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目的了解烟台市新型毒品吸食者性行为特征与梅毒感染情况。方法采用方便抽样方法对烟台市新型毒品吸食者进行问卷调查,同时采集静脉血进行梅毒抗体和艾滋病病毒抗体检测。结果共调查新型毒品吸食者411人,梅毒感染率为18.0%(74/411);在吸食毒品后主要性伴是固定性伴,占51.6%(212/411),临时性伴和商业性伴分别占35.8%(147/411)、12.7%(52/411);有11.4%(47/411)的新型毒品吸食者在最近一年内有同性性行为;最近一个月内,最近一次发生性行为时安全套使用率为56.0%(108/193)。单因素分析结果显示,年龄、婚姻状况、职业、月收入、首次吸毒年龄与梅毒感染有关。多因素Logistic分析显示,年龄>35岁(OR=2.943,95%CI:1.145~7.564,P<0.05),同居(OR=4.172,95%CI:1.228~14.171,P<0.05),职业为私营/个体(OR=2.845,95%CI:1.361~5.948,P<0.05)、无业/下岗(OR=2.605,95%CI:1.134~5.984,P<0.05)、月收入>5 000元者(OR=2.511,95%CI:1.081~5.834,P<0.05)患梅毒的风险较高。结论新型毒品吸食者性伴情况复杂,梅毒感染率高,存在较高的同性性行为,且安全套使用率低,需开展积极主动的警示性教育与行为干预。
Objective To understand the characteristics of sexual behaviors and syphilis infection of new drug abusers in Yantai City. Methods A sample of new drug abusers in Yantai City was surveyed by means of a convenient sampling method. Meanwhile, venous blood was collected for the detection of syphilis antibody and HIV antibody. Results A total of 411 new drug smokers were investigated. The infection rate of syphilis was 18.0% (74/411). After taking drugs, the main partners were fixed partners, accounting for 51.6% (212/411), temporary partners and commercial partners Accounting for 35.8% (147/411) and 12.7% (52/411) respectively; new drug abusers who had 11.4% (47/411) had same-sex behavior within the recent year; in the last month, the most recent sexual activity Condom use was 56.0% (108/193). Univariate analysis showed that age, marital status, occupation, monthly income, and age of first drug addiction were related to syphilis infection. Multivariate logistic analysis showed that cohorts (OR = 4.172, 95% CI: 1.228-14.171, P <0.05) were more than 35 years old (OR = 2.943,95% CI: 1.145-7.564, P <0.05) (OR = 2.845,95% CI: 1.361-5.948, P <0.05), unemployed / laid-off (OR = 2.605,95% CI: 1.134-5.984, P <0.05) = 2.511, 95% CI: 1.081 ~ 5.834, P <0.05) had a higher risk of syphilis. Conclusion The new drug addicts have complicated sex partners, high syphilis infection rate, high homosexual behavior and low condom use rate. Active proactive warning education and behavioral intervention are needed.