美沙酮维持治疗门诊服药人员的不安全性行为及其相关因素

目的了解目前美沙酮维持治疗（MMT）门诊服药人员的不安全性行为状况及相关因素。方法在重庆、广东、江苏三省（直辖市）6个MMT门诊，选取符合条件的服药人员进行问卷调查及尿液检测，收集研究对象的一般情况、性行为状况、美沙酮服药情况及多药滥用信息。结果共调查1202人，平均年龄（39.7±6.8）岁；其中男性占75.7％（910人），平均吸食海洛因年限（15.6±4.8）年。758人（63.1％）过去6个月有过性行为，其中10.2％（77／758）存在不安全性行为。男性、未婚单身／N异丧偶、与家人关系差、存在药物滥用、HIV阳性与不安全性行为的发生存在正向的统计学关联（P〈O.05）。结论不安全性行为普遍存在于所调查的MMT门诊服药人员中，针对服药人员不安全性行为的健康教育和行为干预需要进一步加强。

Unsafe sexual behaviors and associated factors among clients attending methadone maintenance treatment clinics

Objective To understand the unsafe sexual behaviors among heroin addicts attending methadone maintenance treatment （MMT） clinics and to analyze the associated factors. Methods A total of 1 202 clients from 6 MMT clinics from Chongqing, Guangdong and Jiangsu were included in the study. The information of social demographics, sexual behaviors, multi drug use-related behaviors was collected by a questionnaire survey and urine samples were tested to identify if heroin or methamphetamine or ecstasy or benzodiazepine or buprenorphine had been used. Results The average age of the 1 202 clients was （39.7±6.8） years. Among them, 75.70//00 were males, the average year of using heroin was （15.6±4.8）years. Among all the participants, 758 （63.1 %） had sexual behavior in the last 6 months, and 10.2% （77/758） had unsafe sexual behavior. In males, who were unmarried, divorced or widowed, or had a bad relationship with their families, or used multi drugs, HIV positive status was positively correlated with unsafe sexual behavior （P〈0.05）. Conclusion The clients of MMT also have a high percentage of unsafe sexual behavior. Health education and behavioral intervention aiming to reduce unsafe sexual behavior among MMT clients should be enhanced.