论文部分内容阅读
引言:WHO协作研究项目-阿片类依赖的替代治疗和HIV/AIDS旨在评估阿片类依赖的替代治疗与HIV/AIDS的治疗和预防在一些资源欠缺的亚洲(中国、印度尼西亚和泰国)、东欧(立陶宛、乌克兰和波兰)和中东(伊朗)国家的效果。本文旨在对上述国家的研究结果进行区域对比。为便利起见,将上述国家人为地分为两个地区-亚洲和欧洲(包括伊朗)。在澳大利亚的南部阿德来得也收集了一些数据,作为已开展替代治疗的地区予以对照。方法:该研究为前瞻性调查,被试为新接收的替代治疗者,调查在入组时、3个月和6个月时进行。采用一系列问卷收集被试的人口学资料、身心健康状况资料、HIV危险行为(注射、性行为)、就业情况和犯罪活动。问题回答的时间为进入治疗的前一个月,在第三个月和第六个月随访时的前的一个月。同时采血检测HIV和丙型肝炎病毒(HCV)感染情况。结果:共有730人参加了本研究(澳大利亚42人,亚洲321人,欧洲367人(包括伊朗))。澳大利亚、亚洲和欧洲(包括伊朗)的HIV阳性率分别为3%,16%和35%。在继续治疗者中,非法毒品使用、危险注射行为大大减少,自我报告身心健康明显改善。此外,就业活动增加,犯罪行为减少。结论:结果评估数据与经济发达地区的结果一致,在资源欠缺的国家替代治疗在减少维持治疗者的HIV危险行为,改善身体健康方面是有效的。
Introduction: WHO Collaborative Research Project - Opioid-Dependent Alternative Treatment and HIV / AIDS Aims To Assess Opioid-Dependent Alternative Treatment and HIV / AIDS Treatment and Prevention In some resource-poor countries of Asia (China, Indonesia and Thailand), Eastern Europe Lithuania, Ukraine and Poland) and the Middle East (Iran) countries. The purpose of this article is to compare the results of these countries in a regional context. For convenience, the above countries were artificially divided into two regions - Asia and Europe (including Iran). Adelaide, also in southern Australia, has also collected some data to contrast with those areas where alternative treatments have been implemented. METHODS: This study was a prospective study of subjects who were newly recruited as surrogate participants at the time of enrollment, 3 months and 6 months. A series of questionnaires were used to collect demographic data, physical and mental health information, HIV risk behaviors (injection, sexual activity), employment and criminal activities. The questions were answered in the month before the treatment, one month before the third and sixth months of follow-up. At the same time blood tests to detect HIV and hepatitis C virus (HCV) infection. Results: A total of 730 participants participated in the study (42 in Australia, 321 in Asia and 367 in Europe including Iran). HIV positive rates in Australia, Asia and Europe (including Iran) were 3%, 16% and 35% respectively. In continuing treatment, illegal drug use, dangerous injection greatly reduced the behavior, self-reported significant improvement in physical and mental health. In addition, employment activity has increased and crime has decreased. CONCLUSIONS: Results The assessment data are consistent with those in economically developed regions where substitution therapy is effective in reducing HIV risk behaviors among maintenance healers and improving physical well-being.