摘要
美沙酮维持治疗是预防HIV在阿片类毒品滥用人群中流行的有效措施,是全球应用最广泛的维持治疗策略。它通过减少共用注射针具行为、提高自我防护意识、减少商业性行为而减少毒品滥用者感染及传播HIV的风险。中国美沙酮维持治疗是目前全球最大的毒品滥用者治疗项目,在减少毒品危害、萎缩毒品市场及预防HIV新发感染等方面取得了很大成绩。但也存在着覆盖面低、治疗保持率低、工作人员能力有限等挑战。因此,深入分析影响美沙酮维持治疗开展的因素,进行系统的科学研究、强化培训、促进HIV阳性毒品滥用者坚持治疗、探索社区戒毒与美沙酮维持治疗有效的衔接机制,是当前工作的重点。
Methadone maintenance treatment（MMT） is the most widely used substitution therapy for opioid addiction in the world.MMT can curb the spread of HIV among injecting drug users（IDUs） and other at-risk populations by reducing their frequencies of sharing injecting equipments,increasing their HIV awareness and further diminishing their risky commercial sex behaviors.The Chinese MMT program is the largest single opioid substitution treatment system in the world and has made a considerable impact on reducing drug use and HIV infection among drug users.However,despite the encouraging progresses,a wide range of challenges and gaps,for example,low coverage,poor retention and inadequate staff capability remain to be addressed.Target areas to improve the Chinese MMT program have been identified and they include： determining contributing factors associated with patients＇ retention,providing on-going MMT staff training,intensifying the scientific research and enhancing multi-sector cooperation,especially at local levels.
出处
《中国艾滋病性病》
CAS
2011年第2期196-199,共4页
Chinese Journal of Aids & STD
基金
美国国立卫生研究院(NIH)福格蒂国际中心(FIC)中国艾滋病预防多学科培训项目(China-ICOHRTA
U2R TW006918-08)~~
关键词
美沙酮维持治疗
艾滋病病毒
预防
Methadone Maintenance Treatment
Human Immunodeficiency Virus
Prevention
