梅毒%疱疹病毒2型,人%新型毒品%危险性行为%横断面研究
梅毒%皰疹病毒2型,人%新型毒品%危險性行為%橫斷麵研究
매독%포진병독2형,인%신형독품%위험성행위%횡단면연구
Syphilis%Herpes virus 2,human%New-type drugs%Unsafe sex%Cross-sectional studies
目的 了解山东省胶州市吸食新型毒品暗娼(简称吸毒暗娼)梅毒螺旋体、Ⅱ型单纯疱疹病毒(HSV-2)感染情况及相关行为学状况.方法 2013年10-12月,采用方便抽样法招募胶州市暗娼人群,通过匿名现场问卷收集调查对象一般人口学资料、新型毒品滥用及性行为相关信息等,收集静脉血进行梅毒螺旋体和HSV-2检测,并对调查对象采集尿样进行尿甲基苯丙胺检测.对吸毒暗娼与不吸毒暗娼的人口学特征差异、性行为特征以及梅毒螺旋体、HSV-2感染情况等差异进行t检验、x2检验等统计学分析.结果 在460名暗娼中,105名暗娼承认吸食过新型毒品;收集研究对象尿样341份,尿样检测阳性者中有3名自我报告未曾吸食过新型毒品.新型毒品吸食率为23.5%(108/460).71.4%(75/105)的吸毒暗娼第1次吸毒年龄小于25岁,吸食新型毒品的原因主要有客人要求(24名,占22.9%)、挣钱多(23名,占21.9%)和同伴诱使(22名,占21.0%);41.9%(44/105)的吸毒暗娼平常和4~5人一起吸毒,32.4%(34/105)在吸毒后与2~3人发生性行为.吸毒暗娼最近1次商业性行为安全套使用率为60.2%(65/108),而仅有7.4%(8/108)的吸毒暗娼在最近1个月商业性行为中每次均使用安全套.与不吸毒暗娼相比,吸毒暗娼未婚比例更高[73.2%(79/108),63.6%(224/352),x2=8.64,P<0.05],多来自于中高档场所[78.7% (85/108),65.1%(229/352)](x2=13.09,P<0.01),最近1个月安全套的使用率较低[7.4% (8/108),22.7%(80/352)] (x2=12.53,P<0.01),最近6个月的怀孕率明显高于不吸毒的暗娼[24.1% (26/108),8.8% (31/352)](x2=17.74,P<0.01).吸毒暗娼中梅毒螺旋体感染率为12.0%(13/108),HSV-2感染率为55.6%(60/108);并有33名暗娼自述在最近1年中曾被诊断患有STD (30.6%).吸毒暗娼梅毒螺旋体感染率[12.0% (13/108),4.0% (14/352)](x2=9.72,P< 0.01)、HSV-2感染率[55.6% (60/108),39.2% (138/352)](x2=9.01,P<0.01)和最近1年被诊断患有STD的比例[30.6% (33/108),17.9% (63/352)](x2=8.02,P<0.01)均高于不吸毒暗娼.结论 山东省胶州市暗娼新型毒品吸食率较高,高危性行为普遍,梅毒螺旋体、HSV-2感染率明显高于不吸毒暗娼,并且她们对于新型毒品危害认识不足.
