Neighborhood differences in patterns of syringe access, use, and discard among injection drug users: Implications for HIV outreach and prevention education
Neighborhood differences in patterns of syringe access, use, and discard among injection drug users: Implications for HIV outreach and prevention education
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DOI：
10.1093/jurban/jtg050
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发表时间：
2003-09-01
影响因子：
6.6
通讯作者：
Singer, M
中科院分区：
文献类型：
--
作者：
Buchanan, D;Shaw, S;Singer, M
这篇文章介绍了注射器接触、使用和丢弃的结果。艾滋病风险研究项目的背景比较两个社区：(1)社会经济和人口特征；(2)获得、使用和丢弃注射器的模式；(3)遇到针对注射吸毒者的当地人类免疫机能丧失病毒/获得性免疫机能丧失综合症(HIV/AIDS)推广项目。结果表明，经济条件较好的社区的注射吸毒者更有可能从单一来源(而不是多个来源)获得注射器，更有可能在自己的住所(而不是公共注射地点)单独注射，更有可能将注射器丢弃在私人垃圾桶中，而不是胡同或垃圾箱。这些结果进一步与遇到街头外展工作人员的可能性有关，更富裕社区的注射吸毒者更不可能有任何这样的接触。根据每个社区明显不同的获取、使用和丢弃模式，结果表明迫切需要不同的、更仔细地量身定做的地方推广和预防战略。
The article presents results from the Syringe Access, Use, and Discard. Context in AIDS Risk research project comparing two neighborhoods by (1) socioeconomic and demographic characteristics; (2) patterns of syringe access, use, and discard; and (3) encounters with a local human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) outreach project targeted to injection drug users (IDUs). The results show that IDUs in more economically advantaged neighborhoods were more likely to acquire syringes from a single source (rather than multiple sources), more likely to inject alone in their own residence (rather than public injection locales), and more likely to dispose of syringes in private garbage cans rather alleys or dumpsters. These results are further associated with the likelihood of encountering street outreach workers, with IDUs in more affluent neighborhoods much less likely to have any such contacts. Based on the different patterns of access, use, and discard evident in each neighborhood, the results indicate that different and more carefully tailored local outreach and prevention strategies are urgently needed.