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目的了解武汉市青少年男男性接触者药物滥用流行特征及其影响因素。方法通过同伴推荐、互联网宣传、外展活动的组织以及自愿咨询检测方法,于2013年5月—11月在武汉市对青少年男男性接触者(YMSM)进行匿名问卷调查。结果 397名YMSM中,22.9%(91/397)吸食过兴奋类药物,18.7%(17/91)经常吸食;药物滥用YMSM平均年龄为(21.8±2.2)岁,35.2%(32/91)药物滥用YMSM来自学生群体。82.4%(75/91)YM SM在吸食药物后与同性发生过性行为。42.7%(32/75)报告每次均使用安全套。本次调查人群艾滋病病毒(HIV)总体感染率为6.8%(27/397),其中药物滥用者HIV感染率为12.1%(11/91),高于无药物滥用YMSM中HIV感染率为5.2%(16/308)(χ2=5.290,P=0.021)。活动场所为网吧(OR=1.798,95%CI=1.001~3.229),首次喜欢同性年龄在≤15岁的YMSM(OR=1.917,95%CI=1.126~3.266)更可能滥用药物。结论药物滥用YM SM人群中HIV感染者比例较大,对药物滥用的YM SM人群应重点干预。
Objective To understand the prevalence of drug abuse and its influencing factors among MSM among adolescents in Wuhan. Methods Anonymous questionnaire was conducted in Wuhan from May to November in 2013 through peer recommendation, internet propaganda, organization of outreach activities and voluntary counseling and testing methods. Results Of the 397 YMSMs, 22.9% (91/397) of them smoked the excitatory drugs and 18.7% (17/91) of them regularly took drugs. The mean age of drug abuse YMSM was (21.8 ± 2.2) years and 35.2% (32/91) Abuse of YMSM from student groups. 82.4% (75/91) YM SM had sex with same sex after drug abuse. 42.7% (32/75) reported using condoms each time. The overall HIV prevalence of the survey population was 6.8% (27/397), of which 12.1% (11/91) were drug abusers and 5.2% higher than those in YMSM without drug abuse (16/308) (χ2 = 5.290, P = 0.021). (OR = 1.798, 95% CI = 1.001 ~ 3.229). For the first time, YMSM (OR = 1.917, 95% CI = 1.126 ~ 3.266), who were first age 15 years or older, were more likely to abuse drugs. Conclusion The proportion of HIV-infected people in drug abuse YM SM population is large, and the intervention should be focused on YM SM drug abusers.