Do drug users in China who frequently receive detoxification treatment change their risky drug use practices and sexual behavior?
Do drug users in China who frequently receive detoxification treatment change their risky drug use practices and sexual behavior?
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DOI：
10.1016/j.drugalcdep.2006.01.004
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发表时间：
2006-09-01
影响因子：
4.2
通讯作者：
Li, Xiaojing
中科院分区：
文献类型：
--
作者：
Liu, Hongjie;Grusky, Oscar;Li, Xiaojing
背景：中国接受治疗的吸毒者复吸率很高。我们研究了戒毒治疗频率与艾滋病毒相关危险吸毒行为和性行为之间的关系。方法：2003年对安徽省两个戒毒中心的吸毒者进行横断面研究。结果：总共招募了312名吸毒者。百分之七十七的受试者曾接受过两次或两次以上的排毒治疗。接受戒毒治疗的中位数为三次，四分位数范围为二至五次治疗。超过十分之七 (72%) 的人曾经注射过毒品； 19% 的人在过去 30 天内共用针头和注射器； 40% 的吸毒者表示在过去一年中既有固定性伴侣也有商业性伴侣，48% 的吸毒者表示只有固定性伴侣。多元泊松回归分析证明，戒毒治疗的频率与吸毒行为（注射或共用针头）和无保护性行为的减少无关。结论：经常接受戒毒治疗的吸毒者并没有改变他们危险的吸毒行为和性行为。有效的行为干预和替代维持治疗应成为中国戒毒计划的一个组成部分。 (c) 2006 Elsevier Ireland Ltd. 保留所有权利。
Background: Relapse rates among treated drug users in China are high. We examined the associations between frequency of drug detoxification treatment and HIV-related risky drug practices and sexual behavior.Methods: A cross-sectional study was conducted among drug users in two Anhui province detoxification centers in 2003.Results: A total of 312 drug users were recruited. Seventy-seven percent of the subjects had ever received two or more detoxification treatments. The median number of detoxification treatments received was three, with an interquartile range of two to five treatments. More than 7 in 10 (72%) ever injected drugs; 19% shared needles and syringes in the past 30 days; 40% of drug users reported having both regular and commercial sex partners in the past year and 48% reported having only regular sex partners. Multiple Poisson regression analysis documented that the frequency of detoxification treatment was not associated with a decrease in drug practice (injection or sharing needles) and in unprotected sex.Conclusion: Drug users who frequently received detoxification treatment did not change their risky drug use practices and sexual behavior. Effective behavioral interventions and substitution maintenance treatment should become an integral part of detoxification programs in China. (c) 2006 Elsevier Ireland Ltd. All rights reserved.