HIV risk behavior among amphetamine injectors at US syringe exchange programs
HIV risk behavior among amphetamine injectors at US syringe exchange programs
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DOI：
10.1521/aeap.2005.17.6.515
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发表时间：
2005-12-01
影响因子：
1.8
通讯作者：
Turner, C
中科院分区：
文献类型：
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作者：
Braine, N;Des Jarlais, DC;Turner, C
这项研究的目的是比较美国注射器交换计划(SEP)中苯丙胺和非苯丙胺注射者的艾滋病毒危险行为，并确定与注射风险相关的因素。这项分析基于来自全国不同地区13家SEP的随机横截面参与者的数据。所有面谈都是使用有声计算机辅助个人面谈技术进行的。安非他明注射者与其他SEP参与者的不同之处在于，他们更年轻，更有可能是白人，最近有过同性伴侣，以及无家可归。安非他明注射者的注射危险行为比率高于其他SEP参与者，但避孕套使用率相似。与注射危险行为相关的因素包括苯丙胺注射、无家可归、抑郁和最近有同性性伴侣(无论是男性还是女性)。SEP已被反复证明可以减少注射风险行为，但一些计划参与者组仍处于高风险状态。SEP可能需要开发新的外展和教育方法，以满足安非他明注射者和其他长期处于危险中的人群的需求。
The goal of this study was to compare HIV risk behaviors of amphetamine and non-amphetamine injectors at syringe exchange programs (SEP) in the United States and to identify factors associated with injection risk. This analysis is based on data from a random cross-section of participants at 13 SEPs in different parts of the country. All interviews were done using Audio Computer-Assisted Personal Interviewing technology. Amphetamine injectors differ from other SEP participants in that they are younger and more likely to be White, to have had a recent same sex partner, and to be homeless. Rates of injection risk behavior are higher among amphetamine injectors than other SEP participants, but rates of condom use are similar. Factors associated with injection risk behavior are amphetamine injection, homelessness, depression, and having a recent same-gender sexual partner (for both men and women). SEPs have been repeatedly demonstrated to reduce injection risk behavior, but some groups of program participants continue to be at elevated risk. SEPs may need to develop new approaches to outreach and education to address the needs of amphetamine injectors and other populations at persistent risk.