| 刘建波,张灵麟,赖文红,冯燎,曾亚莉,刘莉,胡莹,李婕,张晓琳,萧燕,StenHVermund,贾玉江.新注射吸毒者及长期注射吸毒者共用针具的影响因素分析[J].Chinese journal of Epidemiology,2009,30(7):656-662 |
| 新注射吸毒者及长期注射吸毒者共用针具的影响因素分析 |
| Sharing of needles and paraphernalia injection in new and long-term injection drug users in Sichuan,China |
| Received:December 13, 2008 |
| DOI：10.3760/cma.j.issn.0254-6450.2009.07.002 |
| KeyWord: 注射吸毒 共用针具 安全套 影响因素 |
| English Key Word: Injection drug user Needie sharing Condom use Risk factor |
| FundProject:中英性病艾滋病防治合作项目(2000--2006);Vanderbilt-Meharry-CFAR/NIH#P30 AI 54999(2008—2009);河北省科研计划项且(07276101D一71). |
| Author Name | Affiliation | E-mail | | LlU Jianbo | 050017,石家庄,河北医科大学公共卫生学院 | | | ZHANG LInglin | 四川省疾病预防控制中心性病艾滋病预防控制所 | weirzhang@vip.163.com | | LAI Wenhong | 四川省疾病预防控制中心性病艾滋病预防控制所 | | | FENG Liao | 四川省疾病预防控制中心性病艾滋病预防控制所 | | | ZENG Yali | 四川省疾病预防控制中心性病艾滋病预防控制所 | | | LIU Li | 四川省疾病预防控制中心性病艾滋病预防控制所 | | | HUYing | 四川省疾病预防控制中心性病艾滋病预防控制所 | | | LIJie | 050017,石家庄,河北医科大学公共卫生学院 | | | ZHANG Xiaotin | 050017,石家庄,河北医科大学公共卫生学院 | | | XIAO Yan | 中国疾病预防控制中心 | | | Sten HVermund | School of Medicine, Vanderbilt University, the United States | | | JIA Yujiang | School of Medicine, Vanderbilt University, the United States | |
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| Abstract: |
| 目的 了解新注射吸毒者和长期注射吸毒者共用针具的影响因素。方法 对四川省注射吸毒者进行社区横断面调查。结果 3852名被调查者中, 注射吸毒史<1年、l一3年和>3年者最近6个月共用针具比例依次为19.9％、29.1％和36.3％。注射吸毒<1年的被调查者共用针具的独市影响因素包括女性、少数民族、注射吸毒频率高、共用注射器, 针头以外其他吸毒用具、有非同定性伴、固定性伴注射吸毒、未自愿做过艾滋病检测、招募年、招募地区;注射吸毒1-3年的被调查者共用针具的独立影响因素包括文化程度低、注射频率高、共用注射器/针头以外其他吸毒用具、有非固定性伴、固定性伴注射吸毒、未使用安全套、未参与技能培训、招募年、招募地区;注射吸毒>3年的被调查者共用针具的独立影响因素包括文化程度低、注射频率高、共用注射器/针头以外其他吸毒用具、有非同定性伴、有商业性伴、固定性伴注射吸毒、末使用安全套、未参与针具交换、招募年、招募地区。结论 新注射吸毒者和长期注射吸毒者共用针具及无保护性行为比例均较高, 长期注射吸毒者较新注射吸毒者有更多共用针具行为和无保护性行为, 针对两类人群的干预应有不同侧重。 |
| English Abstract: |
| Objective To examine the prevalence and correlates for needle-sharing among new and long term injection drug users(IDUs)in Sichuan province.China.Methods consecutive cross.sectional surveys were conducted in 6 prefectures of Sichuan province,from 2003 to 2005. Questionnaire.based interviews provided information including socio-demographics.drug-use, sexual behaviors and HIV-related services.Multivariable logistic regression methodology Was used for data analysis.Results Of 3852 eligible participants.the rates of needle.sharing in the last 6 months for IDUs with a less than one year, one to three year, and more than three year injection history were 19.9%,29.1%.and 36.3%.respectively.Needle.sharing for IDUs with a less than one.year injection history was independently associated with factors as：being female, having minority background, higher frequency of rejection, sharing injecting equipments, ever having had a nonregular sex partner, or aregular sex partner who injected drugs, never had a test on HIV, being recruited in 2005, and from Zigong prefectm'es of Sichuan.Needle.sharing for IDUs with a 1-3 year injection history were independently associated with receiving less education, having higher frequency of rejecting behavior, sharing injecting equipments,ever having had a non-regular sex partner/a regular sex parmer who injected drugs, ever having had unprotected sex with a non.regular sex partner.ever having had unprotected sex with a commercial sex partner or client, never aRended skill training for HIV/STD prevention being ecruited in 2005 and 2004, and being recruited from Deyang, Zigong, and Liangshan prefectures.Needle sharing for IDUs with a more than three.year iniection history was independently associated with factors as：less education higher Irequency of rejecting, sharing lnJectmg equipment, ever I'had a nonregular sex partner, ever had unprotected sex with a non-regular sex partner, ever had unprotected sex with a commercial sex partner or client, having had regular sex partners who inject drugs, never attended needle exchange programs, being recruited in 2005 and 2004, and being recruited from Deyang, Zigong, and Liangshan prefectures.Conclusion The rates for both needle/paraphernalia sharing and unprotected sex behaviors were high in the IDUs in Sichuan province.These rates were higher among longer-term IDUs than in new IDUs.Our data underlined that bener targeted, in.depth and sustained comprehensive intervention packages which including needle exchange。condom promotion along with distribution, and education。were urgently needed to reduce both IDU.related and sex, related risk behaviors among both new and longer term IDUs. |
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