Secondary exchange of sterile injecting equipment in a high distribution environment: A mixed method analysis in south east Sydney, Australia
Secondary exchange of sterile injecting equipment in a high distribution environment: A mixed method analysis in south east Sydney, Australia
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DOI：
10.1016/j.drugpo.2008.06.006
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发表时间：
2009-07-01
影响因子：
4.4
通讯作者：
Hopwood, Max
中科院分区：
文献类型：
--
作者：
Bryant, Joanne;Hopwood, Max
背景：在澳大利亚，无菌针头被分发给通过正规服务注射毒品的人，目的是限制血液传播病毒(BBV)的传播。二次交换(SE)涉及人们从正规服务机构获得针头，并将其重新分配给其他人。本文描述了澳大利亚悉尼东南部自发性肺炎的范围、模式和背景，并考察了自发性肺炎是否与BBV风险行为独立相关。方法：通过调查和深入访谈，通过横断面研究收集定量和定性数据。调查对象为使用社区药房购买无菌针头和注射器的人群。结果：共收集了229名调查对象的数据，其中超过一半(54%)的人在上个月报告了自闭症。在这些人中，40%只从事分销，25%只从事收货，36%同时从事两者。受访者报告称，在过去的一个月里，他们将21.7%的针头传递给了其他人，最常见的是传递给朋友(51.6%)和伴侣(27.4%)。SE的接受者报告在上个月借用用过的注射器的可能性是非二次交换者的四倍。受访者报告称，向他人提供无菌设备，以防止重复使用药物，并降低与计划外药物使用相关的风险。结论：SE活动在悉尼东南部很常见，但似乎没有高度组织，通常是在朋友和/或伴侣的小型网络中进行的，原因是利他主义。减少危害计划可以利用SE的流行，接触到不使用正式分销服务的注射吸毒者。(C)2008爱思唯尔B.V.保留所有权利。
Background: In Australia, sterile needles are distributed to people who inject drugs through formal services for the purposes of limiting the transmission of blood borne viruses (BBV). Secondary exchange (SE) involves people acquiring needles from formal services and redistributing them to others. This paper describes the extent, patterns and contexts of SE in south east Sydney, Australia and examines whether SE is independently associated with BBV risk practices.Methods: Quantitative and qualitative data were collected through a cross-sectional study using surveys and in-depth interviews. Respondents were people using community-based pharmacies to obtain sterile needles and syringes.Results: Data were collected from 229 survey respondents, over half of whom (54%) reported SE in the previous month. Of these, 40% engaged in distribution only, 25% in receipt only and 36% in both. Respondents reported passing on 21.7% of their needles to others in the last month, most commonly to friends (51.6%) and partners (27.4%). Recipients of SE were four times more likely than non-secondary exchangers to report borrowing used syringes in the last month. Respondents reported supplying sterile equipment to others to prevent reuse and to reduce risks associated with unplanned drug use.Conclusion: SE is a common activity in south east Sydney but does not appear to be highly organised, usually taking place in small networks of friends and/or partners for altruistic reasons. Harm reduction programs could capitalise on the prevalence of SE to reach injecting drug users who do not use formal distribution services. (C) 2008 Elsevier B.V. All rights reserved.