拟接受美沙酮社区治疗者药物滥用和艾滋病知识调查
Study on characteristics of drug abuse and HIV/AIDS awareness among IDUs recruited from community-based methadone maintenance treatment programs
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摘要:目的 对美沙酮社区维持治疗试点地区内的静脉吸毒者进行入组筛查, 了解其药物滥用情况和艾滋病的相关知识。方法 按照美沙酮维持治疗试验性项目的入组标准, 对成都武候区辖区内的药物滥用者进行筛查。对达到入组标准的55名静脉海洛因吸毒者进行问卷调查和深入访谈, 调查人员经统一培训、统一方法进行质量控制。结果 该试点社区内的静脉吸毒者初始吸毒的原因多为好奇心驱使(69.1%)、朋友鼓励和压力(21.8%), 并有418%的人有与别人共用针具史。绝大多数的被调查者(96.4%)有过性行为的经历, 并且一部分人(15.1%)在过去的6个月中存在高危行为, 如嫖娼、从不使用安全套等.他们的艾滋病相关知识知晓率低下。100%的静脉吸毒者渴望戒断毒品, 回归社会。结论 在今后美沙酮维持治疗的试点中, 应把艾滋病的宣传教育同禁毒干预有机地结合, 调动各方力量积极营造有利于脱毒、戒毒、没有歧视的良好氛围, 使他们早日回归社会。Abstract:Objective To explore the characteristics of drug abuse and the needs of intravenous drug users(IDUs)and to explore the Chinese community's awareness about HIV/AIDS.Methods IDUs were screened and 55 heroin addicts were recruited for the methadone maintenance treatment trial.Those recruited were interviewed in-depth and asked to complete a survey in the from of a questionaire.Results The main reason IDU.s first used drugs were 69.1% satisfaction of curiosity and 21.8% peer pressure.41.8% of the participants had never experienced syringe sharing.96.4% of the participants had already had sexual intercourse.Of those who had already had sexual intercourse, 15.1% had visited prostitutes in the past 6 months and some had never used condoms.100% of the participants evidenced a strong desire to abstain from drug and to return to being active members of their family and society.Participant's HIV/AIDS knowledge levels were relatively low.Conclusion Community-based MMT trials must be integrated with prophy lactic prevention of drug abuse and relapse, as well as HIV/AIDS education and intervention.All sectors must cooperate more effectively to create a better social environment for durg addicts which will enable them to re-enter the community as stable and productive individuals.
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