| Objectives:To obtain behavioral and psychological characteristics and influencing factors of the AIDS/STDs-related of new drug users, explicitly the AIDS infection and factors in New drug users of coastal Shandong Province,Provide the basis for a locally developed HIV prevention strategies and conduct behavioral intervention.Methods:Qualitative and quantitative study methods are both used in the research.Quantitative survey:January to August,2014,adopting the method of respondent driven sampling to recruit subjects in Qingdao community and adopting sampling method in Yantai. Using a self-designed questionnaire to investigate and then collect blood of each subject about 5ml samples for HIV antibody test, syphilis leptospira test and HCV antibody test. SPSS17.0 software was used for data frequency, mean, analysis of variance, univariate and multivariate Logistic regression analysis.Qualitative survey:In-deep interview method was used to interview new drug users in community.1.5-2 hours were taken on each subject, in order to know the high risk behavior related to AIDS among new drug users.Results:Quantitative survey1. Surveyed population were male, unmarried based, low education level. Qingdao survey 315 taking the new drug users, education focused on the junior high school and above, nearly 60% of revenue in the 3000-5000 survey. Yantai regional surveys 411, concentrated in the junior high school education or less, nearly 70 percent of surveyed income of 3,000 yuan.2. Few of the survey population cities have not heard of AIDS, knowing and not unified phenomenon is very serious. Qingdao mainly obtained through television, newspapers, radio, Internet knowledge about AIDS, accounting for 99.7%, respectively,97.8%,91.4%,88.6%, through advisory services, free promotional materials, school, doctors get fewer respondents knowledge of AIDS, accounting for 0.0%,1.6%,4.8%,5.5%, respectively. Yantai region’s major AIDS knowledge obtained through television,81.3%, and the rest were 50.0 percent less.3. Two issues related to HIV transmission rate of correct answers higher than those of AIDS-related knowledge and awareness, but there are differences. Qingdao "people infected with the AIDS virus from outer look out," "mosquito bites do not spread AIDS", "eat with people with AIDS does not spread AIDS" answer three questions correctly and low, respectively,50.8%,1.9%,1.6%. Yantai area was 57.9%,47.4%,26.5%.4. The two cities are mainly methamphetamine. Qingdao is the first main reason for peer influence drug use, accounting for 82.9%; drug use as a hot suck; drug at a friend’s home or place of civil right; in the last six months and 3-5 major shared drug, accounting for 78.1%. Yantai area The main reason for the curious first drug, accounting for 51.3%; drug use in hot suck, accounting for 66.7%; drug use is more dispersed sites, mainly for a friend’s house, your home, hotel/restaurants, which accounted for 34.3 percent,26.0 percent,24.3%; in the last six months and 1-2 major shared drug, accounting for 73.0%.5. Qingdao taking the new drug users in drug addiction after the main partner is casual partners, accounting for 85.4%; after sharing drug gang behavior have accounted for 17.8%; group sex without a condom when you have never accounted for 92.9%, and no one person each time you use a sets; last month,90.2 percent of those taking the new drug had sex, number of sexual partners among business people and over 3 70.5% casual partners in more than 3 people and accounted for 85.3%; last month condom use 3.5%; last year for business/ temporary/fixed sex never use condoms accounted for respectively 81.3%,90.0% and 97.8%, did not always use condoms. Yantai area taking the new drug users in drug addiction after the main partner is the regular partner, accounting for 51.6%; after the common drugs gang behavior has accounted for 6.3%; group sex without a condom when you have never accounted for 38.5%, and each time you use one set 15.4%; 47.0% of the last month have those taking the new drug had sex, number of sexual partners among business people and over 3 25.0% with casual partners in more than 3 people and accounted for 18.4%; condoms last month use was 56.0 percent; last year for business/temporary/fixed sex never use condoms accounted for 19.4%, respectively,15.9% and 30.0%, always use a condom 39.8%, respectively,40.0% and 29.0%.6.87.0% respondents in Qingdao after taking the new drug in the duration of sexual activity, of which 46.4% think extended 2-3 hours,39.9% of respondents believe that extended over three hours,0.7% think that extended 10-30 minutes; 87.3% believe that not using drugs when sexual dysfunction. After taking new drugs,88.3% of respondents believe that no symptoms and impact.38.4% respondents Yantai area after taking the new drug in the duration of sexual activity, which may be extended by 3.0% think 2-3 hours,7.6% of respondents believe that extended over three hours,56.3% believe that extended 10-30 minutes; 16.5% believe that not using drugs when sexual dysfunction. After taking some time7. Qingdao The survey investigated a total of 315 cases were taking the new drugs, laboratory testing and found four cases of HIV infection,106 cases of syphilis infection, HCV infection in 4 cases, the infection rate was 1.3%,33.7% and 1.3%; sex, condom use with casual partners during a recent year, sex, whether the recent one year STD signs and syphilis infection. Yantai area were investigated in this survey were 411 cases of taking the new drug, after laboratory tests found no HIV infection, syphilis infection in 74 cases, HCV infection in 6 cases, infection rates were 18.0% and 1.5%; most recent year condom use with casual partners with HIV infection. Yantai region needle sharing and syphilis infection.Qualitative survey1. A total of 19 taking the new drug users, male 17, female 2. The reason the first drug survey to peer influence and curiosity-based. Taking place in their own homes to the main drug alone. Way are hot suck.2. After taking the new drug appears sexual arousal, intercourse prolonged phenomenon, leading to the widespread occurrence of sexual promiscuity, low condom use during sex, the presence of the phenomenon of cross-infection with syphilis.Conclusion1. The two cities are coastal city in Shandong Province, taking the new drug users are male, unmarried based, low awareness, knowing and serious disunity, receive less targeted education, compared with condom use in high-risk sexual behavior low, high syphilis.2. Both demographic characteristics of AIDS-related knowledge cognition, awareness, drug-related behavioral characteristics, injecting drug use related characteristics, condom use, sexual function changes, the impact of their own, have sex-related characteristics, syphilis infection there is a clear difference between syphilis infections. Qingdao gender, condom use with casual partners during a recent year, sex, whether recent signs of syphilis a year STD infection, Yantai area shared needles and syphilis infection. Qingdao discovery of AIDS, most recent year with casual partners condom use is a protective factor.3. The actual situation is different between the two cities, according to local conditions taking treatment interventions to control the spread of new drugs occurrence of AIDS.Strategies and recommendations1. The country should be based on local conditions, strengthen the people’s health education. Qingdao to community-based drug, should take advantage of basic health room, to carry out AIDS-related health education work in community clinics, rural health clinics. Carry out warning education, realize the serious consequences of syphilis infection. Yantai Region: population-based personnel to places of detention, before the sex education should be a warning. Strengthen publicity and education efforts, focus on improving the network, mobile and other new media, the proportion of education.2. Condom usage is low in this population, taking the new drugs are likely to occur in high-risk sexual behavior, condoms can protect an important role in blocking the spread of AIDS, and the people need to be strengthened education advocate with a set sex, reducing sexual partners and group sex behavior.3. The growing number of those new drug users, the health department and the public security departments should be joint action, to intensify the crackdown, according to law drug use. |
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