133例大学生HIV感染者新型毒品使用及危险性行为特征

Correlation analysis between recreational drugs usage and risky sexual behaviors in 133 college students with HIV infection

目的调查133例大学生HIV感染者新型毒品使用情况、危险性行为特征,分析两者间的相关性。方法对某省会城市133例在校大学生HIV感染者进行匿名问卷调查,收集调查对象新型毒品使用、危险性行为特征的相关信息,采用二分类非条件Logistic回归模型分析新型毒品使用与危险性行为特征的相关性。结果 37.6%(50/133)的调查对象在HIV阳性诊断之前已开始使用新型毒品,46.6%(62/133)报告过去6个月使用过新型毒品,9.0%(12/133)在过去6个月使用过冰毒,Rush则为男男性行为感染者最常使用的新型毒品,占36.8%(49/133)。多因素分析显示,控制其他因素,新型毒品使用与大学生HIV感染者群交性行为(OR=4.08,95%CI:1.57~10.59)、临时性行为(OR=4.13,95%CI:1.67~10.22)、无保护性行为(OR=3.22,95%CI:1.36~7.60)、商业性性行为(OR=9.25,95%CI:1.88~45.58)呈正相关。结论新型毒品使用伴随危险性行为增加,提示今后在大学生HIV感染者当中,应加强健康干预工作并制订更具有针对性的干预策略,减少其新型毒品的使用和危险性行为的发生。

Objective To analyze the current status of recreational drug use, characteristics of risky sexual behaviors,and the correlation between the two in 133 college students with HIV infection. Methods A self-administered questionnaire survey was conducted anonymously among 133 HIV-infected college students in a provincial capital city,and collected the relevant information about the recreational drug use and the characteristics of risky sexual behaviors of the survey subjects, and used the binary unconditional logistic regression model to analyze the correlation between the recreational drugs use and the characteristics of risky sexual behavior. Results 37.6%(50/133) of the sample reported that they had used recreational drugs before the diagnosis of HIV+, 46.6%(62/133) of the respondents reported using at least one type of recreational drugs in the past 6 months, 9.0%(12/133) the sample had used methamphetamine in the past6 months, and Rush were the recreational drugs most commonly used by HIV-infected people due to male-to-male behavior, accounting for 36.8%(49/133). Multivariate analysis shows that, controlling for other factors, recreational drugs use is positively correlated with group sex(OR=4.08,95%CI:1.57-10.59), commercial sex(OR=9.25,95%CI:1.88-45.58),temporary sex(OR=4.13, 95%CI: 1.67-10.22), and unprotected sex(OR=3.22, 95%CI: 1.36-7.60) among college students with HIV infection. Conclusion The use of recreational drugs is accompanied by an increase in risky sexual behaviors,suggesting that health intervention work in this population will be under pressure in the future. Targeted intervention strategies should be developed to reduce recreational drugs in this population, thereby reducing the occurrence of risky sexual behaviors.