Drug scene roles and HIV risk
Drug scene roles and HIV risk
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DOI：
10.1046/j.1360-0443.1998.939140311.x
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发表时间：
1998-09-01
期刊：
影响因子：
6
通讯作者：
Ildefonso, G
中科院分区：
文献类型：
--
作者：
Friedman, SR;Furst, RT;Ildefonso, G
目标。毒品场景(社会和空间毒品使用和销售环境)具有复杂的角色结构。马云，注射毒品的人赚钱或吸毒，卖毒品或注射器，打医生(帮助他人注射的人)，商业性工作者，或其他角色。本文旨在测量注射吸毒者的角色行为；描述哪些注射吸毒者更有可能从事这种角色行为；并确定角色是否与艾滋病毒风险因素有关。设计。毒品注射器的横断面研究。设置。布什威克，纽约布鲁克林的一个地区，是注射毒品和毒品销售的主要地点。与会者。767名街头吸毒者。尺寸。参与者接受了关于他们的角色、行为、社会人口学和风险网络的采访；收集了血清并进行了艾滋病毒和乙肝核心抗体的检测。调查结果。社会人口变量以复杂的方式与角色扮演相关。经济需要通常与参与毒品场景角色行为有关。与其他毒品注射者相比，这些角色的持有者面临着更大的艾滋病毒和其他血液传播感染的行为和网络风险。他们还与其他吸毒者进行广泛的沟通，包括讨论降低艾滋病毒风险。结论。角色行为可以在定量研究中衡量，而且似乎与艾滋病毒风险有关。角色担当者可能是降低风险运动的战略目标。在吸毒者研究中测量毒品场景角色持有似乎是可行和可取的。
Aims. Drug scenes (social and spatial drug-using and drug-selling environments) have complex role structures. Ma,ly drug injectors earn money or drugs as drug or syringe sellers, hit doctors (people who help others to inject) commercial sex workers, or in other roles. This paper aims to measure "role behaviors" of drug injectors; describe which drug injectors are more likely to engage in such role behaviors; and to determine whether roles are related to elements of HIV risk. Design. Cross-sectional study of drug injectors. Setting. Bushwick, a section of Brooklyn, New York, a major location for injection drug use and drug sales. Participants. Seven hundred and sixty-seven street-recruited drug injectors. Measurements. Participants were interviewed about their roles, behaviors, socio-demographics and risk networks; sera were collected and assayed for HIV and hepatitis B core antibody. Findings. Socio-demographic variables are related to role-holding in complex ways. Economic need is generally associated with engaging in drug-scene role behaviors. Holders of these, roles are at greater behavioral and network risk for HIV and other blood-borne infections than are other drug injectors. They also engage in extensive communication with other drug users, including discussion of HIV risk reduction. Conclusion. Role behaviors can be measured in quantitative studies, and seem to be related to HIV risk. Role-holders may be strategic targets for risk-reduction campaigns. It seems feasible and advisable to measure drug scene role-holding in research on drug users.