
[17] Mansergh G,Purcell DW,Stall R,et al. CDC consultion on methamphetamine use and sexual risk behavior for HIV/STD infection summary and suggestions[J]. Public Health Rep,2006,121(2):127-132.
[18]杨江华,凌剑波,袁浩泉,等.江川县吸食新型毒品人群吸毒行为特征及性行为与安全套使用调查[J].皮肤病与性病,2015,37(1):37-39.
[19] Enisha S,Luke S,Michael S,et al. Human right abuses and suicidal ideation among male injecting drug users in Delhi,India[J].Intern J Drug Policy,2011,22(2):161-166.
[20]黄喜明,林鹏,李艳,等. 2011~2013年广东省吸毒人群丙肝感染状况及危险因素分析[J].预防医学论坛,2016,22(2):88-90.
[21]刘燕,方巧云,曾健君,等. 2011-2016年某市吸毒人群HIV、梅毒、梅毒螺旋体及丙肝病毒感染现状[J].使用预防医学,2018,25(4):452-454.
[22]濮志清,张敏,陈鑫,等. 2011-2015年南京市吸毒人群梅毒及丙肝感染状况[J].江苏预防医学,2016,27(4):445-446.