摘要
目的分析云南省静脉吸毒人员在2年半的综合干预条件下,其共用针具、高危性行为与接受干预服务等方面的情况,为下一阶段的综合干预活动提供依据。方法选择云南省四种不同条件,即中心城市邻近县、农村县、宗教背景县及边境县为项目点,随机抽取社区正在吸毒及人戒毒所1个月内的吸毒人员为调查对象,用问卷调查表及个人深入访谈的方式,结合项目点日报表。通过基线,实施干预1年及2年半后的评估调查,收集关于干预主要服务指标、共用针具、高危性行为改变等方面的资料。结果4个项目点3次分别调查516、412及421名吸毒人员,其中上月使用清洁针具者从基线的20.4%,上升至1年及2年半评估时的65.9%及82.4%。共用针具比例由基线时的18.5%,下降到2年半后9.5%。最近一次使用安全套的比例,从基线时的15.4%,上升至56.2%和53.0%。与固定性伴未使用安全套的比例由67.6%,分别下降至45.4%及36.1%。1728人次成功接受VCT等转诊服务。结论控制吸毒人员传播艾滋病综合干预活动之一的针具项目,确实能在减少共用针具,助进安全性行为及让吸毒者接受VCT及其他基础医疗服务方面取到重要的作用。针具项目应该作为吸毒减少伤害的主要干预策略之一予以推广。
Objective To analysis needle sharing, high risk sexual behavior and other medical service results after two and half years drug users comprehensive intervention at four counties which is to be useful for next stage further intervention. Methods To evaluate needle sharing and sexual high risk behavior at baseline, one year and two and half year intervention separately for the community and less than one month arrested detoxification center drug users with questionnaires and in depth interview at four different geological counties in Yunnan. Results 516, 412 and 421 drug users participated three times evaluations indicate rate of new needle using rises from 20.4 %, 66.9 % to 82.4 % arid needle sharing drops from 18.5% to 9.5 %. Last time condom using rate rises from 15.4 %, 56.2 % to 53.0% with 1728 clement times referred for VCT and qther medical service. Conclusion The needle syringe project can decrease the HIV spread among drug users by means of less needle sharing, safer sexual behavior anti better access of drug users to other medical service. Needle syringe project should be promoted as one part of comprehensive drug users HIV/AIDS control strategy.
出处
《中国基层医药》
CAS
2007年第12期2025-2027,共3页
Chinese Journal of Primary Medicine and Pharmacy
基金
中澳艾滋病亚洲区域合作项目资助
