| 李东民,卢姗,李培龙,葛琳,陶小润,姜珍霞,廖玫珍,崔岩.青岛市男性新型毒品滥用人群艾滋病病毒感染及危险行为调查[J].中华流行病学杂志,2018,39(6):750-754 |
| 青岛市男性新型毒品滥用人群艾滋病病毒感染及危险行为调查 |
| Study on the prevalence of HIV infection and related risk behaviors among male new-type drug users in Qingdao, Shandong province |
| 收稿日期:2018-01-14 出版日期:2018-06-20 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.06.011 |
| 中文关键词: 新型毒品 艾滋病病毒 高危行为 男性 |
| 英文关键词: New type drug HIV Risk behavior Male |
| 基金项目: |
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| 中文摘要: |
| 目的 了解山东省青岛市新型毒品滥用者使用新型毒品的情况、性行为特征及HIV感染状况。方法 采用横断面调查设计，2015-2016年在青岛市依托MSM社会组织和社区中男性新型毒品滥用者志愿者，滚雪球法招募男性新型毒品滥用者，样本量估计为933人。收集其吸毒、性行为，检测HIV、梅毒、HCV抗体，检测新型毒品滥用情况。采用EpiData 3.1软件建立数据库、SAS 9.4软件进行统计分析。结果 共招募1 034人，MSM组431人（占41.7%）和非MSM组603人（占58.3%）。与非MSM组相比，MSM组年龄较低，未婚比例较高，文化程度较高。最近6个月用过冰毒的比例MSM组和非MSM组分别为49.7%（214/431）和100.0%（603/603），用过零号胶囊的比例分别为66.8%（288/431）和0.0%。最近6个月与多人共用毒品者的比例MSM组和非MSM组分别为87.9%（379/431）和97.7%（588/602）（χ2=39.84，P<0.01）。最近6个月使用毒品后发生性行为从未使用安全套的比例，非MSM组（47.5%，285/600）高于MSM组（7.4%，32/430）（χ2=190.10，P<0.01）。最近6个月使用新型毒品后发生多人性行为的比例，MSM组和非MSM组分别为78.1%（335/429）和5.5%（33/600）（χ2=573.73，P<0.01）。MSM组的和非MSM组的HIV抗体阳性率、梅毒抗体阳性率、HCV抗体阳性率分别为2.1%和0.2%、3.3%和6.3%、0.0%和0.3%。结论 青岛市男性新型毒品滥用人群中有较高比例的多人共同吸毒，在有男男性行为的新型毒品滥用人群中，使用毒品后的群体性行为发生率高，HIV抗体阳性率较高，安全套使用率低，应重点加强对这部分亚人群的干预。 |
| 英文摘要: |
| Objective To understand the characteristics of new-type drug consumption, sexual behaviors and the prevalence of HIV infection among male new-type drug users in Qingdao, Shandong province.Methods A cross sectional survey was conducted from 2015 to 2016. Participants were recruited from MSM community-based organizations (CBO) and general community through snowball method, relying on volunteers and male peer educators who were on new-type drugs themselves. Face-to-face interview was carried to collect information on drug use and sexual behaviors. Blood samples were collected to test HIV, syphilis and HCV antibodies. Urine samples were collected to test the evidence of new-type drugs. Qualitative variables and quantitative variables were analyzed using Chi-square test/Fisher's exact test and Student's t-test respectively. Multivariate logistic regression was used to analyze related factors of binary variables.Results A total of 1 034 new-type drug users were recruited, including 431 (41.7%) MSM population and 603 (58.3%) who were not MSM. Compared with the the group of people who were not MSM, people in the the MSM group were younger, unmarried and with higher level of education. The proportion of methamphetamine users were 49.7% (214/431) and 100.0% (603/603) among the groups of MSM or not MSM, respectively. People in the MSM group, 66.8% (288/431) used 5-Methoxy-N, N-diisopropyltryptamine (5-MeO-DIPT, "foxy") in the last six months. However, none from the not-MSM group ever used 5-MeO-DIPT. In the last six months, proportions of sharing new-type drugs with more than two people in the MSM or not groups were 87.9% (379/431) and 97.7% (588/602), respectively (χ2=39.84, P<0.01). Proportions of unprotected sexual behavior among the MSM or not groups were 47.5% (285/600) and 7.4% (32/430) respectively (χ2=190.10, P<0.01). The proportions of ‘group sex’ after using drugs among the two groups were 78.1% (335/429) and 5.5% (33/600) respectively (χ2=573.73, P<0.01). The prevalence rates of HIV, syphilis and HCV antibody positive among the MSM or not groups were 2.1% and 0.2%, 3.3% and 6.3%, 0.0% and 0.3%, respectively.Conclusion The prevalence of sharing new-type drugs with more than two people was high among male new-type drug users in Qingdao city. Male new-type-drug-users who were MSM, presented both high prevalence of group sex and HIV infection, and with less condom use. Intervention measures towards this sub-population should be strengthened. |
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