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目的:探讨冲动性对海洛因依赖者HCV感染的影响,提供HCV感染的干预策略。方法:采用贝克焦虑量表(Beck Anxiety Inventory,BAI)、贝克抑郁量表(Beck Depression inventory,BDI)和BIS-11(中文版)对重庆市渝北区第二人民医院在治的463名海洛因依赖者进行问卷调查,并收集血液样本进行HCV抗体的血清学检测。结果:在接受调查的海洛因依赖者中,HCV阳性检出率为69.76%;吸毒方式和共用针具在HCV感染与否具有显著的组间差异(P<0.001);HCV阳性组依赖者焦虑、抑郁得分(P<0.05)、冲动性得分(P<0.001)均显著更高;二分类Logistic回归分析结果表明,婚姻状况、冲动性是HCV感染的高危因子。结论:重庆市渝北区在治的海洛因依赖者HCV感染率较高,HCV感染者的焦虑、抑郁和冲动性水平显著增高,婚姻状况和冲动性在HCV感染中起重要作用。应加强海洛因依赖者中HCV感染者的社会心理干预和冲动管理。
Objective: To investigate the impact of impulsivity on HCV infection in heroin addicts and to provide an intervention strategy for HCV infection. Methods: A total of 463 heroin patients treated by Second People’s Hospital of Yubei District of Chongqing Municipality were enrolled in this study with Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and BIS-11 (Chinese version) Dependents surveyed and collected blood samples for serological detection of HCV antibodies. Results: Among the heroin addicts under investigation, the positive rate of HCV was 69.76%. There was significant difference between the two groups (P <0.001) Depression score (P <0.05) and impulsivity score (P <0.001) were significantly higher. Logistic regression analysis showed that marital status and impulsivity were the risk factors of HCV infection. Conclusion: The prevalence of HCV in heroin addicts living in Yubei District of Chongqing Municipality is high. The levels of anxiety, depression and impulsivity in HCV-infected patients are significantly higher. Marital status and impulsivity play an important role in HCV infection. Psychosocial interventions and impulsive management should be strengthened for HCV-infected persons in heroin addicts.