苯丙胺类物质依赖者高危性行为影响因素分析

发布时间：2018-05-17 15:33

本文选题：苯丙胺类物质 + 依赖　；参考：《中国公共卫生》2017年11期

【摘要】：目的了解影响苯丙胺类物质(ATS)使用者发生高危性行为的相关因素,为制订干预措施提供相关理论依据。方法于2013年8月—2014年12月,以来自上海市强制隔离戒毒所的1 677名ATS依赖者为研究对象,以既往1年有≥2个性伙伴,并在最近1个月的性行为中从未使用过安全套为分组标准,满足上述条件为高危性行为组(697名),不满足条件为非高危性行为组(980名),比较两组在人口学资料、药物滥用史、以及Barratt冲动性量表(BIS-II)得分上的差异,并对两组之间有差异的变量进行logistic逐步回归分析。结果男性(OR=1.934,95%CI=1.484~2.521)、合并多药滥用(OR=1.773,95%CI=1.302~2.414)、初次性行为年龄较早(OR=1.791,95%CI=1.426~2.250)、使用ATS时间越长(OR=1.478,95%CI=1.197~1.826)、冲动得分高(OR=1.382,95%CI=1.120~1.707)的ATS使用者可能更容易出现高危性行为。结论 ATS患者高危性行为影响因素较为复杂,应根据相应特点采取针对性的干预措施,以减少或控制高危性行为。
[Abstract]:Objective to investigate the related factors of high risk sexual behavior among ATS users and to provide theoretical basis for formulating intervention measures. Methods from August 2013 to December 2014, 1 677 ATS addicts from Shanghai compulsory isolation and rehab center were selected as the study subjects, who had more than 2 personality partners in the past year. In the last one month, condom was never used as the grouping criterion, 697 patients in the high-risk sexual behavior group and 980 non-high-risk sex behavior group as the unsatisfied condition. The demographic data and the history of drug abuse were compared between the two groups. The differences in scores of Barratt impulse scale and BIS-II were analyzed by logistic stepwise regression analysis. Results male patients with ATS 1.934 495 CIQ 1.484 / 2.521, with polydrug abuse 1.77395 CIQ 1.3022.414, first sexual intercourse at an early age of 1.79195CI1.4262.250, the longer the use of ATS, the longer OR1.47895CII 1.1971.826, and the higher the score of ATS 1.38295CI1.1201.707 may be more likely to develop high-risk sexual behavior. Conclusion the influencing factors of high risk sexual behavior in ATS patients are complicated, and the intervention measures should be taken according to the corresponding characteristics to reduce or control high risk sexual behaviors.
【作者单位】：上海交通大学医学院附属精神卫生中心;
【基金】：基金项目国家临床重点专科-上海市精神卫生中心(卫生部医政司2011-873);研究型医师(20152235)
【分类号】：R749.6

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