四川省凉山州2004至2012年美沙酮受治者队列基本情况及随访影响因素分析

发布时间：2018-03-21 20:33

本文选题：美沙酮维持治疗　切入点：毒品滥用　出处：《复旦学报(医学版)》2014年06期 　论文类型：期刊论文

【摘要】：目的了解四川省凉山州2004年3月至2012年3月美沙酮门诊受治者的基本情况和随访情况,为凉山地区开展美沙酮门诊维持治疗工作提供依据。方法以凉山州11个美沙酮维持治疗门诊中所有参加过治疗的9 013例受治者为研究对象,将信息系统中的受治者一般情况、既往吸毒行为和随访情况的数据进行整理,采用描述性分析、单因素分析和多因素Logistic回归分析等方法进行数据分析。结果 9 013例受治者以彝族男性农民为主,平均年龄(31.17±7.42)岁,84.25%的受治者分布在20~39岁年龄组;已婚有配偶者占73.65%,其次是未婚占21.28%;文化程度以小学为主(44.20%),其次是初中和文盲,高中级以上学历者少。美沙酮门诊受治者首次吸毒年龄(25.12±7.63)岁,美沙酮门诊受治者报告的首次吸毒时间主要为1991年至2011年,2007年至2008年报告例数最多。参加治疗前,99.06%受治者使用的毒品为海洛因,其中47.84%有注射史,36.51%共用注射器,47.70%的人曾经戒过毒。美沙酮门诊受治者6、12、24、36、48、60、72个月随访率分别为45.41%、18.75%、8.98%、3.92%、0.96%、0.28%、0.02%。影响6个月随访率的因素很多,年龄越大(OR=1.20),女性(OR=1.34),已婚有配偶(OR=1.17),文化程度为初、高中(OR=1.31,1.54),民族为汉族(OR=1.28),曾经戒过毒(OR=1.35)的受治者6个月随访率较高;职业为农民(OR=0.80)、首次吸毒年龄为高年龄组的(OR=0.85)和不与父母/亲属同住(OR=0.56)的受治者随访率低。结论凉山地区吸毒人群低龄化低素质化严重,也影响了美沙酮门诊队列各时间段的随访率,需加强当地美沙酮维持治疗工作。
[Abstract]:Objective to investigate the basic situation and follow-up of methadone outpatients in Liangshan Prefecture, Sichuan Province from March 2004 to March 2012. Methods taking 9,013 patients who had participated in 11 methadone maintenance clinics in Liangshan as the subjects, the general situation of the patients in the information system was analyzed. The data of past drug abuse behavior and follow-up were analyzed by descriptive analysis, single factor analysis and multivariate Logistic regression analysis. Results 9 013 cases were mainly male farmers of Yi nationality. The average age was 31.17 卤7.42) and 84.25% of the patients were in the 20- 39 age group, 73.65 married, 21.28 unmarried, 44.20% with primary school education, followed by junior high school and illiterate. The age of first drug use in methadone outpatients was 25.12 卤7.63 years old. Methadone outpatients reported the first time of drug use mainly from 1991 to 2011, with the highest number of reported cases from 2007 to 2008. Before treatment, 99.06% of those treated were heroin. Of these, 47.84% had a history of injection and 36.51% had shared syringes. 47.70% of the people who shared syringes and syringes had ever given up the drug. 612 / 2436 / 486 of methadone outpatients were followed up for 45.41 / 82 months, respectively, and the follow-up rates for 72 months were 45.41 / 18.758.98.983.92.There were many factors that affected the follow-up rate for six months. The older the age was, the higher the OR1.20, the female's OR1.34, the married spouse's OR1.171.17. The follow-up rate was higher in the patients who were 1.31 and 1.54 of the Han nationality, who had once given up drugs, and who had given up the drug for 1.35. The follow up rate of those who were employed as farmers was 0.80, the first drug abuse age was OR0.85 in the high age group, and those who did not live with their parents / relatives in Oran 0.56) had a low follow-up rate. Conclusion the low age and low quality of drug users in Liangshan area is serious. The follow-up rate of methadone outpatient cohort was also affected, and local methadone maintenance treatment should be strengthened.
【作者单位】：四川省凉山州疾病预防控制中心;复旦大学公共卫生学院流行病学教研室-公共卫生安全教育部重点实验室-热带病研究中心;
【分类号】：R749.64

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