南京市男男性行为人群使用新型毒品亚硝酸酯类吸入剂rush poppers情况调查

朱正平; 张敏; 徐园园; 许文炯; 刘黎; 吴苏姝; 郭璐; 李昕

Abstract

朱正平,张敏,徐园园,许文炯,刘黎,吴苏姝,郭璐,李昕.南京市男男性行为人群使用新型毒品亚硝酸酯类吸入剂rush poppers情况调查[J].Chinese journal of Epidemiology,2017,38(2):189-193

南京市男男性行为人群使用新型毒品亚硝酸酯类吸入剂rush poppers情况调查

Cross-sectional surveys on the use of recreational drug nitrous-acid-ester rush-poppers in men who have sex with men, Nanjing

Received:August 03, 2016

DOI：10.3760/cma.j.issn.0254-6450.2017.02.011

KeyWord: 男男性行为者亚硝酸酯类横断面调查

English Key Word: Men who have sex with men Nitrous acid ester Cross-sectional survey

FundProject:

Author Name	Affiliation	E-mail
Zhu Zhengping	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China	zzp@njcdc.cn
Zhang Min	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Xu Yuanyuan	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Xu Wenjiong	Department of Microbiological Examination, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Liu Li	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Wu Sushu	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Guo Lu	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
Li Xin	Department of AIDS and STDs Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China

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Abstract:

目的了解南京市男男性行为人群使用新型毒品亚硝酸酯类吸入剂rush poppers情况。方法 2014年4-6月、10-12月和2015年4-6月，分别在南京市开展3轮横断面调查，招募男男性行为者，进行血清学检测和问卷调查。结果共计调查1 721名男男性行为者，使用过rush poppers者为19.3%（332/1 721），3轮调查中使用rush poppers的比例分别为12.6%（86/681）、27.6%（121/439）、20.8%（125/601），呈上升趋势（线性χ²=14.879，P=0.000）。rush poppers使用者与HIV感染有关联（OR=1.676，95%CI：1.201~2.339，P=0.002）。与rush poppers未使用者相比，使用者的主要人口学特征是≤30岁、未婚、大专及以上文化程度、本地居住时间<2年、通过网络寻找性伴和性取向为同性恋者的比例较高。多因素logistic回归分析结果显示，排除了潜在的混杂因素之后，<30岁、大专及以下文化程度、本地居住时间<2年、最近6个月性伴数≥2人、最近1年被诊断患过性病和吸过传统毒品等因素是使用rush poppers的危险因素。结论南京市男男性行为者使用rush poppers与HIV感染有关联。年轻人、文化程度较高、流动性大、多性伴、患过性病和吸过传统毒品的男男性行为者是使用rush poppers的重点人群。

English Abstract:

Objective To investigate the situation of recreational drug nitrous acid ester inhaler-rush poppers use in men who have sex with men (MSM). Methods From April to June in 2014, October to December in 2014, April to June in 2015, three round cross-sectional surveys were conducted in MSM recruited in Nanjing by means of serum test and questionnaire survey. Results Of the 1 721 MSM surveyed in three round, 19.3% (332/1 721) had ever used rush poppers, the proportions of MSM who used rush poppers in three round surveys showed an increasing trend (liner by liner χ²=14.879, P=0.000), which was 12.6% (86/681), 27.6% (121/439) and 20.8% (125/601) respectively. Rush poppers use was associated with HIV infection significantly (OR=1.676, 95%CI:1.201-2.339, P=0.002). Compared with MSM without rush poppers use, the MSM with rush poppers use were mainly aged <30 years, unmarried, received college and higher education, had lived in Nanjing for less than 2 years, seek sex partners through internet and identified themselves as homosexual orientation. Multivariate logistic analysis showed that less than 30 years old, living in Nanjing for less than 2 years, with college and higher education level, more than 2 sex partners in the past 6 months, being diagnosed with STDs in the previous one year and using traditional drugs were the risk factors associated with rush poppers use. Conclusion Rush poppers use was related with HIV infection in MSM in Nanjing.

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