摘要
目的獉獉:调查我国苯丙胺类兴奋剂滥用人群特征及滥用后性行为及相关性行为特征的变化。方法獉獉:采用回顾性自身前后对照设计,以课题组自拟调查问卷为工具,对符合调查对象入选要求、且甲基苯丙胺或3,4-亚甲基二氧甲基苯丙胺尿液毒品检测阳性的调查对象进行调查。结果獉獉:本调查共收集有效问卷394份,调查对象中75.1%为男性,20-30 a和30-40 a所占的比例分别为47.2%和35.0%。滥用涉及各类群体,但以私营或个体劳动者(31.9%)和无业(41.7%)为主。调查对象的中位累计滥用时间为8个月,主要滥用方式为烫吸(97.7%)。苯丙胺类兴奋剂滥用后性活动变化明显,表现为出现性冲动(63.5%)、性欲增强(35.0%)、性活动频率增加以及性活动持续时间延长(61.3%)等现象。调查结果还表明20.8%的调查对象滥用苯丙胺类兴奋剂后经常发生性行为,9.0%几乎每次都发生,分别有36.1%和21.7%的调查对象会与一起用药的人、性服务工作者发生性关系。此外,8例调查对象报告与同性发生过性关系;6例报告发生过性暴力;6例报告发生过性交易。按照性别和滥用剂量进行分层分析后发现,男性与女性在滥用苯丙胺类兴奋剂后的性行为及性行为相关特征有一定差异。结论獉獉:苯丙胺类兴奋剂滥用后性活动变化明显,提示苯丙胺类兴奋剂滥用对性行为可能有刺激作用。另外,男性和女性在滥用后均表现出性兴奋的特征,但男性的性活动比女性更活跃。对不同滥用剂量分组后进行相关性行为差别的分析分层分析[B1]结果提示苯丙胺类兴奋剂滥用与对性行为的刺激作用之间可能存在一定的剂量-反应关系。本研究的结论均来自患者自我报告,尚需进一步研究证实。
Objective： To investigate the population characteristics and changes of sexual behaviors in amphetamine type stimulants （ATS） users. Methods：The study is a retrospect case - crossover survey. A self- designed questionnaire was employed to investigate the subjects whose methamphetamine or 3,4 - methylenedioxy - methamphetamine urine were positive. Results ： Three hundred nity four valid questionnaires were collected. Most of subjects were male （75.1% ）, containing 20 - 30 years （47.2%） and 30 - 40 years （ 35.0% ）, The maj business or individual works （31.9 % ） and unemployed （41.7 % ） ority of these subjects took on private The Median duration of ATS use was 8 months. The main routes of ATS administration were smoking （97. 7% ）. The sexual behaviors characteristics have significant change, including sexual impulse increase （ 63.5% ）, libido enhanced （35.0%）, increase of the frequency of sexual activity and prolong of the time of sexual activity （61.3%）. The results showed that 20.8% usually had sexual activity after ATS abused and 9.0% had sexual activity every time after ATS abused. In addition, it was reported that eight subjects had homosexual behavioral and six subjects had sexual violence and sexual trade, respectively. The results of stratified analysis indicated that the characteristics of sexual behavior of ATS abuser vary with different gender and abuse doses. Conclusion：ATS abuse induces significant sexual behaviors change. The results suggest that ATS abuse may simulate the sexual behaviors. In addition, both male and female have the sexual simulation characteristics after ATS abuse, but the sexual behaviors of male are more active than those of female. There may be dose - response relationship between ATS abuse and sexual simulation. The conclusion is from self- report by subjects and need to be validated in further study.
出处
《中国药物依赖性杂志》
CAS
CSCD
2013年第4期279-285,320,共8页
Chinese Journal of Drug Dependence
基金
国家科技支撑计划项目(2012BAI01B07)资助