目的 瞭解山東省膠州市吸食新型毒品暗娼(簡稱吸毒暗娼)梅毒螺鏇體、Ⅱ型單純皰疹病毒(HSV-2)感染情況及相關行為學狀況.方法 2013年10-12月,採用方便抽樣法招募膠州市暗娼人群,通過匿名現場問捲收集調查對象一般人口學資料、新型毒品濫用及性行為相關信息等,收集靜脈血進行梅毒螺鏇體和HSV-2檢測,併對調查對象採集尿樣進行尿甲基苯丙胺檢測.對吸毒暗娼與不吸毒暗娼的人口學特徵差異、性行為特徵以及梅毒螺鏇體、HSV-2感染情況等差異進行t檢驗、x2檢驗等統計學分析.結果 在460名暗娼中,105名暗娼承認吸食過新型毒品;收集研究對象尿樣341份,尿樣檢測暘性者中有3名自我報告未曾吸食過新型毒品.新型毒品吸食率為23.5%(108/460).71.4%(75/105)的吸毒暗娼第1次吸毒年齡小于25歲,吸食新型毒品的原因主要有客人要求(24名,佔22.9%)、掙錢多(23名,佔21.9%)和同伴誘使(22名,佔21.0%);41.9%(44/105)的吸毒暗娼平常和4~5人一起吸毒,32.4%(34/105)在吸毒後與2~3人髮生性行為.吸毒暗娼最近1次商業性行為安全套使用率為60.2%(65/108),而僅有7.4%(8/108)的吸毒暗娼在最近1箇月商業性行為中每次均使用安全套.與不吸毒暗娼相比,吸毒暗娼未婚比例更高[73.2%(79/108),63.6%(224/352),x2=8.64,P<0.05],多來自于中高檔場所[78.7% (85/108),65.1%(229/352)](x2=13.09,P<0.01),最近1箇月安全套的使用率較低[7.4% (8/108),22.7%(80/352)] (x2=12.53,P<0.01),最近6箇月的懷孕率明顯高于不吸毒的暗娼[24.1% (26/108),8.8% (31/352)](x2=17.74,P<0.01).吸毒暗娼中梅毒螺鏇體感染率為12.0%(13/108),HSV-2感染率為55.6%(60/108);併有33名暗娼自述在最近1年中曾被診斷患有STD (30.6%).吸毒暗娼梅毒螺鏇體感染率[12.0% (13/108),4.0% (14/352)](x2=9.72,P< 0.01)、HSV-2感染率[55.6% (60/108),39.2% (138/352)](x2=9.01,P<0.01)和最近1年被診斷患有STD的比例[30.6% (33/108),17.9% (63/352)](x2=8.02,P<0.01)均高于不吸毒暗娼.結論 山東省膠州市暗娼新型毒品吸食率較高,高危性行為普遍,梅毒螺鏇體、HSV-2感染率明顯高于不吸毒暗娼,併且她們對于新型毒品危害認識不足.
목적 료해산동성효주시흡식신형독품암창(간칭흡독암창)매독라선체、Ⅱ형단순포진병독(HSV-2)감염정황급상관행위학상황.방법 2013년10-12월,채용방편추양법초모효주시암창인군,통과닉명현장문권수집조사대상일반인구학자료、신형독품람용급성행위상관신식등,수집정맥혈진행매독라선체화HSV-2검측,병대조사대상채집뇨양진행뇨갑기분병알검측.대흡독암창여불흡독암창적인구학특정차이、성행위특정이급매독라선체、HSV-2감염정황등차이진행t검험、x2검험등통계학분석.결과 재460명암창중,105명암창승인흡식과신형독품;수집연구대상뇨양341빈,뇨양검측양성자중유3명자아보고미증흡식과신형독품.신형독품흡식솔위23.5%(108/460).71.4%(75/105)적흡독암창제1차흡독년령소우25세,흡식신형독품적원인주요유객인요구(24명,점22.9%)、쟁전다(23명,점21.9%)화동반유사(22명,점21.0%);41.9%(44/105)적흡독암창평상화4~5인일기흡독,32.4%(34/105)재흡독후여2~3인발생성행위.흡독암창최근1차상업성행위안전투사용솔위60.2%(65/108),이부유7.4%(8/108)적흡독암창재최근1개월상업성행위중매차균사용안전투.여불흡독암창상비,흡독암창미혼비례경고[73.2%(79/108),63.6%(224/352),x2=8.64,P<0.05],다래자우중고당장소[78.7% (85/108),65.1%(229/352)](x2=13.09,P<0.01),최근1개월안전투적사용솔교저[7.4% (8/108),22.7%(80/352)] (x2=12.53,P<0.01),최근6개월적부잉솔명현고우불흡독적암창[24.1% (26/108),8.8% (31/352)](x2=17.74,P<0.01).흡독암창중매독라선체감염솔위12.0%(13/108),HSV-2감염솔위55.6%(60/108);병유33명암창자술재최근1년중증피진단환유STD (30.6%).흡독암창매독라선체감염솔[12.0% (13/108),4.0% (14/352)](x2=9.72,P< 0.01)、HSV-2감염솔[55.6% (60/108),39.2% (138/352)](x2=9.01,P<0.01)화최근1년피진단환유STD적비례[30.6% (33/108),17.9% (63/352)](x2=8.02,P<0.01)균고우불흡독암창.결론 산동성효주시암창신형독품흡식솔교고,고위성행위보편,매독라선체、HSV-2감염솔명현고우불흡독암창,병차저문대우신형독품위해인식불족.
