Drug users: A potentially important bridge population in the transmission of sexually transmitted diseases, including AIDS, in China

Drug users: A potentially important bridge population in the transmission of sexually transmitted diseases, including AIDS, in China
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DOI:
10.1097/01.olq.0000199762.28231.ee
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发表时间:
2006-02-01
影响因子:
3.1
通讯作者:
Ma, EJ
Ma, EJ
中科院分区:
医学4区
文献类型:
--
作者:
Liu, HJ;Grusky, O;Ma, EJ

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目的:本研究的目的是检查桥和非桥吸毒者的危险特征。研究设计:在吸毒者中进行横断面研究。与高风险伴侣和低风险伴侣共用针头并发生性行为的吸毒者被定义为搭桥者。结果:共招募吸毒人员312人,其中过桥者154人,占49.4%。在过桥人群中,83.1%的人在过去一个月注射过毒品,35%的人共用针头。87%(134人)的过桥者在过去一年中有一个或多个商业性伴侣。只有3.9%的过桥者和4.6%的非过桥者与固定的性伴侣持续使用安全套。58%的过桥者和46.8%的非过桥者丙型肝炎病毒检测呈阳性,而15.6%的过桥者和7%的非过桥者梅毒检测呈阳性。结论:桥接者在吸毒者中的普遍存在及其危险性行为突出了桥接者在性传播疾病传播中的作用。
Objective: The objective of this study was to examine risk characteristics among bridge and nonbridge drug users.Study Design: A cross-sectional study was conducted among drug users. Drug users who shared needles and engaged in sex with both high-risk partners and low-risk partners were defined as bridgers.Results: A total of 312 drug users were recruited, among whom 49.4% (154) were bridgers. Among bridgers, 83.1% injected drugs and 35% shared needles in the past month. Eighty-seven percent (134) of bridgers had one or more commercial sex partners in the past year. Only 3.9% of the bridgers and 4.6% of nonbridgers consistently used condoms with regular sex partners. Fifty-eight percent of bridgers and 46.8% of nonbridgers tested positive for hepatitis C virus, whereas 15.6% of bridgers and 7% of nonbridgers tested positive for syphilis.Conclusions: The pervasiveness of bridgers among drug users and their risky sexual behavior underscore their role in the spread of sexually transmitted diseases.