CAJ | 학술논문

目的了解绵阳市(Men who have sex with men,MSM)吸毒行为及与艾滋病病毒(Human Immunodeficiency Virus,HIV)感染和相关行为关系.方法采用滚雪球抽样法,男男性行为者知情同意下在固定场所进行招募和自填式匿名调查.结果在该市5县、2区、1市合格调查的820人中,2.9％有吸毒行为,其中静脉注射为0.2％.不同地区吸毒行为差异有统计学意义(拟然比x2=57.175,P=0.000),其中江油市最高为12.4％.有吸毒行为者HIV/梅毒感染率为12.5％/13.6％.单因素分析年龄(x2=6.948,P=0.031)、近1周肛交次数(x2=18.391,P=0.000)、近6月商业性行为(x2=10.685,P=0.001)、近1次商业性行为保护性(x2 =4.186,P=0.041)、近6月男性肛交保护性(x2=15.314,P=0.000)、近1年诊断过性病(x2 =82.753,P=0.000)、近1年做过HIV检测(x2=4.531,P=0.033)与吸毒行为相关.多因素分析近1周肛交次数、近6月男性肛交保护性、近1年诊断过性病对MSM人群吸毒行为有影响,近1周肛交次数≥2、近6月有无保护性行为、近1年诊断过性病者吸毒比例较高.结论该市个别地区MSM人群吸食新型毒品达到较高水平,促进了该人群HIV高危行为发生,其HIV感染风险增高.在HIV防治中应结合开展降低毒品危害干预.
목적 료해면양시(Men who have sex with men,MSM)흡독행위급여애자병병독(Human Immunodeficiency Virus,HIV)감염화상관행위관계.방법 채용곤설구추양법,남남성행위자지정동의하재고정장소진행초모화자전식닉명조사.결과 재해시5현、2구、1시합격조사적820인중,2.9％유흡독행위,기중정맥주사위0.2％.불동지구흡독행위차이유통계학의의(의연비x2=57.175,P=0.000),기중강유시최고위12.4％.유흡독행위자HIV/매독감염솔위12.5％/13.6％.단인소분석년령(x2=6.948,P=0.031)、근1주항교차수(x2=18.391,P=0.000)、근6월상업성행위(x2=10.685,P=0.001)、근1차상업성행위보호성(x2 =4.186,P=0.041)、근6월남성항교보호성(x2=15.314,P=0.000)、근1년진단과성병(x2 =82.753,P=0.000)、근1년주과HIV검측(x2=4.531,P=0.033)여흡독행위상관.다인소분석근1주항교차수、근6월남성항교보호성、근1년진단과성병대MSM인군흡독행위유영향,근1주항교차수≥2、근6월유무보호성행위、근1년진단과성병자흡독비례교고.결론 해시개별지구MSM인군흡식신형독품체도교고수평,촉진료해인군HIV고위행위발생,기HIV감염풍험증고.재HIV방치중응결합개전강저독품위해간예.
Objective To find the relationship of drug use behavior and human immunodeficiency virus (HIV) infection and related behaviors among men who have sex with men(MSM) in Mianyang.Methods To adopt the Snowball-sampling through which MSM are informed consent and recruited anonymously to investigate by self-administer in a fixed place.Results In 820 cases of qualified survey in five counties,two districts and one city,which drug use behavior was 2.9％,including intravenous injection of 0.2％ Different areas of drug use behavior difference was statistically significant (likelihood ratio x2 =57.175,P=0.000),which Jiangyou was up to 12.4％.The rate of HIV / syphilis infection among drug users was 12.5％/13.6％.Single factor analysis:age (x2 =6.838,P =0.033),anal sex number in last week (x2 =18.391,P =0.000),commercial sex in last 6months(x2 =10.658,P=0.001),the last commercial sex being projective(x2=4.186,P=0.041),in the last 6 months male anal sex being projective(x2 =15.314,P=0.000),in recent year been diagnosed with venereal disease (x2 =82.753,P =0.000),doing an HIV test the recent year (x2 =4.531,P =0.033) and drug use behavior was of a relationship.Logistic regression analysis showed that independent factors of MSM in drug use behavior were anal sex number in last week,in the last 6 months male anal sex being projective,in recent year been diagnosed with venereal disease.Those people who did anal sex more than 2 times in last week,had unprotected sex behaviors in last 6 months,in recent year had been diagnosed with venereal disease had a higher drug addicts proportion.Conclusion Drug use behavior of MSM population in individual areas of the city reached a high level which promote the occurrence of HIV risk behavior,increased risk of HIV infection.