乌克兰注射药物使用风险行为和基于地点的规范的混合方法探索
Jill Owczarzak1, Jennifer Sanderson Slutsker2, Alyona Mazhnaya2
1Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, McElderry Street, 2nd Floor, Baltimore, MD 21205, USA.
在乌克兰注射毒品的人可以从药房购买新的注射器,减少共享. 然而,需要有针对性的降低危害,以解决在特定情况下持续的设备共享,以进一步预防艾滋病毒和HCV.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 乌克兰在注射药物使用者 (PWID) 中面临着高艾滋病毒和HCV流行率,尽管全球减少和当地减少危害的努力.
- 乌克兰药物使用习惯,基于地点的因素和艾滋病毒/HCV风险之间的相互作用存在有限的研究.
研究的目的:
- 为了调查吸毒习惯,社会规范和乌克兰的Dnipro的PWID中艾滋病毒/HCV风险之间的关系.
- 为了确定影响HIV/HCV传播风险行为的人群中的情境因素.
主要方法:
- 采用了一种连续的混合方法设计,从深度访谈 (n=30) 开始,然后在Dnipro进行调查 (n=150).
- 该调查包括活动空间库存,社交网络分析和艾滋病毒风险行为评估,根据初步采访结果进行了评估.
主要成果:
- 据PWID报道,新注射器通过药房获得一致,并且普遍反对注射器共享.
- 直接购买药物或将资源用于制药的情况被确定为针头和注射器的重复使用情况.
结论:
- 虽然获得无菌注射器的机会很高,但特定的背景使乌克兰的PWID之间更容易共享设备.
- 进一步的降低危害策略应应对现有规范和情境因素,以"缩小HIV/HCV预防的差距".
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