Role of social network dimensions in the transition to injection drug use: actions speak louder than words.

Role of social network dimensions in the transition to injection drug use: actions speak louder than words.
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DOI:
10.1007/s10461-011-9930-1
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发表时间:
2011-10
期刊:
影响因子:
4.4
通讯作者:
Nield, Jennifer
Nield, Jennifer
中科院分区:
医学2区
文献类型:
--
作者:
Koram, Nana;Liu, Hongjie;Li, Jianhua;Li, Jian;Luo, Jian;Nield, Jennifer

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本研究的目的是探讨社会网络因素,特别是社会支持和规范,对从非注射海洛因和/或阿片类药物使用到注射海洛因的转变的影响,注射海洛因是中国艾滋病毒/艾滋病传播的主要原因之一。在中国云南的一项以自我为中心的网络研究中,采用受访者驱动的抽样来招募年轻的海洛因和/或鸦片使用者。使用候选变量的分层组合的多变量逻辑回归用于分析注入转换的网络因素。 403 个自我报告了总共 3,121 个社交网络改变,平均网络规模为 8。百分之五十八的自我意识从非注射转变为注射海洛因。这种转变与性网络规模更大、网络中海洛因注射者数量更多以及网络密度更高有关。这些发现增强了我们对社交网络维度对注射吸毒过渡影响的理解。因此,中国针对海洛因和/或阿片类药物使用者的干预措施的制定应考虑社交网络的特征。
The objective of this study was to examine the influences of social network factors, particularly social support and norms, in the transition from non-injection heroin and/or opiate use to heroin-injection, which is one of the leading causes of the spread of HIV/AIDS in China. Respondent-driven sampling was used to recruit young heroin and/or opiate users in an egocentric network study in Yunnan, China. Multivariate logistic regression using hierarchical combinations of candidate variables was used to analyze network factors for the injection transition. A total of 3,121 social network alters were reported by 403 egos with an average network size of eight. Fifty-eight percent of egos transitioned to heroin-injection from non-injection. This transition was associated with having a larger sex network size, a larger number of heroin injectors in one’s network, and a higher network density. The findings enhance our understanding of the influence of social network dimensions on the transition to injection drug use. Accordingly, the development of interventions for heroin and/or opiate users in China should consider social network characteristics.
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