Injection risk behaviors among rural drug users: implications for HIV prevention
Injection risk behaviors among rural drug users: implications for HIV prevention
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DOI：
10.1080/09540121.2010.516346
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Leukefeld, Carl G.
中科院分区：
文献类型：
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作者：
Havens, Jennifer R.;Oser, Carrie B.;Leukefeld, Carl G.
Objective.本研究的目的是检查注射毒品使用（IDU）之间的一个队列的重罪缓刑犯从农村阿巴拉契亚州。调查问卷调查了800名农村重罪缓刑犯，确定了有关人口统计学、药物使用、犯罪行为、心理困扰和HIV风险行为的数据。样本主要为白色（95.1%）和男性（66.5%），中位年龄为32.3岁（四分位距：25.2，40.5）。样本中没有艾滋病毒病例。在800名农村缓刑犯中，有179人（22.4%）报告终生使用IDU。接受性注射器共用（RSS）和分配性注射器共用（DSS）分别占注射吸毒者的34.5%和97.1%。危险性注射行为的独立相关因素包括可卡因注射（调整后的比值比（AOR）：14.9，95%置信区间（CI）：8.0，27.7）和处方阿片类药物注射（AOR：14.7，95% CI：7.7，28.1）。虽然艾滋病毒并不普遍，但数据表明，该样本中的农村重罪缓刑犯从事危险的注射做法，可能会促进艾滋病毒的传播。这一点尤其成问题，因为刑事司法系统所涉人员更有可能感染艾滋病毒。因此，有必要采取预防措施，减少农村犯罪者的艾滋病毒风险行为。
Objective. The purpose of this study was to examine injection drug use (IDU) among a cohort of felony probationers from rural Appalachian Kentucky.Methods. An interviewer-administered questionnaire given to 800 rural felony probationers ascertained data regarding demographics, drug use, criminal behavior, psychological distress, and HIV-risk behaviors.Results. The sample was primarily white (95.1%) and male (66.5%) and the median age was 32.3 years (interquartile range: 25.2, 40.5). There were no cases of HIV in the sample. Of the 800 rural probationers, 179 (22.4%) reported lifetime IDU. Receptive syringe sharing (RSS) and distributive syringe sharing (DSS) were reported by 34.5% and 97.1% of the IDUs, respectively. Independent correlates of risky injection behaviors included cocaine injection (adjusted odds ratio (AOR): 14.9, 95% confidence interval (CI): 8.0, 27.7) and prescription opioid injection (AOR: 14.7, 95% CI: 7.7, 28.1).Discussion. Although HIV was not prevalent, data suggest that the rural felony probationers in this sample were engaging in risky injection practices that could facilitate transmission of HIV. This is especially problematic since those involved in the criminal justice system may be more likely to be exposed to HIV. Therefore, prevention aimed at reducing HIV-risk behaviors among rural, criminally involved individuals is warranted.