凉山地区中学生健康危害行为与预测未来吸毒贩毒HIV感染关联性研究

发布时间：2018-10-26 17:04

【摘要】：目的了解凉山地区中学生健康危害行为与预测未来HIV感染、吸毒、贩毒之间的关系,为制定有效干预措施提供参考。方法根据凉山地区毒品及艾滋病流行状况,在艾滋病重点地区随机抽取4所中学10 749名学生进行艾滋病高发区中学生行为学研究调查问卷调查。结果被调查学生中,预测未来可能感染HIV 2 342名(21.8%),吸毒1 662名(15.5%),贩毒1 635名(15.2%)。多因素Logistic回归分析显示,未来HIV感染危险因素包括滥用镇静安定药物、现在饮酒、现在吸烟、非安全场所游泳、自杀相关心理问题、受欺凌、自杀意念、严重伤害、看过色情刊物、非自愿性行为(OR值分别为1.423,1.273,1.395,1.072,1.087,1.119,1.271,1.200,1.344,1.351,P值均0.05);现在饮酒、现在吸烟、滥用镇静安定药物、骑车违章、步行违章、非安全场所游泳、严重伤害、受欺凌、非自愿性行为、看过色情刊物是未来吸毒的危险因素,课外功课时间是未来吸毒的保护因素(OR值分别为1.558,1.286,1.743,1.036,1.131,1.069,1.139,1.209,1.217,1.871,0.962,P值均0.05)。现在饮酒、现在吸烟、滥用镇静安定药物、步行违章、非安全场所游泳、自杀意念、受欺凌、严重伤害、性行为、非自愿性行为、看过色情刊物是中学生未来贩毒的危险因素,课外功课时间是未来贩毒的保护因素(OR值分别为1.238,1.620,1.486,1.149,1.105,1.319,1.140,1.236,1.292,1.599,1.268,0.961,P值均0.05)。结论凉山地区中学生预测未来HIV感染、吸毒、贩毒的比例较高,与现有健康危害行为密切相关;要采取针对性强而有力的干预措施,控制中学生物质滥用、减少故意及非故意伤害行为的发生。
[Abstract]:Objective to investigate the relationship between health hazard behavior of middle school students in Liangshan area and the prediction of future HIV infection, drug abuse and drug trafficking, and to provide reference for effective intervention measures. Methods according to the prevalence of drugs and AIDS in Liangshan area, 10 749 students from 4 middle schools were randomly selected to investigate the behavior of middle school students in the high incidence area of AIDS. Results among the investigated students, 2 342 (21. 8%) were predicted to be infected with HIV in the future, 1 662 (15. 5%) were drug users and 1 635 (15. 2%) were drug traffickers. Multivariate Logistic regression analysis showed that risk factors for future HIV infection included abuse of sedative drugs, current drinking, smoking, swimming in unsafe places, suicide-related psychological problems, bullying, suicidal ideation, and serious injury. Having seen pornographic publications, involuntary sexual activity (OR = 1.423 / 1.273 / 1.395 / 1.087 / 1.271 / 1.271/ 1.200 / 1.344/ 1.351/ P, respectively); Drinking alcohol, smoking now, abusing tranquilizers, cycling violations, walking violations, swimming in unsafe places, serious injuries, being bullied, involuntary sex, reading pornographic publications are the risk factors for future drug use. The time of extracurricular homework was the protective factor of drug abuse in the future (the OR values were 1.5581.286C 1.743X 1.036C 1.131C 1.069 / 1.209U 1.2171.871U 0.962P respectively). Drinking alcohol, smoking now, abusing tranquilizers, illegal walking, swimming in unsafe places, suicidal ideation, bullying, serious injury, sexual behavior, involuntary sex, reading pornographic publications are the risk factors for drug trafficking in the future of middle school students. The time of extracurricular homework was the protective factor of drug trafficking in the future (OR value was 1.2381.620 / 1.4861.149U 1.105U 1.3191.1401.236U 1.292U 1.5991.268U 0.961P, respectively). Conclusion High school students in Liangshan area predict the prevalence of HIV infection, drug abuse and drug trafficking in the future, which is closely related to the existing health hazard behavior. It is necessary to take strong and effective intervention measures to control the substance abuse of middle school students and to reduce the occurrence of intentional and unintentional injuries.
【作者单位】： 凉山彝族自治州第一人民医院皮肤性病科;中国疾病预防控制中心性病艾滋病预防控制中心预防干预室;北京大学人民医院皮肤科;
【分类号】：G637.8
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