目的:了解HIV阳性吸毒人员注射过量死亡情况,推动现场多样化纳洛酮急救服务。方法回顾性研究,整群抽样,根据地理分布,近5年期云南省五华区、昭阳区、瑞丽市、晋宁县、澜沧县疾控中心随访登记在册已故HIV阳性吸毒人员为对象,其中注射过量死亡吸毒人员为研究组,其他原因死亡人员为对照组。收集相关死亡人群特征及影响因素,卡方检验、logistic回归进行数据分析。结果共调查415名已故吸毒人员,134人为注射吸毒过量死亡(32.3%),其中男性122人(91.0%),初中文化57人(45.6%),汉族103人(73.0%),31-40岁年龄段73人(54.5%)。死亡影响因素主要为低年龄低文化汉族吸毒人员。结论注射过量是造成云南省HIV阳性吸毒人员最主要的死亡原因之一,低年龄低文化汉族吸毒人员更容易发生注射吸毒过量死亡,现场纳洛酮急救降低死亡率十分必要。
Objective To understand the HIV positive IDU overdose deaths situation and promote the diversification of Naloxone first- aid ser-vice in the field. Methods A retrospective study by cluster sampling. According to the geographical distribution, Yunnan Provincial Wuhua Dis-trict, Zhaoyang District, Ruili, Jinning County, Lancang County were chosen as sites, Local CDC followed- up HIV positive drug user''s dead persons during 5 year period as the subject, the IDU overdose death as study group, other causes of death as control group, the study collecting the characteristics and influencing factors of related deaths, Chi square test, logistic regression was used for data analysis. Results A total of 415 deceased drug addicts, 134 were IDU overdose deaths (32.3%), including 122 males (91%), junior high school 57 people (45.6%), 103 Han peo-ple (73%), 31- 40 age group 73 people (54.5%). Influence factors of death are mainly low age and low culture of Han nationality IDUs. Con-clusio