摘要
目的 了解青岛市新型毒品吸食人群亲密伴侣暴力(IPV)经历并探讨IPV经历与高危性行为的相关性,为制定艾滋病防治对策提供参考依据.方法 2023年4-7月在青岛市招募新型毒品吸食者进行面对面问卷调查,收集基本人口学信息、吸食毒品情况、IPV经历、高危性行为等信息.采集血样进行HIV和梅毒抗体检测.结果 共调查新型毒品吸食者792人,年龄(35.09±8.02)岁,男性占90.15％(714人),最近I年发生高危性行为的比例为64.77％(513人).最近1年有1PV经历的比例为13.51％(107人).女性、月收入为2 000～5 000元、文化程度高中及以下、艾滋病知识知晓以及最近1年使用毒品后的主要性伴类型为临时性伴、患过性病(STD)、做过HIV检测和发生过高危性行为的新型毒品吸食者有IPV经历的比例较高,差异有统计学意义(P＜0.05).多因素Logistic回归分析结果显示,女性(OR=2.27,95％CI:1.07～4.84),已婚/同居(OR=1.74,95％CI:1.18～2.55),最近1年使用毒品后主要性伴类型为临时性伴(OR=4.58,95％CI:2.96～7.10),最近1年有IPV经历(OR=2.13,95％CI:1.14～4.00)的新型毒品吸食者更容易发生高危性行为.结论 新型毒品吸食人群中存在1PV现象,提示经历IPV的新型毒品吸食者会增加高危性行为的发生风险.应针对此人群制定更全面的预防措施,加强对毒品市场的打击力度,提供安全性行为的宣传干预.
Abstract
Objective To investigate the prevalence of intimate partner violence(IPV)and its correlation with high-risk sexual behaviors(HRSBs)among new psychoactive substances(NPS)users in Qingdao City,aiming to provide a reference point for the development of strategies for the prevention and treatment of AIDS.Methods Between April and July 2023,a face-to-face questionnaire survey was conducted in Qingdao among NPS users.The survey collected data pertaining to demographic characteristics,patterns of substance use,experiences of IPV,and HRSBs.Additionally,blood samples were obtained for the purpose of HIV and syphilis testing.Results A total of 792 NPS users participated in the study,with a mean age of 35.09±8.02 years.The sample consisted of 714 male participants,representing 90.15％of the total number of respondents.Over the past year,64.77％(513 participants)reported engaging in HRSBs,and 13.51％(107 participants)experienced intimate partner violence.A higher prevalence of IPV was observed among women,those with a monthly income of 2 000-5 000 yuan,individuals with a high school education or below,those aware of HIV/AIDS knowledge,those whose primary sexual partners after drug use were casual partners,those with a history of sexually transmitted diseases(STDs),those who underwent HIV testing,and those who engaged in HRSBs(all P＜0.05).The results of the multivariate logistic regression analysis indicated that women(OR=2.27,95％CI:1.07-4.84),married or cohabiting individuals(OR=1.74,95％CI:1.18-2.55),those whose primary post-drug-use partners were casual partners(OR=4.58,95％CI:2.96-7.10),and those who had experienced IPV in the past year(OR=2.13,95％CI:1.14-4.00)were more likely to engage in HRSBs.Conclusions IPV is prevalent among NPS users and is significantly associated with an increased risk of HRSBs.Comprehensive preventive measures targeting this population are essential,including stricter regulation and control of the illegal drug market and enhanced promotion of safe sexual practices.
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万方数据