开远市美沙酮维持治疗基线调查分析

Baseline survey analysis of methadone maintenance treatment in Kaiyuan

[目的]了解受治者美沙酮维持治疗前的高危行为、违法犯罪行为及家庭社会功能等方面的基本情况,为阶段治疗后评估随访提供基础分析数据。[方法]对本地新入组的166例受治者用《社区药物维持治疗评估基线调查表》进行一对一的调查。[结果]在166例受治者中HIV感染的共86例,占51.81%;近半年以注射和其它方式混用吸毒的有116例,其中HIV感染69例,占59.48%;过去一个月共用针具吸毒8例,最多共用人数6人。在有性行为的77例HIV感染者中,最近一次与性伴发生性关系时使用安全套的仅37例,安全套使用率48.05%。[结论]注射吸毒者中共用针具现象仍存在,安全套使用率低,存在HIV传播的危险,在今后工作中要加大对受治者的管理,以及性病艾滋病的宣传教育,降低高危行为。

Objective To learn about the high risk behaviors, illegal actions, situation and social function of family and other basic information before methadone maintenance treatment（MMT） ,and to provide the baseline data to compare and evaluate the follow-up data post first stage of MMT. Methods The new enrolled 166 cases were surveyed individually by the questionnaire. Result Among the 166 cases, the HIV infections account for 51.81% （86 cases）. Among the 116 persons who initiated injecting drug in late half year, there are 77 cases with HIV, accounting for 59.48%. 8 cases shared the syringe with others in the past one month, and to the most extent there were 6 persons to sharing one syringe. Among the 77 persons infected with HIV, when they had sex in the last time, only 37 persons （48.05%） used the condoms. Conclusion sharing syringe still exists among the injecting drug users, and the rate of using condom is still low. As the result of it, there are risks to spread HIV, and it is necessary to strengthen the management and education of STDs/AIDS to reduce the high risk among the people maintained methadone.