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[目的]通过对近3年玉溪市红塔区中澳项目外展人员开展的针具交换服务工作进行分析,对外展人员在此项服务中的可及性进行评估,为持续开展针具交换工作提供参考依据。[方法]采集来自玉溪市红塔区吸毒人群针具交换活动站近3年的外展工作记录,建立分析数据库,采用SPSS 15.0软件进行分析。[结果]开展项目3年以来,红塔区累计招募外展人员13名,志愿者9名,工作天数:26.3±3.4天/月,服务人数:32.7±11.6人/月。服务对象由第1年度的1302人次,增加到第2年度的4028人次,第3年度的4051人次;服务对象的年龄构成不同,第2、3年度,年龄在35岁以上的吸毒人群有所增加;女性、初次吸毒人员有减少的趋势。每次发放、回收的针具数均以第1年度最高,第2、3年度持平;每次针具回收率虽有逐年下降的趋势,但是仍维持在80.0%以上。[结论]外展服务在吸毒人员的针具交换工作中起到了关键作用,重视外展骨干工作质量、培养高素质的外展骨干队伍是可持续发展针具交换工作的重点。
[Objective] Through the analysis of the needle exchange service work carried out by the personnel of Sino-Australian Project of Hongta District in Yuxi City in the past 3 years and the evaluation of the availability of outreach personnel in this service, in order to continue the exchange of needles Provide a reference basis. [Methods] Outbound working records collected from the needle exchange station of drug users in Hongta District of Yuxi City for nearly three years were collected, and the analysis database was established and analyzed by SPSS 15.0 software. [Result] Thirteen outreach workers, nine volunteers, working days were 26.3 ± 3.4 days / month and the number of service persons was 32.7 ± 11.6 persons / month. The number of service recipients increased from 1302 in the first year to 4,028 in the second year and 4,051 in the third year. The ages of the clients were different. In the second and third years, the number of drug users aged 35 and over increased Female and first-time drug users have a tendency to decrease. The number of needles recovered each time was the highest in the first year and the second and third years were the same. Although the recovery rate of needles was declining year by year, it still maintained at above 80.0%. [Conclusion] Outreach service plays a key role in the exchange of needles by drug addicts. Emphasis on the quality of outreach backbone work and the cultivation of high quality outreach backbone team are the key points of the sustainable development of needle exchange.