美沙酮维持治疗者滥用甲基苯丙胺的因素分析

目的 探讨美沙酮维持治疗(methadone maintenance treatment,MMT)者滥用甲基苯丙胺的影响因素。 方法 选取2013年1月-2016年6月在MMT门诊接受治疗的255例患者为调查对象,自拟调查问卷统计社会学特征、对甲基苯丙胺的认知情况、MMT治疗情况,进行单因素及多因素Logistic回归分析。 结果 255例MMT患者中,甲基苯丙胺尿检阳性者28例,占11.0%,单因素分析结果表明不同性别、年龄、居住方式、对甲基苯丙胺的了解情况、甲基苯丙胺对性行为影响的认知、近3个月是否吸食毒品的患者,其甲基苯丙胺尿检阳性率存在统计学差异,多因素Logistic回归分析结果表明年龄(OR=2.190)、甲基苯丙胺对性行为影响的认知(OR=1.237)及近3个月吸食毒品(OR=2.876)是造成甲基苯丙胺滥用的危险因素。 结论 针对MMT患者滥用甲基苯丙胺的危险因素,应当加强教育,以减少甲基苯丙胺的使用,预防艾滋病感染。

Influencing factors of methamphetamine abuse among patients undergoing methadone maintenance therapy

Objective To explore the influencing factors of methamphetamine abuse of patients receiving methadone maintenance therapy (MMT). Methods A total of 255 patients receiving MMT between January 2013 and June 2016 were selected. They were investigated by general demographic characteristics, the knowledge of methamphetamine and the treatment of MMT using self-made questionnaire. The data was analyzed using single-factor and binary logistic regression analysis. ResultsOf the 255 patients, 28 were positive in the methamphetamine urine test, accounting for 11.0%. The single-factor analysis showed that significant differences were found in methamphetamine abuse of people of different gender, age, living pattern, knowledge about methamphetamine, influence cognition of methamphetamine to sexual behavior and if taking drugs in the last 3 months, while binary logistic regression analysis indicated that age (OR=2.190), influence cognition of methamphetamine to sexual behavior (OR=1.237) and drug addiction status in the last three months(OR=2.876) were the main causes of methamphetamine abuse. Conclusion In view of the risk factors of methamphetamine abuse in MMT patients, education should be strengthened to reduce the use of new drugs to prevent HIV infections.