文章摘要
姜海波,曹晓斌,王常合,罗巍,柔克明,李建华,张波,吴尊友.HIV阳性美沙酮维持治疗者新型毒品使用情况及其影响因素分析[J].中华流行病学杂志,2014,35(8):905-908
HIV阳性美沙酮维持治疗者新型毒品使用情况及其影响因素分析
Club-based drug use and its associated risk factors among HIV-positive methadone maintenance treatment clients
收稿日期:2014-02-28  出版日期:2014-08-30
DOI:10.3760/cma.j.issn.0254-6450.2014.08.007
中文关键词: 美沙酮维持治疗  新型毒品  影响因素
英文关键词: Methadone maintenance treatment  Club drugs  Risk factors
基金项目:国家“十二五”科技重大专项(2012ZX10001007-002);中国艾滋病/结核病多学科研究培训项目(5U2RTW006918)
作者单位E-mail
姜海波 230032 合肥, 安徽医科大学公共卫生学院
中国疾病预防控制中心性病艾滋病预防控制中心 
 
曹晓斌 中国疾病预防控制中心性病艾滋病预防控制中心  
王常合 中国疾病预防控制中心性病艾滋病预防控制中心  
罗巍 中国疾病预防控制中心性病艾滋病预防控制中心  
柔克明 中国疾病预防控制中心性病艾滋病预防控制中心  
李建华 云南省药物依赖防治研究所  
张波 云南省药物依赖防治研究所  
吴尊友 230032 合肥, 安徽医科大学公共卫生学院
中国疾病预防控制中心性病艾滋病预防控制中心 
wuzy@263.net 
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中文摘要:
      目的 了解HIV阳性美沙酮维持治疗(MMT)者新型毒品使用情况及其影响因素。 方法 在云南省瑞丽、芒市、文山、蒙自、个旧5个MMT门诊选取612名HIV阳性服药人员进行尿液吗啡、甲基苯丙胺、亚甲二氧基甲基苯丙胺、丁丙诺啡、苯二氮卓类检测和问卷调查,收集一般情况、新型毒品使用情况等信息。 结果 612名调查对象平均年龄(38.9±6.3)岁,78.9%为男性,平均受教育年限(8.0±3.4)年,60.5%与家人关系好,25.0%自报近一年使用过新型毒品。尿检结果显示:吗啡阳性率为14.4%,新型毒品阳性率为26.6%。所在地区、有无临时性伴、是否脱失过MMT、是否偷吸海洛因对新型毒品使用和尿检结果的影响均有统计学意义(P<0.05)。结论 HIV阳性MMT者中使用新型毒品的现象普遍。应加强新型毒品使用的监督、检测及相关高危行为干预。
英文摘要:
      Objective To describe club-based drug use and to explore the determinants on those HIV-positive methadone maintenance treatment(MMT) clients. Methods This study was conducted in 5 MMT clinics in Yunnan province and 612 MMT clients who met the survey criteria were recruited for the study. Urine sample was tested as a biological marker to identify if heroin,methamphetamine,methylene-dioxy-methyl-amphetamine,buprenorphine or benzodiazepine had been used. Results The average age among the 612 clients was 38.9±6.3 years. Among these,78.9% were males,with the average years of education as 8.0±3.4 years. There were 60.5% clients who had good relationship with their families. 153(25.0%) clients reported having used club-related drugs in the last 12 months. Results from the urine test showed that the positive rate on morphine was 14.4%,while the positive rate for club-related drugs was 26.6%. Factors as residential area,casual sexual partners,retention on MMT and occasionally use of heroin were associated with urine results on club-related drugs and the prevalence of self-reported club drug use (P<0.05). Conclusion Club-related drug use was common among HIV-positive MMT clients. Inspection and supervision for club-related drugs and the education and intervention programs on related high risk behaviors should be strengthened.
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