南宁市吸毒人群婚外性行为现状及影响因素分析

ANALYSIS OF EXTRA-MARITAL SEXUAL BEHAVIOR AND RELATED FACTORS AMONG DRUG USERS IN NANNING

目的:了解南宁市吸毒人群婚外性行为现状,分析其影响因素。方法:采用匿名填写问卷的方式,对来自社区和戒毒所的781名吸毒人员进行艾滋病预防知识和行为调查。结果:当地吸毒人群最近一年与临时性伴、商业性伴发生性关系的比例分别达到了40.1%和15.0%。男性、低年龄组、非在婚状态的吸毒者发生婚外性行为的水平较高;有共用针具行为的吸毒者与临时性伴、商业性伴发生性关系的水平均明显高于不共用针具者。分别有47.6%、37.6%的吸毒人员在与临时性伴、商业性伴发生性关系时从不使用安全套。对与临时性伴发生性关系的多因素Lgistic回归分析显示,性别、年龄、婚姻状况、是否与他人共用过注射器、艾滋病预防知识得分是具有统计学显著意义的影响因素。对与商业性伴发生性关系的多因素Lgistic回归分析显示,性别、首次注射吸毒年龄、是否与他人共用过注射器是具有统计学显著意义的影响因素。结论:稳定的婚姻关系有助于减少吸毒人员与临时性伴发生性关系,但是无助于减少与商业性伴的性行为;共用注射器是增加吸毒人群与临时性伴、商业性伴发生性关系的影响因素;掌握艾滋病预防知识并不能减少吸毒人群的婚外性行为,在加强艾滋病防治知识宣教的同时,更加要侧重于行为的干预。

Objective： To understand the status of extra -marital sexual behavior and related factors among drug users in Nanning City. Methods：An investigation was conducted on the HIV/AIDS - prevention knowledge and high risk behavior among 781 drug users who came from local community and drug rehabilitation centers with an anonymous questionnaire. Results ：The rates of having sexual intercourse with casual partner and commercial sex workers （CSWs） among the investigated drug users were up to 40. 1% and 15.0%, respectively in the past year. Drug users who were male, young and unmarried/living alone were more likely to have extra -marital sexual behavior. IDUs who shared needles and syringes with others were more likely to have sexual intercourse with both casual partners and CSWs. 47.6% and 37. 6% drug users never used condoms when they had sexual intercourse with casual partners and CSWs, respectively. Multivariate logistic regression analysis indicated that gender, age, marital status, sharing needles and syringes or not, HIV/AIDS - prevention knowledge achievements were significant factors for having sexual intercourse with casual partners. For having sexual intercourse with CSWs, the significant factors were gender, age, age of initial injection drug use, sharing needles and syringes or n＇ot.Conclusion ： Stable marriage life can help drug users to reduce sexual intercourse with casual partners. However, it didn＇t work when refer to CSWs. Sharing needles and syringes is a significant factor for increasing sexual intercourse with casual partners and CSWs. Having HIV/AIDS -prevention knowledge dose not mean less extra- marital sexual behavior. Besides HIV/AIDS- related knowledge training, intervention aimed at high risk behavior should be more emphasized among drug users.