Objective: To explore the characteristics of sexual risk behaviors and related factors of drug users in two enforced detoxification institutions in Changsha, China.Methods: A total of 309 drug users from two compulsory detoxifications in Hunan Province were investigated using self-designed questionnaire, which included background information, drug use and sexual risk behaviors, STD/HIV related knowledge and permissiveness of sexual behaviors. Results: Among 309 drug users, 279 (90.3%) had regular sexual relationships, and 85 (27.5%) of them had more than 1 regular partner. The prevalence of casual sexual behaviors, commercial sexual behaviors and multi-partner sexual behaviors was 38.2% (118/309), 25.9% (80/309), and 62.8% (194/309), respectively. And 74 (23.9%) had sex with both commercial and noncommercial partners. The major factors related to sexual risk behaviors were gender, marital status, the age of sexual debut, drug injection, the history of STD and sexual permissiveness.Conclusion: Sexually risk behaviors are relatively common in drug users. To modify the sexual risk behaviors in this group is very important to prevent and control HIV transmission to general population.%目的:了解吸毒人员HIV感染危险性性行为发生现况及其相关因素.方法:以湖南省两所强制戒毒机构的323名吸毒人员作为调查样本,以面对面访谈方式,采用自编一般情况问卷、危险性性行为问卷、相关知识问卷和性态度开放程度量表进行调查.结果:调查时点前1年内,309名吸毒人员有效样本中,279人(90.3％)有固定性伴；27.5％ (85/309)有多个固定性伴；临时性性行为发生率为38.2％ (118/309),商业性性行为发生率为25.9％ (80/309),既有商业性又有非商业性性行为的发生率为23.9％(74/309),多性伴性行为总发生率为62.8％(194/309).总分为25分(25条目)的相关知识中位数得分为18分(P25=15,P75=20);总分为66分的性态度开放程度中位数评分为33分(P25=14,P75=38).按照本研究界定的危险性性行为分级方法,经ordinal回归分析发现:女性、无稳定婚姻关系、有注射吸毒行为、既往有性传播疾病感染史是其性行为危险程度等级增高的危险因素,初次性行为年龄越低、性态度趋向保守是样本性行为危险程度增高的保护因素.结论:研究点吸毒人员有较高比例的危险性性行为,对该人群危险性性行为的有效干预对于预防和控制HIV向普通人群的扩散具有重要意义.
展开▼
