摘要
目的 了解广东省艾滋病(AIDS)高危地区静脉吸毒者(IDUs)吸毒行为和性行为特征,为进一步的HIV/AIDS预防干预研究提供建议.方法 于2002年8月至2004年3月,对200名戒毒所内的静脉吸毒者进行面对面问卷调查.结果 200名IDUs年龄为20~29岁(53.0%),无业(42.5%),男性(83.5%),汉族(96.5%),初中及以下文化程度(86.5%).入所前30天使用的主要毒品是海洛因(99.5%),54%的人有多药滥用.首次吸毒年龄平均为22.79±4.87岁.注射过程中各种共用行为比率为22.0%~33.5%,79.4%的人经常重复使用一支针具.29.2%的人有多性伴,与固定和临时性伴性交从不使用安全套的比率分别为67.3%、25.7%.30%的女性有过以性换钱和换毒品行为,29.2%的男性有花钱买性服务.结论 广东省静脉吸毒者HIV感染相关危险行为普遍存在,包括直接和间接的针具共用行为及危险性行为.应进一步开展危险行为的形成与降低原因的研究,并针对特定的高危行为采取合理的预防干预措施.
Objective To understand HIV risk related to drug use and sexual behaviors among injection drug users in Guangdong and to make recommendations for further research and HIV/AIDS prevention interventions. Methods Structured survey were administrated for 200 injection drug users(IDUs) recruited from mandatory detoxification center between August 2002 and March 2004. Results About half(53.0 % ) of the IDUs surveyed were 20-29 years old and 42.5 % of them were unemployed; most of them were male (83.5 % ),of Han nationality(96.5 % ), and had junior middle school or lower education(86.5% ).Heroin was the major drug used(99.5% ) in the last 30 days before entering the detoxification center, and abuse of multiple substances was very common (54.0 96 ). The average age of drug use for the first time was 22.79 ± 4.87 years. The percentage of different syringe sharing behaviors during drug use was about 22 %- 33.5 % and 79.4 % reported syringe re-use. About 29.2 % of IDUs had multiple sex partners and the proportions of never using condom with regular and casual sex partners were 67.3 % and 25.7 % respectively. About 30 % of female IDUs sold sex for money or drugs in the last 30 days before receiving detoxification treatment, and 29.2 % of male IDUs reported paid sex.Conclusion IDUs in Guangdong are at high risk of HIV infection through direct and in-direct syringe sharing behaviors, as well as unsafe sex such as unprotected sex, having sex with multiple partners, exchange sex for money/drug, and paid sex. Further studies should focus on understanding various factors contributing to facilitating or reducing such risk behaviors. Prevention interventions should be tailored to address specific risk behaviors.
出处
《中国艾滋病性病》
CAS
2006年第2期117-119,122,共4页
Chinese Journal of Aids & STD
基金
美国国家毒品滥用研究所(NIDA)资助(资助号:R03DA14705-01)
关键词
艾滋病预防
静脉吸毒
艾滋病危险行为
HIV/AIDS Prevention
Injection drug use
Injection equipment
HIV risk behaviour