Li J, Luo J, Yang F
Yunnan Institute of Drug Abuse, Kunming 650228, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2001 Oct;22(5):334-6.
To reduce risk behaviors which promotes human immuno deficiency virus (HIV) transmission among drug users.
A peer education program was implemented among drug users in drug detoxification centers in Kunming from May 1998 to June 2000. Before and after intervention, through random sampling, subjects were recruited to assess the impact of the program. Focus group discussion and a small sample of follow-up in communities were used for evaluation.
Three hundred and six and 418 subjects were interviewed before and after the intervention program. Rates regarding "sharing needles" had a reduction from 68.3% to 62.0% (chi 2 = 2.61, P < 0.01, while "never cleaning a needle" increased from 3.3% to 15.8% (chi 2 = 19.41, P < 0.01), and "used needles disposal to garbage bin" increased from 58.4% to 81.8% (chi 2 = 40.23, P < 0.01). Thirty-four drug users were followed in their communities and 67.6% were no longer sharing needles but none reported using a condom when having casual sex.
Peer education program among drug users in detoxification centers had limited impact. In order to control the epidemic of AIDS in drug using population, more effective strategies need to be explored.
减少促进吸毒者之间传播人类免疫缺陷病毒（HIV）的危险行为。
1998年5月至2000年6月在昆明戒毒所的吸毒者中实施同伴教育项目。干预前后，通过随机抽样招募受试者以评估该项目的影响。采用焦点小组讨论和社区小样本随访进行评估。
干预项目前后分别访谈了306名和418名受试者。“共用针头”率从68.3%降至62.0%（χ² = 2.61，P < 0.01），而“从不清洗针头”从3.3%增至15.8%（χ² = 19.41，P < 0.01），“将用过的针头丢进垃圾桶”从58.4%增至81.8%（χ² = 40.23，P < 0.01）。对34名吸毒者进行社区随访，67.6%不再共用针头，但无人报告在发生随意性行为时使用避孕套。
戒毒所吸毒者中的同伴教育项目影响有限。为控制吸毒人群中的艾滋病流行，需要探索更有效的策略。
