中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2015年
1期
57-60
,共4页
柏鸿凌%吴琼海%沈伟伟%高眉扬%丁盈盈%林海江%何纳
柏鴻凌%吳瓊海%瀋偉偉%高眉颺%丁盈盈%林海江%何納
백홍릉%오경해%침위위%고미양%정영영%림해강%하납
美沙酮维持治疗%新型毒品%危险性行为%性网络
美沙酮維持治療%新型毒品%危險性行為%性網絡
미사동유지치료%신형독품%위험성행위%성망락
Methadone maintenance treatment%New-type drugs%Risky sexual behavior%Sexual network
目的 了解浙江省台州市美沙酮维持治疗(MMT)就诊者性行为和性网络特征,探讨其危险性行为的影响因素.方法 采用横断面研究,通过问卷和全国MMT信息系统收集数据,采集尿液快速检测海洛因、冰毒、摇头丸、K粉,采集血液检测HIV、丙型肝炎病毒(HCV)和梅毒.结果 共调查362人,以男性(88.7％)、31～岁组(54.5％)、已婚(61.6％),初中(56.6％)为主;共308人(85.1％)参加尿检,其中82人(26.6％)吗啡阳性,21人(6.8％)冰毒阳性,19人(6.2％)摇头丸阳性,未发现K粉检测阳性者;共279人(77.1％)参加血液检测,HIV、HCV、梅毒阳性率分别为1.1％、36.7％和3.6％;过去6个月内有性行为的MMT就诊者多性伴发生率为19.5％(56/287),与亲人一起居住为其保护因素(aOR=0.30,95％CI:0.13～0.71),新型毒品尿检结果阳性为其危险因素(aOR=5.92,95％CI:1.12～31.34),差异有统计学意义(P＜0.05);该人群的性网络多数呈双元、线性、非循环,性网络与吸毒网络重叠交叉.结论 台州市MMT就诊者仍存在一定的偷吸毒品行为和HIV/性传播疾病(STD)相关危险性行为,性网络与吸毒网络有所交叉,存在一定的HIV/STD疾病传播风险,应加大关注并采取相关措施进行有效防控.
目的 瞭解浙江省檯州市美沙酮維持治療(MMT)就診者性行為和性網絡特徵,探討其危險性行為的影響因素.方法 採用橫斷麵研究,通過問捲和全國MMT信息繫統收集數據,採集尿液快速檢測海洛因、冰毒、搖頭汍、K粉,採集血液檢測HIV、丙型肝炎病毒(HCV)和梅毒.結果 共調查362人,以男性(88.7％)、31～歲組(54.5％)、已婚(61.6％),初中(56.6％)為主;共308人(85.1％)參加尿檢,其中82人(26.6％)嗎啡暘性,21人(6.8％)冰毒暘性,19人(6.2％)搖頭汍暘性,未髮現K粉檢測暘性者;共279人(77.1％)參加血液檢測,HIV、HCV、梅毒暘性率分彆為1.1％、36.7％和3.6％;過去6箇月內有性行為的MMT就診者多性伴髮生率為19.5％(56/287),與親人一起居住為其保護因素(aOR=0.30,95％CI:0.13～0.71),新型毒品尿檢結果暘性為其危險因素(aOR=5.92,95％CI:1.12～31.34),差異有統計學意義(P＜0.05);該人群的性網絡多數呈雙元、線性、非循環,性網絡與吸毒網絡重疊交扠.結論 檯州市MMT就診者仍存在一定的偷吸毒品行為和HIV/性傳播疾病(STD)相關危險性行為,性網絡與吸毒網絡有所交扠,存在一定的HIV/STD疾病傳播風險,應加大關註併採取相關措施進行有效防控.
목적 료해절강성태주시미사동유지치료(MMT)취진자성행위화성망락특정,탐토기위험성행위적영향인소.방법 채용횡단면연구,통과문권화전국MMT신식계통수집수거,채집뇨액쾌속검측해락인、빙독、요두환、K분,채집혈액검측HIV、병형간염병독(HCV)화매독.결과 공조사362인,이남성(88.7％)、31～세조(54.5％)、이혼(61.6％),초중(56.6％)위주;공308인(85.1％)삼가뇨검,기중82인(26.6％)마배양성,21인(6.8％)빙독양성,19인(6.2％)요두환양성,미발현K분검측양성자;공279인(77.1％)삼가혈액검측,HIV、HCV、매독양성솔분별위1.1％、36.7％화3.6％;과거6개월내유성행위적MMT취진자다성반발생솔위19.5％(56/287),여친인일기거주위기보호인소(aOR=0.30,95％CI:0.13～0.71),신형독품뇨검결과양성위기위험인소(aOR=5.92,95％CI:1.12～31.34),차이유통계학의의(P＜0.05);해인군적성망락다수정쌍원、선성、비순배,성망락여흡독망락중첩교차.결론 태주시MMT취진자잉존재일정적투흡독품행위화HIV/성전파질병(STD)상관위험성행위,성망락여흡독망락유소교차,존재일정적HIV/STD질병전파풍험,응가대관주병채취상관조시진행유효방공.
Objective To investigate the risky sexual behaviors,associated factors and characteristics of sexual network among clients receiving methadone maintenance treatment (MMT) at the clinics in Taizhou prefecture of Zhejiang province.Methods A cross-sectional survey was conducted.Data was collected through questionnaire and from the national unified MMT system.Urine was collected to test heroin,methamphetamine,3,4-methylenedioxymethamphetamine (MDMA) and ketamine.Blood was collected to test infections on HIV,hepatitis C vims(HCV) and syphilis.Results Totally,362 clients were recruited.Most of the clients were male (88.7％),31--40 year-olds (54.5％),married (61.6％) and having received junior high school education (56.6％).85.1％ of them received urine test with 82(26.6％) positive for heroin,21 (6.8％) positive for methamphetamine,19 (6.2％) positive for MDMA and none for ketamine.77.1％ of them received blood test,and prevalence rates for HIV,HCV and syphilis were 1.1％,36.7％ and 3.6％.19.5％ of the clients who had sex in the past 6 months.Factors as having multiple sexual partners and positive for club drugs were under higher risk.Sexual networking seemed to be loose,linear and acyclic among this population but overlapping with the drug-using network.Conclusion Effective and targeted interventions should be taken among the MMT clients since continuing drug use and HIV/STD related sexual behavior were found common in them,suggesting there was a risk of HIV/STD transmission in this ppulation.
