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目的:了解合成毒品滥用后高危性行为的发生情况,以及自主预防意识的调查,探索降低合成毒品危害与减少HIV传播感染的有效措施。方法:本研究是在2015年3月至2015年6月期间,在广东省某市级强制隔离戒毒所进行。对313例在所进行强制隔离戒毒治疗,与“甲基苯丙胺和氯胺酮物质滥用”相关的戒毒者进行问卷调查。结果:313例调查对象中男性286人,女性27人;苯丙胺类滥用者占到68.4%,海洛因和苯丙胺类混合滥用者占到17.9%;66.6%的调查对象吸毒后发生过性行为,74.1%的调查对象吸毒后发生性行为从未使用安全套或有时使用安全套,吸毒后发生同性性行为和群体性行为的比例分别为3.0%和6.1%,34.5%的人承认吸毒后会增加性交频次。结论:合成毒品滥用人群仍然以青少年为主;甲基苯丙胺和氯胺酮是主要滥用精神活性物质;合成毒品滥用后增加高危性行为的发生,增加艾滋病传播的风险;加强青少年的禁毒宣传教育,提高合成毒品危害认识是预防HIV传播的重要措施之一。
OBJECTIVE: To investigate the occurrence of high-risk sexual behaviors after the abuse of synthetic drugs, investigate the self-protection awareness and explore effective measures to reduce the harm of synthetic drugs and reduce the transmission of HIV infection. Methods: This study was conducted between March 2015 and June 2015 in a compulsory isolated drug treatment center in Guangdong Province. Of 313 patients who underwent forced isolation and drug treatment, those who were drug users related to methamphetamine and ketamine abuse were surveyed. Results: There were 286 males and 27 females in 313 cases. Amphetamine abusers accounted for 68.4% and mixed abusers of heroin and amphetamines accounted for 17.9%. 66.6% of the respondents had sex after taking drugs, 74.1% Of the respondents had sex after taking drugs never used condoms or condoms sometimes, 3.0% and 6.1% of homosexual and group sex behaviors occurred after taking drugs, 34.5% of them admitted that they would increase the frequency of intercourse after taking drugs. CONCLUSIONS: The abuse of synthetic drugs is still dominated by adolescents; methamphetamines and ketamine are the major substances that abuse psychoactive substances; the abuse of synthetic drugs increases the incidence of high-risk sexual behaviors and increases the risk of transmission of AIDS; and strengthening youth anti-drug publicity and education to improve the synthesis Drug hazard awareness is one of the important measures to prevent the spread of HIV.