摘要
目的比较男性和女性戒毒人群的人口学和HIV相关危险行为特征,为在该人群中实施更有效的宣传教育和行为干预措施提供依据。方法采用横断面设计,随机整群抽取298名男性和75名女性戒毒人员进行面对面问卷调查。结果广州市男性与女性戒毒人群间除民族和文化程度以外,在年龄、婚姻、地区分布、入所前职业和经济收入方面,总体间都存在显著性差异,女性戒毒人员中则有相当一部分以娱乐场所服务小姐(33.33%)为职业,并且以流动人口(89.33%)为主。在吸毒行为特征上,女性除了共针伙伴数明显少于男性外(确切概率检验,P=0.0300),其他与男性无明显差异。在性行为特征方面,39.34%女性自认发生过商业性行为;虽然女性戒毒人员的安全套使用率明显高于男性(χ2=18.56,P=0.0001),但有11.48%女性由于性伴反对而没有使用安全套。结论广州市女性吸毒人群的HIV相关危险行为较男性明显严重,必须充分认识在艾滋病进一步扩散蔓延的进程中,女性吸毒者既是源头人群也是桥梁人群这一问题的危险性和严重性,对于男性与女性戒毒人群的艾滋病教育干预工作,宜注意制定相应措施。
Objective To compare the demography and HIV-related high risk beh avior between the male and female drug users, and thus to provide them a more ef fective educational programme. Method A questionnaire investigation was conducte d among a random sample of 298 male and 75 female drug users. Results Except for the race and education, there were fairly difference between the male and the f emale drug users as the age, marriage, native origin, occupation and income were concerned. 33.33%of the female participants had worked as commercial sex worke r and 89.33%were floating population. Among the injecting drug users, there wer e fewer partners sharing syringes with the same female participants than that am ong the male drug users (Fishers Exact Test, P=0.0300). Additional, 39.34%of the female participants acknowledged that they had commercial sexual behavior, m ore of them using condom when compared with the male (χ2=18.56, P=0.0001). Conc lusion There are more HIV-related risk behavior in female drug users than in ma le. It is necessary to realize that female drug users serve as not only the reso urce but also the bridge in the spread of AIDS. Therefore, different health educ ation programme on AIDS should be provided and implemented for the male and fema le drug users.
出处
《热带医学杂志》
CAS
2004年第4期397-400,403,共5页
Journal of Tropical Medicine
