| 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].Chinese journal of Epidemiology,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 |
| Received:February 28, 2014 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.08.007 |
| KeyWord: 美沙酮维持治疗 新型毒品 影响因素 |
| English Key Word: Methadone maintenance treatment Club drugs Risk factors |
| FundProject: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） |
| Author Name | Affiliation | E-mail | | Jiang Haibo | School of Public Health, Anhui Medical University, Hefei 230032, China
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | | | Cao Xiaobin | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | | | Wang Changhe | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | | | Luo Wei | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | | | Rou Keming | National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | | | Li Jianhua | Yunnan Institute for Drug Abuse | | | Zhang Bo | Yunnan Institute for Drug Abuse | | | Wu Zunyou | School of Public Health, Anhui Medical University, Hefei 230032, China
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention | wuzy@263.net |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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