Factors associated with persistent high-risk syringe sharing in the presence of an established needle exchange programme

Factors associated with persistent high-risk syringe sharing in the presence of an established needle exchange programme
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DOI:
10.1097/00002030-200204120-00021
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发表时间:
2002-04-12
期刊:
影响因子:
3.8
通讯作者:
Schechter, MT
Schechter, MT
中科院分区:
医学2区
文献类型:
--
作者:
Wood, E;Tyndall, MW;Schechter, MT

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温哥华经历了一个爆炸性的艾滋病毒流行病,尽管存在针头交换方案(NEP)。我们寻求可能的解释之间的高风险注射器共享温哥华注射吸毒者在1999年1月至2000年10月期间。总体而言,14%的参与者报告了高风险分担。尽管仅从NEP获得针头与较少共享独立相关,但我们确定了持续共享的几个风险因素,包括难以获得无菌针头,暴食和频繁注射可卡因。
Vancouver has experienced an explosive HIV epidemic despite the presence of a needle exchange programme (NEP). We sought possible explanations for high-risk syringe sharing among Vancouver injection drug users over the period January 1999 to October 2000. Overall, 14% of participants reported high-risk sharing. Although acquiring needles exclusively from the NEP was independently associated with less sharing, we identified several risk factors for persistent sharing, including difficulty accessing sterile needles, bingeing, and frequent cocaine injection.