天津市2011-2015年吸毒人群行为特征及性传播疾病感染率调查

郭燕; 周宁; 李佳; 宁铁林; 郭巍

Abstract

郭燕,周宁,李佳,宁铁林,郭巍.天津市2011-2015年吸毒人群行为特征及性传播疾病感染率调查[J].Chinese journal of Epidemiology,2016,37(2):202-205

天津市2011-2015年吸毒人群行为特征及性传播疾病感染率调查

Behaviors on drug-abuse and prevalence of sexually transmitted diseases among drug users in Tianjin, China, from 2011 to 2015

Received:September 08, 2015

DOI：10.3760/cma.j.issn.0254-6450.2016.02.010

KeyWord: 吸毒行为性行为新型毒品艾滋病病毒梅毒

English Key Word: Drug abuse behavior Sexual behavior Club drugs HIV Syphilis

FundProject:天津市卫生行业重点攻关项目(14KG119)

Author Name	Affiliation	E-mail
Guo Yan	Department of AIDS/STD Prevention and Control, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China
Zhou Ning	Department of AIDS/STD Prevention and Control, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China
Li Jia	Department of AIDS/STD Prevention and Control, Tianjin Hebei District Center for Disease Control and Prevention, Tianjin 300150, China
Ning Tielin	Department of AIDS/STD Prevention and Control, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China
Guo Wei	Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese center for Disease Control and Prevention, Beijing 102206, China	guowei@chinaaids.cn

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Abstract:

目的了解天津市吸毒人群行为特征的变化及性传播疾病感染情况。方法 2011-2015年通过连续采样的方法,每年4-6月在天津市强制戒毒所内对新入所的吸毒者开展面对面匿名问卷调查,收集吸毒者人口学、行为学信息,开展HIV、梅毒和HCV检测,通过多因素分析探索该人群吸毒行为、性行为与性传播疾病的关联。结果 5年间共调查2 000名吸毒者,平均年龄为(34.5±8.7)岁,女性占17.9%,新型毒品使用者占45.4%,且逐年增高。新型毒品使用者在性行为的活跃程度上显著高于传统毒品使用者,而在与各类性伴发生性行为时安全套的使用率均低于传统毒品使用者。调查对象HIV总检出率为1.3%,梅毒总检出率为11.0%,HCV总检出率为52.0%。其中,新型毒品使用者的梅毒检出率显著高于传统毒品使用者(χ²=67.778,P<0.001)。多因素分析表明使用新型毒品(调整OR=1.607,95% CI:1.191~2.170)和女性(调整OR=5.287,95% CI:3.824~7.311)与梅毒感染有关联。结论天津市吸毒人群吸毒行为发生变化,新型毒品使用比例增加,经性传播疾病流行的风险也在增加。

English Abstract:

Objective To understand the change of behavioral characteristics among drug users(DUS) in Tianjin and the prevalence rates of major sexually transmitted disease infections.A series of cross-sectional surveys were used.Methods Between April and June, 2011 to 2015, a cross-sectional survey with face to face interview, was undertaken.Interview was conducted among DUS who entered the drug rehabilitation center and blood samples were drawn to test for HIV/syphilis/HCV infections.Multivariate logistic regression analysis was used to analyze the relationship between the infection of major sexually transmitted diseases and drug abuse or sexual behavior.Results 2 000 DUS were included during the 5-year study, with the average age of the DUS as 34.5±8.7.Female accounted for 17.9% and club drug(new drugs) users accounted 45.4% of the participants, with its proportion increasing over the years.Comparing to traditional drug users, club drug users showed more sexual activities with partners, but lower proportion of condom use.Prevalence rates of HIV/Syphilis and HCV were 1.3%, 11.0%, 52.0%, respectively.The prevalence of syphilis among club drug users was significantly higher than those on traditional-drug use(χ²=67.778, P<0.001).Data from Binary logistic regression analysis showed that club drug use(adjusted OR=1.607, 95% CI:1.191-2.170) and females(adjusted OR=5.287, 95% CI:3.824-7.311) were associated with syphilis infection among DUS.Conclusion Drug abuse behavior changed among the drug abuse in Tianjin.Proportion of club drug use continued to increase so as the risk of infected sexually transmitted diseases.

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