江苏某戒毒所梅毒感染状况与危险因素分析
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南京医科大学公共卫生学院流行病学系 江苏 南京 211166

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国家自然科学基金(81703273);江苏省自然科学基金(BK20171054);2018年江苏高校优势学科建设工程基金“公共卫生与预防医学”;江苏高校品牌专业建设工程资助项目(项目标号:PPZY2015A067)


Analysis of Syphilis infection and influencing factors in a drug rehabilitation center in Jiangsu Province
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Department of Epidemiology,School of Public Health,Nanjing Medical University

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    摘要:

    目的:了解江苏省某强制隔离戒毒所男性戒毒人群的梅毒感染情况及其危险因素。 方法:于2018年6-8月对江苏省某强制隔离戒毒所男性戒毒人群进行横断面调查,采用梅毒螺旋体颗粒凝集实验检测抗体,通过问卷调查基本信息、吸毒情况及性行为情况。 结果:790人中共发现133例梅毒抗体阳性,梅毒感染率16.8%,梅毒组平均年龄(P<0.001)与开始吸毒的平均年龄(P=0.002)高于非梅毒组,两组间性伴侣情况存在差异(P=0.044);多因素logistic回归分析结果显示,吸毒年限较长者(OR=1.04,95%CI:1.00~1.07)和有临时性伴侣者(OR=1.90,95%CI:1.18-3.05)是该人群梅毒感染的危险因素。结论:该人群梅毒感染率高,与吸毒年限较长和不安全性行为有关。

    Abstract:

    Objective To understand the syphilis infection status and its influencing factors in drug-drug detoxification populations; Methods The population of the Yixing City Drug Rehabilitation Center in Jiangsu Province was selected for drug detoxification. The antibodies were detected by the syphilis particle agglutination test, and the basic information, drug abuse and sexual behavior were investigated using a questionnaire. Results Among 790 people, 133 cases of syphilis antibody were found to be positive. The syphilis infection rate was 16.8%. The average age of syphilis group (P<0.001) and the average age of starting drug use (P=0.002) were higher than those of non-syphilis group. There was a difference in sexual partner between the two groups. (P=0.044); multivariate analysis showed that The average age of syphilis group (P<0.001) and the average age of starting drug use (P=0.002) were higher than those of non-syphilis group. There was a difference in sexual partner between the two groups. (P=0.044); multivariate analysis showed that older people were more susceptible to syphilis infection (OR=1.053, 95% CI: 1.019-1.087), and temporary sexual partners were more susceptible to syphilis infection than stable partners. (OR=1.900, 95% CI: 1.183-3.050). Conclusion The syphilis infection rate is high in this population, and the risk factors for syphilis infection in unsafe sexual behavior.

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  • 收稿日期:2021-01-25
  • 最后修改日期:2021-03-03
  • 录用日期:2021-07-23
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