Liao Meizhen, Kang Dianmin, Tao Xiaorun, Li Jie, Qian Yuesheng, Wang Guoyong, Jiang Baofa, Bi Zhenqiang, Jia Yujiang
a Shandong Center for Disease Control and Prevention , Shandong Provincial Key Laboratory for Infectious Disease Control and Prevention , Jinan , PR China.
AIDS Care. 2013;25(10):1236-44. doi: 10.1080/09540121.2013.764384. Epub 2013 Feb 11.
We assessed the types of drugs, the prevalence of HIV, syphilis, and its correlates among Shandong's drug users in China. Two consecutive cross-sectional surveys in 2009 and 2010 provided demographics, types of drugs, sexual and drug-use behaviors, and HIV-related services. Of the 1320 unique, eligible participants, 81.1% were male, two-thirds <35 years of age, 13.0% non-Shandong residents; in the past year, majority (96.4%) reported ever using methamphetamine, 3.4% using heroin, 8.6% using ≥2 types of these drugs and 8.0% injecting drugs, 63.8% having commercial sex. HIV and syphilis prevalence were 0.2% and 8.3%, respectively. In multivariable logistic regression analysis, syphilis was independently associated with female, non-Shandong residents, higher levels of education, and 2010. Synthetic drugs, especially methamphetamine, have become the predominant sources of drug addiction. The emerging epidemic of syphilis potentially driven by methamphetamine use underscored the urgency to implement an effective sex and substance use-related intervention.
我们评估了中国山东省吸毒者使用的毒品类型、艾滋病毒和梅毒的流行情况及其相关因素。2009年和2010年连续开展的两项横断面调查提供了人口统计学信息、毒品类型、性行为和吸毒行为以及与艾滋病毒相关的服务情况。在1320名符合条件的独特参与者中，81.1%为男性，三分之二年龄小于35岁，13.0%为非山东居民；在过去一年中，大多数（96.4%）报告曾使用甲基苯丙胺，3.4%使用海洛因，8.6%使用两种及以上此类毒品，8.0%注射毒品，63.8%有商业性行为。艾滋病毒和梅毒的患病率分别为0.2%和8.3%。在多变量逻辑回归分析中，梅毒与女性、非山东居民、较高教育水平以及2010年独立相关。合成毒品，尤其是甲基苯丙胺，已成为主要的成瘾毒品来源。由使用甲基苯丙胺引发的梅毒新流行凸显了实施有效的与性和物质使用相关干预措施的紧迫性。
