摘要
目的 了解广东省女性吸毒者感染HIV相关危险行为及其产生的社会文化背景 ,探讨感染HIV的危险因素 ,为开展针对该人群的定量调查提供基础资料 ,为预防干预提供依据。方法 制定访谈提纲 ,对珠江三角洲的社区吸毒者 (线人介绍 )和戒毒所内的戒毒者进行个人或小组深入访谈 ,谈话内容全部以笔录或机录的方式进行记录 ,整理后录入到计算机中。结果 2 6名访谈对象均为女性静脉吸毒者 (FIDUs) ,均有共用针具的行为。引起吸毒主要因素为受社会环境、周围关系密切的社会成员的不良影响和自身生活挫折。吸毒者中 ,5 3 8% (14 / 2 6 )以性换钱来筹取毒资 ;6 1 5 % (16 /2 6 )拥有 5～ 6名的吸毒网络成员 ;76 9% (2 0 / 2 6 )因为害怕感染艾滋病而减少了针具共用的行为 ;92 3% (2 4 / 2 6 )目前有固定性伴 ,但只有 7 7% (2 / 2 4 )与其固定性伴性交有时会用安全套 ;30 8% (8/2 6 )承认曾遭受过固定性伴 /嫖客 /皮条客的身体或性的暴力和虐待。大多数吸毒者都遭遇家人的抛弃和社会的冷遇和歧视。结论 该人群共用针具和多性伴等高危行为普遍 ,防病意识淡薄 ,应加强对该人群的宣传和干预 ,防止HIV从该人群向多性伴和一般人群传播。
Objective To understand the HIV-related risk behaviors and the sociocultural background of these behaviors development among female injection drug users (FIDUs) in Guangdong province. Methods In-depth interview and focus group discussion were used to collect information among FIDUs and all information were tape recorded or noted and then transcribed into a computer. Results The main factors that induced drug-taking activities in 26 FIDUs included: destructive social environment, negative influence from companions and frustration encounter. 53.8% of them sold sex for drug/ money. 61.5% had 5 to 6 network numbers. 76.9% had reduced needle-sharing practice because of worrying about getting AIDS. 92.3% had regular sexual partners and only 7.7% of them used condom inconsistently with their partners. 30.8% experienced violence / abuse from their regular sex partner/client/pimp. Most of them encountered family abandon and society discrimination. Conclusion Needle sharing and multiple sexual partners were common practice in FIDUs. It is necessary to implement health promotion in this group to prevent HIV transmission.
出处
《华南预防医学》
2004年第6期5-7,11,共4页
South China Journal of Preventive Medicine
