戒毒所独立调查评价静脉吸毒人员清洁针具干预效果

Evaluation of the Preventive Effect of Clean Needle on IDUs in Detoxification Centre

目的通过戒毒所内学员调查,探索第三方独立评估云南中澳项目静脉吸毒人员干预效果.方法云南省19个县戒毒所为调查点,非项目执行机构每半年每县随机抽取30名新入所3个月的静脉吸毒强戒学员为调查对象,采用自行设计经预实验的问卷,收集入戒毒所前接受外展服务内容频次质量,高危注射及性行为等方面资料,进行分析.结果共调查669人,415人(59.4%)接受过外展人员服务,256人(36.6%)接受过清洁针具,是否接受外展服务与目标人员间共用针具及与临时性伴是否使用安全套存在显著差异,P<0.036和P<0.002.接受外展清洁针具及服务频率减少为目标人群与它人共用针具的主要影响因素,OR=0.76及OR=1.81.结论外展人员服务提高了吸毒人员安全注射及安全性行为,外展提供清洁针具及较高频率服务有助于减少共用针具情况发生,戒毒所学员调查方法有助于了解实际干预覆盖面,可对当地静脉吸毒人员干预效果及质量进行相对客观的公正评价.

Objective To explore how to use independent participant evaluates IDU intervention project effectiveness by investigating the Injection Drug User（IDU） in detoxification center.Methods 19 drug detoxification centers were selected as survey sites,independent participant randomly chose 30 IDUs new admitted less than three months in each county every half a year as investigation objects.Self-designed pre-test questionnaire was used to collect pre-detoxification center outreach services,high-risk injection and sexual behavior with SPSS17.0 analysis.Results 669 people were investigated,and 415（59.4%） had accepted outreach personnel service,256（36.6%） had accepted clean needles.There were significant differences,P 〈 0.036 and P 〈 0.002 between whether ever accepted the outreach services and shared needles ＆ condoms using with temporary sexual partners.Clean needles and low frequency service were the main influencing factors to IDUs sharing needles,OR = 0.76 and the OR = 1.81.Conclusion Outreach worker service can improve IDU safe injection and safe sexual behavior,outreach clean needle service and higher frequent service helps to reduce the chance of sharing needles,a detoxification center survey can help to estimate IDU intervention coverage,and to evaluate IDU intervention effectiveness and quality.