Novel heroin injection practices: implications for transmission of HIV and other bloodborne pathogens.

Novel heroin injection practices: implications for transmission of HIV and other bloodborne pathogens.
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新的海洛因注射做法:对艾滋病毒和其他血源性病原体传播的影响。

DOI:
10.1016/j.amepre.2007.02.030
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发表时间:
2007
影响因子:
5.5
通讯作者:
Yi,Huso
Yi,Huso
中科院分区:
医学2区
文献类型:
--
作者:
Clatts,MichaelC;Giang,LeM;Goldsamt,LloydA;Yi,Huso

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BACKGROUNDThis paper describes injection risk in an out-of-treatment population of young heroin users in Hanoi, Vietnam, including use of a soft-tissue portal known as a “cay ma” (injection sac).METHODSData from a large cross-sectional survey (N=1270) are used to describe the prevalence of this practice and its association with disease. Additionally, data from an ethnographic substudy on injectors serve to elaborate injectors’ rationales for this injection practice.RESULTSThis practice was common in this sample, appearing soon after initiation of habitual injection. Injectors report that this allows rapid and reliable access to a vein; strategic advantages in a dense urban environment where rapid injection, typically in public settings, is necessary to avoid discovery or arrest. Additionally, this practice is believed to mitigate risk for vein damage from co-morbid promethazine hydrochloride injection.CONCLUSIONSThis practice may draw lymphocytes to injection sites, thereby increasing risk for transmission of bloodborne pathogens. Structural and behavioral interventions are needed for young heroin users in Vietnam.
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