Objective To explore the prevalence of syphilis and HSV-2 among female sex workers (FSWs) who use new types of drugs in Jiaozhou city.Methods Through convenient sampling,an anonymous questionnaire survey was conducted among female sex workers to collect demographic characteristics,new-type drugs abusing characteristics and related sexual behaviors from October to December,2013.Blood specimens were drawn for serological tests of syphilis antibody and HSV-2 antibody.Urine specimens of the subjects surveyed were collected to test for methamphetamine.Differences in demographic characteristics,new-type drug abusing characteristics,and sexual behaviours between drugabusing FSWs and non-drug-abusing FSWs were compared by t-test and x2-test.Results A total of 460 FSWs were recruited in this study,and 105 FSWs admitted their drug abuse history.Among the 341 urine specimens confirmed to be methamphetamine positive,there were 3 FSWs claimed that they never abuse new-type drugs.The rate of new-type drug abuse was 23.5% (108/460).A total of 71.4% (75/105) of the new drug-abusing FSWs started using drugs under 25 years old.The main reasons for drug abuse were clients request (24,22.9%),making more money (23,21.9%) and companion temptations (22,21.0%).Totally,41.9% of them (44/105) took drugs with 4-5 persons,32.4% (34/105) had sex with 2-3 men after taking drugs,and 60.2% of new-type drug-abusing FSWs (65/108) used condoms in the latest commercial intercourse,while only 7.4% FSWs(8/108) used condoms every time during their commercial sex activities in the recent month.Compared with FSWs having no drug abuse behavior,drug-abusing FSWs had higher single proportion (73.2% (79/108) vs 63.6% (224/352),x2 =8.64,P < 0.05),lowercondom use rate in the recent month (7.4% (8/108) vs 22.7% (80/352),x2 =12.53,P < 0.01) and higher pregnancy rate in the recent 6 months(24.1% (26/108) vs 8.8% (31/352),x2 =17.74,P < 0.01) and most of them come from the middle and high-level entertainmens(78.7% (85/108) vs 65.1% (229/ 352),x2 =13.09,P < 0.01).Among the new-type drug-abusing FSWs,the prevalence rates of syphilis and HSV-2 were 12.0% (13/108)and 55.6% (60/108),respectively.A total of 33 FSWs claimed that they were diagnosed with STDs in the recent year(30.6%).The rates of syphilis(12.0% (13/108) vs 4.0% (14/352),x2 =9.72,P <0.01),HSV-2(55.6% (60/108) vs 39.2% (138/352),x2 =9.01,P < 0.01) and diagnosed STDs(30.6% (33/108) vs 17.9% (63/352),x2 =8.02,P <0.01) among the drug-abusing FSWs were significantly higher than those of non-drug-abusing FSWs.Conclusion There is a higher proportion of new-type drug abuse among the FSWs in Jiaozhou,with significantly higher prevalence rates of syphilis and HSV-2 infection,compared with non-new types of drug abusing FSWs.Prevalent risk sexual behaviors and ignorance of new-types drugs' harm were seen among them.