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目的:了解吸毒人员的性态度-性行为及梅毒防控知识知晓情况。方法:采取整群随机抽样的方法选取荔湾区美沙酮门诊吸毒人员作为调查对象,对高危人群性传播感染(STI)感染队列研究调查问卷,采用一对一、面对面的访谈方式开展调查。结果:调查的275名吸毒人员中,96.00%的吸毒人员性倾向为异性;57.09%对同性恋持反对态度,39.63%对同性恋的态度保持中立;43.27%对商业性行为持反对态度,48.00%对商业性行为的态度保持中立。其中,不同性别的性倾向、不同性别对商业性行为态度、不同职业对同性恋的态度和不同学历对同性恋的态度比较,差异具有统计学意义(P<0.05)。近半年内,165人发生了异性性行为,32人发生了非固定性伴侣性行为(即高危性行为),1人发生了同性性行为,2人提供了商业性性服务。其中,发生非固定性伴侣性行为时每次使用安全套的有15人(48.88%),偶尔使用的有10人(31.25%),从不使用的有6人(18.75%)。男性被调查者近半年内与非固定性伴侣发生性行为显著多于女性(P<0.05)。已婚被调查者近半年内异性性行为明显多于未婚调查者,而与非固定性伴侣发生性行为少于未婚调查者(P<0.05)。结论:男性、中等学历及以下、待业或自由职业、经济收入3000元以下为吸毒的主要人群,本区近期针对吸毒人员的梅毒防控重点应放在单身男性的高危性行为和吸毒人员的梅毒防控知识宣传方面。
Objective: To understand the attitude of drug addicts - knowledge of sexual behavior and syphilis prevention and control. Methods: Randomized sampling method was used to select drug abusers in methadone clinics in Liwan District to investigate the questionnaire of STI cohort in high risk population and to conduct one-on-one and face-to-face interview. Results: Of the 275 drug addicts surveyed, 96.00% of drug addicts had heterosexuality; 57.09% were opposed to homosexuality, 39.63% were neutral towards homosexuality; 43.27% opposed commercial behavior and 48.00% The attitude of commercial sex remains neutral. Among them, the differences of sexual orientation of different genders, attitudes toward commercial sex by different sex, homosexual attitude towards different occupations and homosexuality between different academic qualifications were statistically significant (P <0.05). In the past six months, 165 people had heterosexual behaviors, 32 people had non-fixed sex couples (ie, high-risk sexual behaviors), 1 had same-sex sex activities, and 2 provided commercial sexual services. Among them, 15 (48.88%) were given condoms each time they had unsociable sexual partners, 10 (31.25%) were occasionally used and 6 (18.75%) were never used. Male respondents in the past six months and non-fixed sexual partners were significantly more than women (P <0.05). Married respondents had significantly more heterosexual behaviors in the past six months than unmarried ones, while those with unsecured couples had fewer sexual intercourse than unmarried ones (P <0.05). Conclusions: Male, middle-aged and below, unemployed or free-lance, economic income below 3000 yuan is the main drug abusers. The recent syphilis prevention and control for drug addicts in this area should focus on high-risk sexual behavior of single men and syphilis among drug addicts Prevention and control of knowledge and promotion.