本文選題：美沙酮維持治療　切入點(diǎn)：毒品濫用　出處：《復(fù)旦學(xué)報(bào)(醫(yī)學(xué)版)》2014年06期 　論文類型：期刊論文

【摘要】：目的了解四川省涼山州2004年3月至2012年3月美沙酮門診受治者的基本情況和隨訪情況,為涼山地區(qū)開展美沙酮門診維持治療工作提供依據(jù)。方法以涼山州11個(gè)美沙酮維持治療門診中所有參加過(guò)治療的9 013例受治者為研究對(duì)象,將信息系統(tǒng)中的受治者一般情況、既往吸毒行為和隨訪情況的數(shù)據(jù)進(jìn)行整理,采用描述性分析、單因素分析和多因素Logistic回歸分析等方法進(jìn)行數(shù)據(jù)分析。結(jié)果 9 013例受治者以彝族男性農(nóng)民為主,平均年齡(31.17±7.42)歲,84.25%的受治者分布在20~39歲年齡組;已婚有配偶者占73.65%,其次是未婚占21.28%;文化程度以小學(xué)為主(44.20%),其次是初中和文盲,高中級(jí)以上學(xué)歷者少。美沙酮門診受治者首次吸毒年齡(25.12±7.63)歲,美沙酮門診受治者報(bào)告的首次吸毒時(shí)間主要為1991年至2011年,2007年至2008年報(bào)告例數(shù)最多。參加治療前,99.06%受治者使用的毒品為海洛因,其中47.84%有注射史,36.51%共用注射器,47.70%的人曾經(jīng)戒過(guò)毒。美沙酮門診受治者6、12、24、36、48、60、72個(gè)月隨訪率分別為45.41%、18.75%、8.98%、3.92%、0.96%、0.28%、0.02%。影響6個(gè)月隨訪率的因素很多,年齡越大(OR=1.20),女性(OR=1.34),已婚有配偶(OR=1.17),文化程度為初、高中(OR=1.31,1.54),民族為漢族(OR=1.28),曾經(jīng)戒過(guò)毒(OR=1.35)的受治者6個(gè)月隨訪率較高;職業(yè)為農(nóng)民(OR=0.80)、首次吸毒年齡為高年齡組的(OR=0.85)和不與父母/親屬同住(OR=0.56)的受治者隨訪率低。結(jié)論涼山地區(qū)吸毒人群低齡化低素質(zhì)化嚴(yán)重,也影響了美沙酮門診隊(duì)列各時(shí)間段的隨訪率,需加強(qiáng)當(dāng)?shù)孛郎惩S持治療工作。
[Abstract]:Objective to investigate the basic situation and follow-up of methadone outpatients in Liangshan Prefecture, Sichuan Province from March 2004 to March 2012. Methods taking 9,013 patients who had participated in 11 methadone maintenance clinics in Liangshan as the subjects, the general situation of the patients in the information system was analyzed. The data of past drug abuse behavior and follow-up were analyzed by descriptive analysis, single factor analysis and multivariate Logistic regression analysis. Results 9 013 cases were mainly male farmers of Yi nationality. The average age was 31.17 鹵7.42) and 84.25% of the patients were in the 20- 39 age group, 73.65 married, 21.28 unmarried, 44.20% with primary school education, followed by junior high school and illiterate. The age of first drug use in methadone outpatients was 25.12 鹵7.63 years old. Methadone outpatients reported the first time of drug use mainly from 1991 to 2011, with the highest number of reported cases from 2007 to 2008. Before treatment, 99.06% of those treated were heroin. Of these, 47.84% had a history of injection and 36.51% had shared syringes. 47.70% of the people who shared syringes and syringes had ever given up the drug. 612 / 2436 / 486 of methadone outpatients were followed up for 45.41 / 82 months, respectively, and the follow-up rates for 72 months were 45.41 / 18.758.98.983.92.There were many factors that affected the follow-up rate for six months. The older the age was, the higher the OR1.20, the female's OR1.34, the married spouse's OR1.171.17. The follow-up rate was higher in the patients who were 1.31 and 1.54 of the Han nationality, who had once given up drugs, and who had given up the drug for 1.35. The follow up rate of those who were employed as farmers was 0.80, the first drug abuse age was OR0.85 in the high age group, and those who did not live with their parents / relatives in Oran 0.56) had a low follow-up rate. Conclusion the low age and low quality of drug users in Liangshan area is serious. The follow-up rate of methadone outpatient cohort was also affected, and local methadone maintenance treatment should be strengthened.
【作者單位】： 四川省涼山州疾病預(yù)防控制中心;復(fù)旦大學(xué)公共衛(wèi)生學(xué)院流行病學(xué)教研室-公共衛(wèi)生安全教育部重點(diǎn)實(shí)驗(yàn)室-熱帶病研究中心;
【分類號(hào)】：R749.64

【共引文獻(xiàn)】

相關(guān)期刊論文 前9條

1 則國(guó)權(quán);;涼山彝區(qū)毒品艾滋陰影下的民族自救[J];四川警察學(xué)院學(xué)報(bào);2011年05期

2 衛(wèi)志燕;劉富強(qiáng);黃竹芳;;陽(yáng)泉市3年海洛因非法使用情況研究[J];臨床醫(yī)藥實(shí)踐雜志;2007年03期

3 劉文艷;王遂;龔斌;羅華中;陳娛瑜;唐曉君;;美沙酮維持治療合并綜合干預(yù)6個(gè)月效果分析[J];華中科技大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2012年02期

4 周林;;涼山毒品犯罪特征及其治理措施探討[J];青春歲月;2012年16期

5 楊莉;;堅(jiān)持對(duì)涼山州中學(xué)生開展禁毒防艾教育[J];群文天地;2012年16期

6 黃鈺s，

本文編號(hào)：1645434