Needle sharing in regular sexual relationships: An examination of serodiscordance, drug using practices, and the gendered character of injecting

Needle sharing in regular sexual relationships: An examination of serodiscordance, drug using practices, and the gendered character of injecting
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DOI:
10.1016/j.drugalcdep.2009.10.007
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发表时间:
2010-03-01
影响因子:
4.2
通讯作者:
Treloar, Carla
Treloar, Carla
中科院分区:
医学2区
文献类型:
--
作者:
Bryant, Joanne;Brener, Loren;Treloar, Carla

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背景资料:本文探讨了相关的针头和其他设备之间的注射毒品使用者(IDU)在定期的异性恋relationships.Methods:一个横断面调查收集的数据,从人们获得无菌针头和注射器从药店在澳大利亚新南威尔士州。结果:与女性性伴相比,男性性伴报告的吸毒和注射行为更频繁,更常为性伴注射毒品,更常为性伴评分和准备毒品,更常获得针头。与中度到高度的联系相比,如果夫妇报告与吸毒网络有低度到中度的联系,(AOR 0.4,95% CI 0.19-0.95),或者如果应答伴侣报告在过去6个月内与朋友共用注射设备(针头和/或辅助设备)(AOR 3.2,95% CI 1.34-7.86)。如果夫妻大部分或全部的注射时间都在一起(ACR 4.1,95% CI 1.40-11.31),或者如果受访者报告与朋友共享注射设备(AOR 5.3,95% CI 1.73-16.37),则夫妻更有可能彼此共享辅助设备。不一致的丙型肝炎状态的夫妇没有更多或更少的可能性比那些具有一致的状态,以共享针头或辅助injectioningequipment.Conclusions:注射的做法,在定期的异性恋关系似乎没有组织围绕丙型肝炎状态,但受性别,夫妇的连接与其他IDU,并在何种程度上,他们与他们的关系之外的设备。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Background: This paper examines correlates of needle and other equipment sharing among injecting drug users (IDU) in regular heterosexual relationships.Methods: A cross-sectional survey collected data from people obtaining sterile needles and syringes from pharmacies in New South Wales, Australia. 181 IDU in regular heterosexual relationships provided information about their own drug and injecting practices and those of their partners.Results: Compared to female partners, male partners reported more frequent injecting, more commonly injected their partners, scored and prepared the drugs, and obtained the needles. Couples were less likely to share needles with each other if they reported a low-to-moderate connection with drug using networks compared to a moderate-to-high connection (AOR 0.4, 95% Cl 0.19-0.95) or if the respondent partner reported sharing injecting equipment (needles and/or ancillary equipment) with friends in the last 6 months (AOR 3.2, 95% CI 1.34-7.86). Couples were more likely to share ancillary equipment with each other if they spent most or all of their injecting time together (ACR 4.1, 95% CI 1.40-11.31) or if the respondent reported sharing injecting equipment with friends (AOR 5.3, 95% CI 1.73-16.37). Couples with discordant hepatitis C status were no more or less likely than those with concordant status to share needles or ancillary injecting equipment.Conclusions: Injecting practices in regular heterosexual relationships do not appear to be organised around hepatitis C status but are influenced by gender, the couples' connection with other IDU, and extent to which they share the equipment with those outside of their relationship. (C) 2009 Elsevier Ireland Ltd. All rights reserved.