烟台市新型毒品吸食者性行为特征与梅毒感染情况

doi:10.6040/j.issn.1671-7554.0.2016.612

山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (4): 101-106.doi: 10.6040/j.issn.1671-7554.0.2016.612

烟台市新型毒品吸食者性行为特征与梅毒感染情况

董安琪¹,康殿民^1,2,3,段曦²,廖玫珍²,黄鹏翔²,朱晓艳²,王国永²,陶小润²

1.山东大学公共卫生学院流行病学系, 山东济南 250012;2. 山东省疾病预防控制中心艾滋病防治所, 山东济南 250014;3. 山东省传染病预防控制重点实验室, 山东济南250014

收稿日期:2016-05-25 出版日期:2017-04-10 发布日期:2017-04-10
通讯作者: 康殿民. E-mail:dmkang66@163.com E-mail:dmkang66@163.com
基金资助:
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)

Sex characteristics and syphilis infection among ATS users in Yantai City

DONG Anqi¹, KANG Dianmin^1,2,3, DUAN Xi², LIAO Meizhen², HUANG Pengxiang²,ZHU Xiaoyan², WANG Guoyong², TAO Xiaorun²

1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
2. Department of AIDS Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan 250014, Shandong, China;
3. Shandong Key Laboratory for Epidemic Disease Control and Prevention, Jinan 250014, Shandong, China

Received:2016-05-25 Online:2017-04-10 Published:2017-04-10

摘要/Abstract

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,P<0.05),同居(OR=4.172,95%CI:1.228~14.171,P<0.05),职业为私营/个体(OR=2.845,95%CI:1.361~5.948,P<0.05)、无业/下岗(OR=2.605,95%CI:1.134~5.984,P<0.05)、月收入>5 000元者(OR=2.511,95%CI:1.081~5.834,P<0.05)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。

关键词: 新型毒品吸食者, 安全套使用, 梅毒, 性行为, 烟台市

Abstract: Objective To investigate the sex characteristics and syphilis infection among amphetamine-type stimulants(ATS)users in Yantai City. Methods ATS users were recruited with convenient sampling method in Yantai City. They were interviewed to collect related information using questionnaires, and blood samples were collected to detect syphilis antibodies and HIV antibodies. Results Among the 411 ATS users, the prevalence rate of syphilis was 18.0%(74/411). After taking drugs, the main sex partner was regular partner, accounting for 51.6%(212/411), casual and commercial partners were 35.8%(147/411)and 12.7%(52/411)respectively. In the last year, 11.4%(47/411)of new drug users had sex with gays. In the latest month, the rate of condom use in the last sex was 56.0%(108/193). Univariate analysis showed that age, marital status, employment situation, monthly income, age of first drug use were influencing factors of syphilis infections. Multiple logistic regression model demonstrated that over 35 years of age(OR=2.943, 95%CI: 1.145-7.564, P<0.05), cohabitating(OR=4.172, 95%CI: 1.228-14.171, 山东大学学报 (医学版)55卷4期 -董安琪,等.烟台市新型毒品吸食者性行为特征与梅毒感染情况 \=-P<0.05), self-employment(OR=2.845, 95%CI: 1.361-5.948, P<0.05), unemployment(OR=2.605, 95%CI: 1.134-5.98, P<0.05), monthly income of 5,000 RMB or more (OR=2.511, 95%CI: 1.081-5.834, P<0.05)increased the chances of syphilis infections. Conclusion The situation of sexual partners is complicated among ATS users, and the rate of condom use is low. The high syphilis prevalence and common homosexual behaviors among ATS users underscore the urgency to develop effective intervention measures.

Key words: ATS users, Syphilis, Yantai City, Sexual behavior, Condom use

中图分类号:

R183

董安琪,康殿民,段曦,廖玫珍,黄鹏翔,朱晓艳,王国永,陶小润. 烟台市新型毒品吸食者性行为特征与梅毒感染情况[J]. 山东大学学报（医学版）, 2017, 55(4): 101-106.

DONG Anqi, KANG Dianmin, DUAN Xi, LIAO Meizhen, HUANG Pengxiang,ZHU Xiaoyan, WANG Guoyong, TAO Xiaorun. Sex characteristics and syphilis infection among ATS users in Yantai City[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 101-106.

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烟台市新型毒品吸食者性行为特征与梅毒感染情况

Sex characteristics and syphilis infection among ATS users in Yantai City

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