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目的研究和识别注射吸毒人群(IDUs)艾滋病相关危险行为,为注射吸毒人群艾滋病干预提供依据。方法对参与美沙酮维持治疗的6 633名静脉吸毒人群进行基线调查,收集相关的社会形态、吸毒、危险行为、社会因素等信息,结合HIV感染情况,对与HIV相关危险行为进行分析。结果初始吸毒平均年龄是男性(27.03±6.7)岁,女性(25.80±6.7)岁,吸毒人员以20~50岁人居多,83.80%人无业,初中以下占70.00%,安全套使用率为15.00%,共用针具比例为49.60%,注射行为与受教育程度有关,差异有统计学意义(χ2=10.6,P<0.01),多元回归分析表明,伴性行为、性别、年龄、吸毒费用、文化程度等是影响共用针具的重要因素。结论湖北省静脉吸毒人群的高危行为普遍,大多数吸毒是HIV的易感群体,美沙酮门诊应该注重艾滋病相关危险行为的行为学干预。
Objective To study and identify HIV-related risk behaviors among injecting drug users (IDUs) and provide basis for HIV / AIDS intervention among injecting drug users. Methods A total of 6 633 intravenous drug addicts participating in methadone maintenance treatment were enrolled in the study. Relevant social patterns, drug addicts, dangerous behaviors and social factors were collected. Combined with HIV infection, HIV-related risk behaviors were analyzed. Results The average age of initial drug addicts was 27.0 ± 6.7 years old and 25.80 ± 6.7 years old. The number of drug addicts was mostly between 20 and 50 years old, 83.80% were unemployed, 70.00% were below junior high school, 15.00% were condoms, The proportion of shared needles was 49.60%. The injection behavior was related to education level. The difference was statistically significant (χ2 = 10.6, P <0.01). Multivariate regression analysis showed that sexual behavior, gender, age, drug use expenses, educational level and so on Is an important factor affecting the sharing of needles. Conclusion The high risk behavior of intravenous drug users in Hubei Province is widespread. Most drug addicts are susceptible groups of HIV. Methadone clinics should pay attention to behavioral interventions for AIDS-related risk behaviors.