CAJ | 학술논문

目的：了解合成毒品使用者的行为特征和社交网络特征，分析合成毒品使用对性传播感染扩散的潜在风险。方法本研究采用定性研究的方法，收集合成毒品使用人群的规模估计及吸毒前后行为改变的相关信息，于2013年4—10月，在青岛市社区采用方便样本招募120名合成毒品使用者进行访谈，并进行HIV和梅毒血清学检测，同时绘制社交网络图，反映合成毒品使用者的行为特征和社交网络特征。结果120名调查对象均吸食冰毒，其中103名显示了社交网络关系。梅毒感染率为24畅2％（29／120），HIV感染率为2畅5％（3／120）。吸食冰毒者规模比较庞大，职业分布广泛，年龄跨度大，男性多于女性。吸食毒品减少安全套的使用。频繁吸毒者神经中毒症状明显。本研究调查对象最近6个月内性伴网络大小为（2畅45±1畅63）名，显示性伴网络扩大，危险性行为增加。结论合成毒品使用后性伴网络扩大，危险性行为增加，梅毒感染率高，提示今后该人群中艾滋病与性病传播风险很高，防控压力大。
목적：료해합성독품사용자적행위특정화사교망락특정，분석합성독품사용대성전파감염확산적잠재풍험。방법본연구채용정성연구적방법，수집합성독품사용인군적규모고계급흡독전후행위개변적상관신식，우2013년4—10월，재청도시사구채용방편양본초모120명합성독품사용자진행방담，병진행HIV화매독혈청학검측，동시회제사교망락도，반영합성독품사용자적행위특정화사교망락특정。결과120명조사대상균흡식빙독，기중103명현시료사교망락관계。매독감염솔위24창2％（29／120），HIV감염솔위2창5％（3／120）。흡식빙독자규모비교방대，직업분포엄범，년령과도대，남성다우녀성。흡식독품감소안전투적사용。빈번흡독자신경중독증상명현。본연구조사대상최근6개월내성반망락대소위（2창45±1창63）명，현시성반망락확대，위험성행위증가。결론합성독품사용후성반망락확대，위험성행위증가，매독감염솔고，제시금후해인군중애자병여성병전파풍험흔고，방공압력대。
Objective To understand the characteristics of recreational drug users′behaviors and social network, as well as their potential impact to the transmission of sexual transmitted infections (STI). Methods Qualitative interview was used to collect information on rough estimation of population size and behavior change before and after recreational drug use.A total of 120 participants were recruited by convenient sampling from April to October , 2013 in a community of Qingdao city.Blood specimens were taken for HIV/syphilis serological testing and social network analysis was performed to understand the characteristics of their behavior and social network.Results All participants used methamphetamine and 103 of them showed social connection.The prevalence of syphilis and HIV were 24.2%( 29/120 ) and 2.5%(3/120) respectively.The estimated size of recreational drug users was big with a wide diversity of occupations and age range , and males were more frequent than females .Drug use may affect condom use and frequent drug users showed symptom of psychosis and neuro-toxicities.The size of social network was 2.45 ± 1.63 in the past 6 months, which indicated an increasing trend of the sexual partner number and risky behaviors .Conclusion Recreational drug use could increase the size of social network among sex partners , the frequency of risky sexual behaviors and syphilis prevalence , which indicate a high risk of HIV/STI among this population as well as a huge burden of disease prevention and control in the future .