Bertorelle V, Auriacombe M, Grabot D, Franques P, Martin C, Daulouede J P, Tignol J
Groupe d'Etude des Toxicomanies, Université Victor Segalen Bordeaux 2, France.
Encephale. 2000 May-Jun;26(3):3-7.
The objective of this study was to quantify the occurrence of AIDS risk related sharing activities in i.v. opiate users seeking treatment using a self administered questionnaire. Subjects were recruited among first time consultants of an outpatient clinic and assessed using the Risk for AIDS Behavior questionnaire (RAB), a self administered questionnaire that assesses both needle-sharing and unprotected sexual activity; the Beck Depression Inventory (BDI) a self administered questionnaire that assesses depressive symptoms; and the Addiction Severity Index (ASI), a 45-min, structured interview that provides assessments of problem severity in seven functional areas commonly impaired among drug abusers. Among the 102 patients who came in for treatment, all 66 subjects reporting i.v. drug abuse agreed to participate. The study was based on the data collected from these 66 subjects of whom 49 were males (74%) and mean age +/- SD was 31 +/- 5. Fifty-eight-percent of theses subjects reported having shared needles or related paraphernalia over the past 6 months. Despite informational campaigns on the risks of sharing and despite the well spread knowledge of such a risk, most i.v. opiate users seeking treatment report having shared at least once over the previous 6 months.
本研究的目的是通过一份自填式问卷,对寻求治疗的静脉注射阿片类药物使用者中与艾滋病风险相关的共用行为发生率进行量化。研究对象从一家门诊诊所的初诊者中招募,并使用艾滋病行为风险问卷(RAB)进行评估,该问卷为自填式,可评估共用针头和无保护性行为;贝克抑郁量表(BDI)也是一份自填式问卷,用于评估抑郁症状;成瘾严重程度指数(ASI)则是一个45分钟的结构化访谈,用于评估药物滥用者中常见的七个功能领域的问题严重程度。在前来接受治疗的102名患者中,所有66名报告有静脉注射药物滥用的受试者均同意参与研究。该研究基于从这66名受试者收集的数据,其中49名是男性(74%),平均年龄±标准差为31±5岁。这些受试者中有58%报告在过去6个月内曾共用针头或相关用具。尽管开展了关于共用风险的宣传活动,且这种风险的知识已广泛传播,但大多数寻求治疗的静脉注射阿片类药物使用者报告在过去6个月内至少有过一次共用行为。