Injection partnership characteristics and HCV status associations with syringe and equipment sharing among people who inject drugs.
Injection partnership characteristics and HCV status associations with syringe and equipment sharing among people who inject drugs.
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DOI：
10.1186/s12889-023-16133-5
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发表时间：
2023-06-20
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
共用注射器是丙型肝炎（HCV）感染的主要传播途径。丙型肝炎病毒在注射吸毒者（PWID）中传播的程度在很大程度上取决于注射器共享网络因素。我们的研究旨在更好地了解伙伴关系的特点和注射器和设备共享与这些合作伙伴，包括关系亲密度，性活动和社会支持的措施，以及自我和合作伙伴的HCV状态，以更好地为年轻的城市和郊区PWID的干预措施提供信息。数据来自一项基于网络的纵向研究的基线访谈，该研究对大都市芝加哥（n = 276）的年轻（18-30岁）PWID（自我）及其注射网络成员（改变）进行。所有参与者都完成了一个计算机辅助的访谈管理的问卷调查和自我中心的网络调查注射，性，和支持网络。发现注射器和辅助设备共享的相关性相似。分享更有可能发生在混合性别的二人组。参与者更有可能与住在同一个家庭的注射伴侣共用注射器和设备，他们每天都看到谁，他们信任谁，他们与谁有亲密关系，包括无安全套的性行为，以及谁提供个人支持。与那些不知道自己状况的人相比，在过去一年内检测出HCV阴性的PWID不太可能与HCV阳性的伴侣共用注射器。PWID在一定程度上通过优先与与他们有密切的个人或亲密关系的注射伴侣共享注射器和其他注射设备，并且他们更有可能知道其HCV状态，来调节他们的注射器和其他注射设备共享。我们的研究结果强调了风险干预和HCV治疗策略的必要性，以考虑在合作伙伴关系中共享注射器和设备的社会背景。在线版本包含补充材料，可通过10.1186/s12889-023-16133-5获得。
Sharing of syringes is the leading transmission pathway for hepatitis C (HCV) infections. The extent to which HCV can spread among people who inject drugs (PWID) is largely dependent on syringe-sharing network factors. Our study aims to better understand partnership characteristics and syringe and equipment sharing with those partners, including measures of relationship closeness, sexual activity, and social support, as well as self and partner HCV status to better inform interventions for young urban and suburban PWID. Data are from baseline interviews of a longitudinal network-based study of young (aged 18–30) PWID (egos) and their injection network members (alters) in metropolitan Chicago (n = 276). All participants completed a computer-assisted interviewer-administered questionnaire and an egocentric network survey on injection, sexual, and support networks. Correlates of syringe and ancillary equipment sharing were found to be similar. Sharing was more likely to occur in mixed-gender dyads. Participants were more likely to share syringes and equipment with injection partners who lived in the same household, who they saw every day, who they trusted, who they had an intimate relationship with that included condomless sex, and who provided personal support. PWID who had tested HCV negative within the past year were less likely to share syringes with an HCV positive partner compared to those who did not know their status. PWID regulate their syringe and other injection equipment sharing to some extent by sharing preferentially with injection partners with whom they have a close personal or intimate relationship, and whose HCV status they are more likely to know. Our findings underscore the need for risk interventions and HCV treatment strategies to consider the social context of syringe and equipment sharing within partnerships. The online version contains supplementary material available at 10.1186/s12889-023-16133-5.
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影响因子：
4.4
作者：
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影响因子：
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