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在注射毒品使用者中,更安全的注射设施使用和注射器共享
Thomas Kerr1, Mark Tyndall, Kathy Li
1British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada. tkerr@cfenet.ubc.ca
Lancet (London, England)
|July 26, 2005
概括
更安全的注射设施显著减少了非法毒品使用者之间注射器共享的情况. 这项研究强调了监督药物消费场所在预防疾病传播方面的公共卫生益处.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 成 药物 药物 药物 药物
背景情况:
- 更安全的注射设施 (SIF) 为非法药物使用提供了监督的环境.
- 注射毒品使用者之间共享注射器是传染病传播的主要风险因素.
- 了解与注射器共享相关的因素对于减少危害策略至关重要.
研究的目的:
- 调查注射药物使用者队列中与共享注射器相关的因素.
- 评估最近开设的更安全的注射设施对注射器共享行为的影响.
主要方法:
- 社区招募了431名活跃注射毒品使用者的队列.
- 在2003年12月至2004年6月期间收集的数据.
- 后勤回归分析以确定注射器共享的预测因素.
主要成果:
- 11.4%的参与者报告说在过去六个月内共用注射器.
- 使用更安全的注射设施独立地与注射器共享的显著减少有关 (aOR=0.30,p=0.02).
- 在调整了社会人口统计学和药物使用特征后,这种关联仍然很重要.
结论:
- 更安全的注射设施有效地减少了注射器共享行为.
- 注射吸毒器代表了一项有价值的公共卫生干预措施,用于减少注射毒品使用者的危害.
- 调查结果支持实施和扩大监督药物消费服务.
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