Tang R H, Ye R H, Yang Y C, Yao S T, Wang J B, Zhang R M, Luo L F, Wu Z L, Long Y C, Yin M S, He N, Duan S
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
Mangshi County Center for Disease Control and Prevention, Mangshi 678400, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Mar 10;38(3):336-340. doi: 10.3760/cma.j.issn.0254-6450.2017.03.012.
To understand the current status of receiving no methadone maintenance treatment (MMT) and influencing factors in HIV infected injecting drug users (IDUs) in Dehong Dai and Jingpo autonomous prefectures, Yunnan province. Data of survival of IDUs with AIDS in Dehong were collected from " Chinese National Comprehensive HIV/AIDS and Care Information System" in December, 2014. There were 987 IDUs who should receive MMT, the majority of them were males (94.6%, 934/987), aged 35-44 years (53.0%, 523/987) and farmers (77.2%, 762/987). Among the 987 IDUs, 60.2% (592/987) received no MMT. Multivariate logistic regression analysis showed that being female (=2.66, 95: 1.21-5.87), in Jingpo ethnic group (=3.05, 95: 1.97-4.71) were the major risk factors for receiving no MMT; not being farmers (=0.46, 95: 0.31-0.70), in Dai ethnic group (=0.53, 95: 0.36-0.79), diagnosed HIV infection history ≥10 years (=0.60, 95: 0.45-0.81) were the major protective factors for receiving no MMT. The reasons for receiving no MMT included long distance journey (289 48.8%), fear of exposure (124, 20.9%), poor daily medication compliance (59, 10.0%), fear of side effects (47, 7.9%), others (73, 12.3%). The proportion of receiving no MMT in IDUs with AIDS in Dehong was high. Being female and farmer, in Jingpo ethnic group, low educational level, short diagnosed HIV infection history were influencing factors for receiving no MMT. The effective intervention measures should be taken to further improve MMT coverage according to the different characteristics of the patients.
为了解云南省德宏傣族景颇族自治州艾滋病病毒感染吸毒者(IDUs)未接受美沙酮维持治疗(MMT)的现状及影响因素。2014年12月从“中国国家艾滋病综合防治信息系统”收集德宏州艾滋病病毒感染吸毒者的生存数据。共有987名应接受美沙酮维持治疗的吸毒者,其中大多数为男性(94.6%,934/987),年龄在35 - 44岁(53.0%,523/987),职业为农民(77.2%,762/987)。在这987名吸毒者中,60.2%(592/987)未接受美沙酮维持治疗。多因素logistic回归分析显示,女性(比值比=2.66,95%可信区间:1.21 - 5.87)、景颇族(比值比=3.05,95%可信区间:1.97 - 4.71)是未接受美沙酮维持治疗的主要危险因素;非农民(比值比=0.46,95%可信区间:0.31 - 0.70)、傣族(比值比=0.53,95%可信区间:0.36 - 0.79)、确诊感染艾滋病病毒病史≥10年(比值比=0.60,95%可信区间:0.45 - 0.81)是未接受美沙酮维持治疗的主要保护因素。未接受美沙酮维持治疗的原因包括路途远(289例,48.8%)、担心暴露(124例,20.9%)、日常服药依从性差(59例,10.0%)、担心副作用(47例,7.9%)、其他(73例,12.3%)。德宏州艾滋病病毒感染吸毒者未接受美沙酮维持治疗的比例较高。女性、农民、景颇族、文化程度低、确诊感染艾滋病病毒病史短是未接受美沙酮维持治疗的影响因素。应根据患者的不同特点采取有效的干预措施,进一步提高美沙酮维持治疗的覆盖率。