陕西省美沙酮维持治疗门诊患者脱失的影响因素分析
发布时间：2018-04-14 21:41
本文选题：美沙酮 + 脱失 ； 参考：《中国艾滋病性病》2017年11期
【摘要】：目的分析陕西省美沙酮维持治疗(MMT)门诊治疗者脱失情况及其影响因素。方法从"社区美沙酮维持治疗系统",收集2012-2015年陕西省MMT门诊入组治疗者的社会人口学特征、既往毒品滥用情况及维持治疗情况等信息。将研究对象分为脱失组和未脱失组,分析脱失情况及影响因素。结果纳入研究对象2 342例MMT治疗者,脱失治疗者1 135例,脱失率48.5%;未脱失治疗者1 207例。脱失组和未脱失组在年龄(χ~2=155.120,P0.001)、职业(χ~2=13.253,P0.001)、民族(χ~2=4.368,P=0.037)、婚姻状况(χ~2=12.801,P=0.002)、文化程度(χ~2=19.811,P0.001)、首次吸毒年龄(χ~2=36.831,P0.001)、吸毒年限(χ~2=21.817,P0.001)、注射毒品史(χ~2=4.382,P=0.036)、共用针具史(χ~2=41.773,P0.001)、服药天数(Z=-27.703,P0.001)和尿检阳性率(Z=-24.161,P0.001)之间差异有统计学意义。多因素Logistic回归分析显示:年龄、职业、共用针具史、尿检阳性率和服药天数,是MMT治疗者脱失的影响因素。结论陕西省MMT门诊治疗者脱失率较高,应针对低年龄段、无业、有共用针具史、尿检阳性率高、治疗时间短的易脱失者加强宣传教育和行为干预,提高治疗者的依从性。
[Abstract]:Objective to analyze the loss of methadone maintenance therapy (MMT) outpatients in Shaanxi Province and its influencing factors.Methods from "Community methadone maintenance treatment system", the social demographic characteristics, past drug abuse and maintenance treatment of MMT outpatients in Shaanxi Province from 2012 to 2015 were collected.The subjects were divided into two groups: the group of loss and the group without loss, and the condition of loss and the influencing factors were analyzed.Results among the 2 342 cases of MMT, 1 135 cases were lost, the rate of loss was 48. 5%, and 1 207 cases were not.鑴卞け缁勫拰鏈劚澶辩粍鍦ㄥ勾榫，
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