吸毒人员死亡原因及相关因素调查

目的:收集分析已故吸毒人员的死亡原因,为降低吸毒人群死亡率后续活动提供依据。方法:云南、广西17县为调查点,立意抽样,通过对死者家属或亲友问卷调查,回顾收集2009年以来,3 a死亡吸毒人员相关人口学信息、吸毒史、死亡原因等。Epidata建立数据库,SPSS 17.0进行统计学分析。结果:共调查188名死亡吸毒人员,其中男性占83.3%;年龄为:37.4 a±s 5.7 a;187人使用毒品为海洛因(其中1人漏答),46.5%吸毒人员死于吸毒注射过量,24.1%死于艾滋病,注射吸毒方式是吸毒过量导致死亡的危险因素,OR值为1.445。结论:吸毒人员多中年死亡,注射吸毒过量及艾滋病是造成死亡的最主要原因,加强吸毒过量预防宣传培训及扩大过量急救可及性,增加吸毒人员入组抗病毒治疗将有效降低吸毒人员死亡率。

RESEARCH ON THE DEATH REASONS AND OTHER RELEVANT FACTORS OF DRUG USERS

Objective:To collect and analyze the death reasons of those drug users already dead,and supply evidence for follow-up activities aiming to decrease the death rate of drug users.Methods: The 17 project counties in Yunnan and Guangxi provinces were selected as investigation sites.The questionnaires were filled by the family members or friends of those dead drug users.The research investigated the information about demography,drug using history,death reasons and so on since year 2009.Database was built up by Epidata and analyzed by statistical software SPSS 17.0.Results: Information about 188 dead drug users were analyzed,among whom 83.3% were male;the average ages is: 37.35 ± s 5.733;among whom,187 of them were heroin users(One of them is missed),46.5% died of overdose injection,24.1% died of AIDS.The administration of injecting drug use is the risk factor for overdose,OR value was 1.445.Conclusion: Most drug users died in their middle ages,while the injecting overdose and AIDS are the main death reasons.Therefore,strengthening the education and training of overdose prevention,expanding the first aid accessibility of overdose and increasing the ART enrollment rate among drug users can effectively reduce the death rate of drug users.