The first hit: Circumstances surrounding initiation into injecting
The first hit: Circumstances surrounding initiation into injecting
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DOI：
10.1046/j.1360-0443.1996.918118710.x
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发表时间：
1996-08-01
期刊：
影响因子：
6
通讯作者：
Jolley, D
中科院分区：
文献类型：
--
作者：
Crofts, N;Louie, R;Jolley, D
开始注射是注射毒品使用者（IDU）群体继续繁殖和接触血液传播病毒的关键事件，但对这是如何发生的知之甚少。在墨尔本，300名年轻的注射者在开始注射的最初几年内接受了同行工作者的采访，了解了他们开始注射的情况。大多数人都有社会混乱的迹象，包括辍学、失业、家庭破裂、无家可归和被监禁。注射的第一种药物通常是安非他明（平均年龄16岁），大多数人已经通过不同的给药途径使用过安非他明，但此后逐渐转向海洛因作为首选药物。最常见的情况是，注射是计划外的，但该人积极促成了开始。大多数人确定了一个重要的其他人开始注射（其中很少是经销商），超过一半的人随后开始了其他人的注射，平均每年0.6人; 5年后，237名年轻注射者开始了至少420人的注射。那些发起多个其他人的人更有可能失业，注射多种药物和处理。酌情将注射作为一种传染现象建模，可能有助于估计注射吸毒者的人口动态。同伴教育方案可能是新注射者中最有效的减少危害的方法。
Initiation into injecting is a crucial event for continued reproduction of an injecting drug using (IDU) population and for exposure to blood-borne viruses, but little is known about how this happens. Three hundred young injectors were interviewed in Melbourne by peer workers within the first few years of beginning to inject, about the circumstances surrounding their initiation. Most had indications of social disruption, including having left school early, unemployment, family disruption, homelessness and incarceration. First drug injected was most often amphetamines (average age 16 years), most having already used amphetamines by a different route of administration, but with a steady movement thereafter to heroin as the drug of choice. The most common scenario was one in which injecting was unplanned but the person was active in bringing about the initiation. Most identified a significant other who initiated them (few of whom were dealers), and over half had subsequently initiated others into injecting, on average 0.6 per year; after 5 years 237 young injectors had initiated at least 420 others. Those who initiated multiple others were more likely to be unemployed, to inject multiple drugs and to have dealt. Modelling injecting as a communicable phenomenon, where appropriate, may help estimate population dynamics among IDUs. Peer education programmes ave likely to be the most effective harm reduction approach among new injectors.