| 凉山地区中学生健康危害行为与预测未来吸毒贩毒HIV感染关联性研究 |
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| 引用本文： | 张石则,王仁利,江震,董玲玲,归冰,杨宏,张建中.凉山地区中学生健康危害行为与预测未来吸毒贩毒HIV感染关联性研究[J].中国学校卫生,2017,38(10):1482-1485. |
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| 作者姓名： | 张石则 王仁利 江震 董玲玲 归冰 杨宏 张建中 |
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| 作者单位： | 凉山彝族自治州第一人民医院皮肤性病科,四川西昌,615000 |
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| 摘 要： | 了解凉山地区中学生健康危害行为与预测未来HIV感染、吸毒、贩毒之间的关系,为制定有效干预措施提供参考.方法 根据凉山地区毒品及艾滋病流行状况,在艾滋病重点地区随机抽取4所中学10 749名学生进行艾滋病高发区中学生行为学研究调查问卷调查.结果 被调查学生中,预测未来可能感染HIV 2 342名(21.8%),吸毒1 662名(15.5%),贩毒1 635名(15.2%).多因素Logistic回归分析显示,未来HIV感染危险因素包括滥用镇静安定药物、现在饮酒、现在吸烟、非安全场所游泳、自杀相关心理问题、受欺凌、自杀意念、严重伤害、看过色情刊物、非自愿性行为(OR值分别为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);现在饮酒、现在吸烟、滥用镇静安定药物、骑车违章、步行违章、非安全场所游泳、严重伤害、受欺凌、非自愿性行为、看过色情刊物是未来吸毒的危险因素,课外功课时间是未来吸毒的保护因素(OR值分别为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).现在饮酒、现在吸烟、滥用镇静安定药物、步行违章、非安全场所游泳、自杀意念、受欺凌、严重伤害、性行为、非自愿性行为、看过色情刊物是中学生未来贩毒的危险因素,课外功课时间是未来贩毒的保护因素(OR值分别为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).结论 凉山地区中学生预测未来HIV感染、吸毒、贩毒的比例较高,与现有健康危害行为密切相关;要采取针对性强而有力的干预措施,控制中学生物质滥用、减少故意及非故意伤害行为的发生.
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| 关 键 词： | 健康行为 海洛因依赖 HIV 预测 学生 |
A study on the association between health risk behaviors and future drug use,drug trafficking and HIV infection among middle school students in Liangshan area |
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| Abstract: | Objective To understand the relationship between health risk behaviors and future drug use,drug trafficking and HIV infection among middle school students in Liangshan area,and to provide a reference for the development of intervention measures.Methods According to the prevalence of drugs and AIDS in Liangshan area,10 749 students were randomly selected from 4 middle schools in the key areas of AIDS to fill out a behavior questionnaire of middle school students in key areas of AIDS.And the data was analyzed with univariate and multivariate Logistic regression analysis.Results Among 10 749 students,2 342 students(21.8%) were predicted to be infected with HIV,1 662 students(15.5%) to have drug abuse,and 1 635 students(15.2%) to be involved in drug trafficking.Multivariate analysis showed that the risk factors of HIV infection included sedative drug abuse,drinking alcohol,smoking,swimming in unsafe places,suicide-related mental problems,being bullied,suicide ideation,serious injury,reading pornographic publications,involuntary sex behavior(OR=1.423,1.273,1.395,1.072,1.087,1.119,1.271,1.200,1.344,1.351,P<0.05).The risk factors of drug abuse in the future included drinking alcohol,smoking,sedative drug abuse,traffic violation,pedestrian violation,swimming in unsafe places,serious injury,being bullied,involuntary sex behavior,reading poruographic publications,while extra curricular time was the protective factor (OR =1.558,1.286,1.743,1.036,1.131,1.069,1.139,1.209,1.217,1.871,0.962,P<0.05).The risk factors of drug trafficking in the future included drinking alcohol,smoking,sedative drug abuse,pedestrian violation,swimming in unsafe places,suicide ideation,being bullied,involuntary sex behavior,reading pornographic publications,while extra curricular time was the protective factor(OR=1.238,1.620,1.486,1.149,1.105,1.139,1.140,1.236,1.292,1.599,1.268,0.961,P<0.05).Conclusion The proportion of expected future drug use,drug trafficking and HIV infection among middle school students in Liangshan area is higher,which is.closely related to of the present health risk behaviors.Targeted and effective intervention measures should be taken to control their drug abuse and reduce voluntary and involuntary behaviors. |
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