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[目的]了解四川省西昌市静脉吸毒人群梅毒感染情况及其影响因素。[方法]于2005年10~11月在西昌市对静脉吸毒人群进行调查,调查内容包括社会人口学、毒品使用、共用注射器具静脉吸毒以及性行为情况等,同时采集血样进行梅毒抗体检测。[结果]在招募的325名静脉吸毒者中,梅毒感染率为17.2%(56/325),其中男性和女性的梅毒感染率分别为12.8%(35/273)和40.4%(21/53)。多因素Logistic回归模型分析结果显示,女性(OR:4.95;95%CI:2.49~9.83)、彝族(OR:2.44;95%CI:1.25~4.76)和近1个月与临时性伴发生非保护性性交(OR:2.61;95%CI:1.30~5.24)与静脉吸毒人群梅毒感染的关系有统计学意义。[结论]四川省西昌市静脉吸毒人群梅毒感染率高,迫切需要采取措施来提高该地区静脉吸毒人群中安全套的使用。
[Objective] To understand the syphilis infection and its influencing factors in intravenous drug users in Xichang, Sichuan Province. [Methods] A survey of intravenous drug users in Xichang City from October to November in 2005 was conducted. The survey included social demography, drug use, intravenous drug use and other sexual behaviors, and blood samples were collected for syphilis antibody testing. [Results] Among the 325 intravenous drug addicts recruited, the syphilis infection rate was 17.2% (56/325), of which 12.8% (35/273) and 40.4% (21/53) were syphilis infection rates in males and females respectively . Multivariate Logistic regression model analysis showed that non-protection of female (OR: 4.95; 95% CI: 2.49-9.83), Yi (OR: 2.44; 95% CI: 1.25-4.76) Sexual intercourse (OR: 2.61; 95% CI: 1.30-5.24) was associated with syphilis infection among intravenous drug users. [Conclusion] The prevalence of syphilis in intravenous drug users in Xichang, Sichuan Province is high, and there is an urgent need to take measures to improve the use of condoms in intravenous drug users in this area.