烟台市新型毒品吸食者性行为特征与梅毒感染情况

发布时间：2018-02-27 01:23

本文关键词： 新型毒品吸食者性行为安全套使用梅毒烟台市　出处：《山东大学学报(医学版)》2017年04期 　论文类型：期刊论文

【摘要】：目的了解烟台市新型毒品吸食者性行为特征与梅毒感染情况。方法采用方便抽样方法对烟台市新型毒品吸食者进行问卷调查,同时采集静脉血进行梅毒抗体和艾滋病病毒抗体检测。结果共调查新型毒品吸食者411人,梅毒感染率为18.0%(74/411);在吸食毒品后主要性伴是固定性伴,占51.6%(212/411),临时性伴和商业性伴分别占35.8%(147/411)、12.7%(52/411);有11.4%(47/411)的新型毒品吸食者在最近一年内有同性性行为;最近一个月内,最近一次发生性行为时安全套使用率为56.0%(108/193)。单因素分析结果显示,年龄、婚姻状况、职业、月收入、首次吸毒年龄与梅毒感染有关。多因素Logistic分析显示,年龄35岁(OR=2.943,95%CI:1.145~7.564,P0.05),同居(OR=4.172,95%CI:1.228~14.171,P0.05),职业为私营/个体(OR=2.845,95%CI:1.361~5.948,P0.05)、无业/下岗(OR=2.605,95%CI:1.134~5.984,P0.05)、月收入5 000元者(OR=2.511,95%CI:1.081~5.834,P0.05)患梅毒的风险较高。结论新型毒品吸食者性伴情况复杂,梅毒感染率高,存在较高的同性性行为,且安全套使用率低,需开展积极主动的警示性教育与行为干预。
[Abstract]:Objective to investigate the sexual behavior and syphilis infection of new drug users in Yantai. At the same time, venous blood was collected for the detection of syphilis antibody and HIV antibody. Results 411 new drug users were investigated, and the syphilis infection rate was 18.0 / 4110.After taking drugs, the main sex partners were fixed sex partners. 51.6% 212 / 411%, temporary partners and commercial partners 35.875 / 4117 / 522 / 4111.There were 11.447 / 411 new drug users who had same-sex sex in the last year; in the last month, the last time they had sex, the condom use rate was 56.01081.93%. Univariate analysis showed that age, Marital status, occupation, monthly income, age at first drug use were associated with syphilis infection. Multivariate Logistic analysis showed, The age of 35 is OR2.94395 CIW 1.1457.564P0.055.The cohabitation income of 5 000 yuan is 1.22814.171%, the occupation is private / individual OR2.84595 CI: 1.3615.948P0.055.The unemployed / laid-off people have 2.60595CIU 1.1345.984P0.05and 5,000 yuan a month. The OR2.51195CI1.081CI1.0834P0.05) has a higher risk of syphilis. Conclusion the sex situation of new drug users is complex, the infection rate of syphilis is high, and there is a higher sexual behavior of the same sex, conclusion there is a higher risk of syphilis among those who have a monthly income of 5,000 yuan or so on a monthly income of 5,000 yuan. Conclusion the incidence of syphilis among new drug users is complex, the prevalence of syphilis is high, and the prevalence of syphilis is high. And condom use rate is low, need to carry out active warning education and behavior intervention.
【作者单位】：山东大学公共卫生学院流行病学系;山东省疾病预防控制中心艾滋病防治所;山东省传染病预防控制重点实验室;
【基金】：中美艾滋病合作项目(GAP-2014-SD) 山东省医药卫生科技发展计划(2013WS0160)
【分类号】：R749.64;R759.1

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