Huang Jiegang, Jiang Junjun, Li Jonathan Z, Yang Xiaobo, Deng Wei, Abdullah Abu S, Qin Bo, Upur Halmurat, Zhong Chaohui, Wang Qianqiu, Wang Qian, Ruan Yuhua, Zou Yunfeng, Ye Li, Xie Peiyan, Wei Fumei, Xu Na, Wei Bo, Liang Hao
School of Public Health, Guangxi Medical University, Nanning, China.
AIDS Res Hum Retroviruses. 2013 Apr;29(4):673-80. doi: 10.1089/AID.2012.0272. Epub 2013 Feb 13.
The prevalence and correlates of sexual risk behaviors among drug users in western China and the implications for HIV transmission in this population are described. A cross-sectional survey of male drug users was conducted in methadone maintenance therapy clinics and detoxification centers in three western provinces of China between September 2009 and December 2010. Participants in the study completed a questionnaire about demographics, HIV/AIDS knowledge, drug use history, sexual risk behaviors, and other psychosocial variables. Factors associated with HIV sexual risk behaviors were identified by multiple logistic regression analysis. Of 1,304 drug users surveyed, nearly 54% never used condoms during sexual intercourse with a spouse or cohabitant, and this behavior was associated with coming from Chongqing (OR=1.86, p<0.05), being aged 36 and older (OR=5.03, p<0.05), being married or cohabiting (OR=1.68, p<0.05), having first taken drugs at age 30 and above (OR=1.80, p<0.05), and having received AIDS advice or detection from authorities in the past year (OR=1.95, p<0.05). Twenty-six percent had had sex with casual sexual partners in the past year, and this behavior was associated with being married or cohabiting (OR=0.30, p<0.05), first taking drugs at age 31 and above (OR=0.42, p<0.05), and receiving AIDS advice or HIV detection from authorities in the past year (OR=0.70, p<0.05). About 34% never used a condom when having sex with casual sexual partners, and this behavior was associated with coming from Guangxi (OR=2.81, p<0.05) or Chongqing (OR=2.73, p<0.05). Almost 14% had had commercial sex in the past year, and this behavior was associated with coming from Guangxi (OR=6.26, p<0.05) or Chongqing (OR=5.44, p<0.05) and having exchanged needles or received clean needles from the Needle Exchange Centers in the past year (OR=2.76, p<0.05). Nearly 23% had never used condoms when having commercial sex, and this behavior was associated with having received free condoms from authorities in the past year (OR=0.26, p<0.05). Sexual risk behaviors among drug users in Guangxi, Chongqing, and Xinjiang are common. Additional intervention strategies are needed to control the spread of HIV in this population.
本文描述了中国西部吸毒者中性传播风险行为的流行情况、相关因素及其对该人群艾滋病毒传播的影响。2009年9月至2010年12月期间，在中国西部三个省份的美沙酮维持治疗诊所和戒毒中心对男性吸毒者进行了一项横断面调查。研究参与者完成了一份关于人口统计学、艾滋病毒/艾滋病知识、吸毒史、性传播风险行为及其他社会心理变量的问卷。通过多元逻辑回归分析确定了与艾滋病毒性传播风险行为相关的因素。在接受调查的1304名吸毒者中，近54%在与配偶或同居者性交时从未使用过避孕套，这种行为与来自重庆（比值比=1.86，p<0.05）、年龄在36岁及以上（比值比=5.03，p<0.05）、已婚或同居（比值比=1.68，p<0.05）、30岁及以上首次吸毒（比值比=1.80，p<0.05）以及在过去一年中接受过当局的艾滋病咨询或检测（比值比=1.95，p<0.05）有关。26%的人在过去一年中与临时性伴侣发生过性行为，这种行为与已婚或同居（比值比=0.30，p<0.05）、31岁及以上首次吸毒（比值比=0.42，p<0.05）以及在过去一年中接受过当局的艾滋病咨询或艾滋病毒检测（比值比=0.70，p<0.05）有关。约34%的人在与临时性伴侣发生性行为时从未使用过避孕套，这种行为与来自广西（比值比=2.81，p<0.05）或重庆（比值比=2.73，p<0.05）有关。近14%的人在过去一年中从事过商业性行为，这种行为与来自广西（比值比=6.26，p<0.05）或重庆（比值比=5.44，p<0.05）以及在过去一年中从针具交换中心交换过针具或领取过清洁针具（比值比=2.76，p<0.05）有关。近23%的人在从事商业性行为时从未使用过避孕套，这种行为与在过去一年中从当局领取过免费避孕套有关（比值比=0.26，p<0.05）。广西、重庆和新疆吸毒者中的性传播风险行为很常见。需要采取额外的干预策略来控制该人群中艾滋病毒的传播。
