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武汉市美沙酮维持治疗者孤独感与毒品使用的关系研究

陈勋 胡荣 胡雪娇 张敏 刘聪

转化医学杂志2025,Vol.14Issue(8):155-159,5.
转化医学杂志2025,Vol.14Issue(8):155-159,5.DOI:10.3639/j.issn.2095-3097.2025.08.031

武汉市美沙酮维持治疗者孤独感与毒品使用的关系研究

A Study on the Relationship between Loneliness and Drug Use among People Receiving Methadone Maintenance Treatment in Wuhan

陈勋 1胡荣 2胡雪娇 2张敏 2刘聪2

作者信息

  • 1. 新洲区疾病预防控制中心,湖北 武汉 430400
  • 2. 武汉市疾病预防控制中心,湖北 武汉 430024
  • 折叠

摘要

Abstract

Objective To study and analyze the correlation between loneliness and drug use among methadone maintenance treatment patients,and to provide a scientific basis for drug rehabilitation treatment.Methods From April to May,2024 a questionnaire survey was conducted among 993 community opioid addicts from 6 methadone maintenance treatment institutions in Wuhan using the random cluster sampling method.The t-test and chi-square test were performed using R version 4.4.1.The relationship between loneliness and drug use behavior in the past month was analyzed using multivariate logistic regression.The dose-response relationship was fitted by restricted cubic spline logistic regression.Results Among the 993 methadone maintenance treatment patients,15.31%(152 individuals)had used drugs in the past month.The proportions of UCLA Loneliness Scale scores<44 and≥44 were 39.58%(393 individuals)and 60.42%(600 individuals),respectively.The results of the multivariate logistic regression model analysis showed that after adjusting for demographic factors,history of compulsory detoxification,and HIV knowledge awareness,compared with patients having UCLA Loneliness Scale scores<44,patients with high loneliness scores(≥44)had lower odds of drug use in the past month(OR=0.38,95%CI:0.25-0.57).The restricted cubic spline model indicated a non-linear relationship between UCLA Loneliness Scale scores and the risk of drug use.In the range of moderate loneliness scores(47-60),the OR for drug use risk was<1.Conclusion There is a non-linear dose-response relationship between lonliness and drug use.Within a certain range,patients on methadone maintenance treatment with high levels of loneliness have a significantly lower risk of recent drug use.

关键词

吸毒者/成瘾/美沙酮/阿片类物质/孤独感

Key words

drug addicts/addiction/methadone/opioids/loneliness

引用本文复制引用

陈勋,胡荣,胡雪娇,张敏,刘聪..武汉市美沙酮维持治疗者孤独感与毒品使用的关系研究[J].转化医学杂志,2025,14(8):155-159,5.

转化医学杂志

2095-3097

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