Yang Xiushi, Xia Guomei
Department of Sociology and Criminal Justice, Old Dominion University, Norfolk, Virginia.
Shanghai Academy of Social Sciences, Shanghai, China.
AIDS Educ Prev. 2019 Feb;31(1):1-16. doi: 10.1521/aeap.2019.31.1.1.
This article examined the differences in causes and health consequences between synthetic drug and heroin abuse in urban China. Two-group comparisons were conducted to quantify differences in individual characteristics, causes of drug use, and HIV/STI risky sexual behavior between synthetic drug and heroin users; logistic regressions were employed to assess the net effect of synthetic drug use on risky sexual behavior. Results revealed that causes of synthetic drug use differed from those of heroin use; a combination of the knowledge gap concerning the harmful impact of synthetic drugs and the lesser punishment for their use appeared a main reason behind the shift from heroin to synthetic drugs; and synthetic drug use was a significant and powerful risk factor for HIV/STI risky sexual behavior. Educational and behavioral interventions are urgently needed to prevent the initiation of synthetic drug use among users to reduce their HIV/STI risky sexual behavior.
本文研究了中国城市地区合成毒品滥用与海洛因滥用在成因及健康后果方面的差异。进行了两组比较，以量化合成毒品使用者与海洛因使用者在个人特征、吸毒原因以及艾滋病毒/性传播感染危险性性行为方面的差异；采用逻辑回归分析来评估使用合成毒品对危险性性行为的净影响。结果显示，合成毒品的使用原因与海洛因不同；对合成毒品有害影响的认知差距以及对其使用处罚较轻，这两者结合似乎是从海洛因转向合成毒品的主要原因；而且使用合成毒品是艾滋病毒/性传播感染危险性性行为的一个重要且有力的风险因素。迫切需要开展教育和行为干预，以防止使用者开始使用合成毒品，从而减少他们的艾滋病毒/性传播感染危险性性行为。
