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涼山地區(qū)中學生健康危害行為與預測未來吸毒販毒HIV感染關聯(lián)性研究

發(fā)布時間:2018-10-26 17:04
【摘要】:目的了解涼山地區(qū)中學生健康危害行為與預測未來HIV感染、吸毒、販毒之間的關系,為制定有效干預措施提供參考。方法根據(jù)涼山地區(qū)毒品及艾滋病流行狀況,在艾滋病重點地區(qū)隨機抽取4所中學10 749名學生進行艾滋病高發(fā)區(qū)中學生行為學研究調查問卷調查。結果被調查學生中,預測未來可能感染HIV 2 342名(21.8%),吸毒1 662名(15.5%),販毒1 635名(15.2%)。多因素Logistic回歸分析顯示,未來HIV感染危險因素包括濫用鎮(zhèn)靜安定藥物、現(xiàn)在飲酒、現(xiàn)在吸煙、非安全場所游泳、自殺相關心理問題、受欺凌、自殺意念、嚴重傷害、看過色情刊物、非自愿性行為(OR值分別為1.423,1.273,1.395,1.072,1.087,1.119,1.271,1.200,1.344,1.351,P值均0.05);現(xiàn)在飲酒、現(xiàn)在吸煙、濫用鎮(zhèn)靜安定藥物、騎車違章、步行違章、非安全場所游泳、嚴重傷害、受欺凌、非自愿性行為、看過色情刊物是未來吸毒的危險因素,課外功課時間是未來吸毒的保護因素(OR值分別為1.558,1.286,1.743,1.036,1.131,1.069,1.139,1.209,1.217,1.871,0.962,P值均0.05),F(xiàn)在飲酒、現(xiàn)在吸煙、濫用鎮(zhèn)靜安定藥物、步行違章、非安全場所游泳、自殺意念、受欺凌、嚴重傷害、性行為、非自愿性行為、看過色情刊物是中學生未來販毒的危險因素,課外功課時間是未來販毒的保護因素(OR值分別為1.238,1.620,1.486,1.149,1.105,1.319,1.140,1.236,1.292,1.599,1.268,0.961,P值均0.05)。結論涼山地區(qū)中學生預測未來HIV感染、吸毒、販毒的比例較高,與現(xiàn)有健康危害行為密切相關;要采取針對性強而有力的干預措施,控制中學生物質濫用、減少故意及非故意傷害行為的發(fā)生。
[Abstract]:Objective to investigate the relationship between health hazard behavior of middle school students in Liangshan area and the prediction of future HIV infection, drug abuse and drug trafficking, and to provide reference for effective intervention measures. Methods according to the prevalence of drugs and AIDS in Liangshan area, 10 749 students from 4 middle schools were randomly selected to investigate the behavior of middle school students in the high incidence area of AIDS. Results among the investigated students, 2 342 (21. 8%) were predicted to be infected with HIV in the future, 1 662 (15. 5%) were drug users and 1 635 (15. 2%) were drug traffickers. Multivariate Logistic regression analysis showed that risk factors for future HIV infection included abuse of sedative drugs, current drinking, smoking, swimming in unsafe places, suicide-related psychological problems, bullying, suicidal ideation, and serious injury. Having seen pornographic publications, involuntary sexual activity (OR = 1.423 / 1.273 / 1.395 / 1.087 / 1.271 / 1.271/ 1.200 / 1.344/ 1.351/ P, respectively); Drinking alcohol, smoking now, abusing tranquilizers, cycling violations, walking violations, swimming in unsafe places, serious injuries, being bullied, involuntary sex, reading pornographic publications are the risk factors for future drug use. The time of extracurricular homework was the protective factor of drug abuse in the future (the OR values were 1.5581.286C 1.743X 1.036C 1.131C 1.069 / 1.209U 1.2171.871U 0.962P respectively). Drinking alcohol, smoking now, abusing tranquilizers, illegal walking, swimming in unsafe places, suicidal ideation, bullying, serious injury, sexual behavior, involuntary sex, reading pornographic publications are the risk factors for drug trafficking in the future of middle school students. The time of extracurricular homework was the protective factor of drug trafficking in the future (OR value was 1.2381.620 / 1.4861.149U 1.105U 1.3191.1401.236U 1.292U 1.5991.268U 0.961P, respectively). Conclusion High school students in Liangshan area predict the prevalence of HIV infection, drug abuse and drug trafficking in the future, which is closely related to the existing health hazard behavior. It is necessary to take strong and effective intervention measures to control the substance abuse of middle school students and to reduce the occurrence of intentional and unintentional injuries.
【作者單位】: 涼山彝族自治州第一人民醫(yī)院皮膚性病科;中國疾病預防控制中心性病艾滋病預防控制中心預防干預室;北京大學人民醫(yī)院皮膚科;
【分類號】:G637.8
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本文編號:2296408

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