High Prevalence of Assisted Injection Among Street-Involved Youth in a Canadian Setting.

High Prevalence of Assisted Injection Among Street-Involved Youth in a Canadian Setting.
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DOI:
10.1007/s10461-015-1101-3
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发表时间:
2016-02
期刊:
影响因子:
4.4
通讯作者:
DeBeck K
DeBeck K
中科院分区:
医学2区
文献类型:
--
作者:
Cheng T;Kerr T;Small W;Dong H;Montaner J;Wood E;DeBeck K

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许多注射非法药物的人在注射时得到人工协助,这种做法与艾滋病毒感染和其他危害的风险增加有关。然而,人们对青年中的这种做法知之甚少。本研究采用多变量广义估计方程,以确定与接受援助,在温哥华,加拿大的一个队列的街头参与的青年之间的14-26注射相关的因素。在研究期间,共有253名参与者报告注射毒品,其中49%(n = 125)的青年报告在过去六个月内接受过注射援助。在多变量分析中,年龄较小,女性性别,酗酒,海洛因注射,可卡因注射,冰毒注射和注射器共用与辅助注射呈正相关且独立(均p < 0.05)。这些研究结果强调,需要扩大药物滥用治疗以及艾滋病毒预防和健康促进干预措施,以使青年能够制定更安全的注射做法。
Many people who inject illicit drugs receive manual assistance when injecting, and this practice has been linked to increased risk of HIV infection and other harms. Little is known, however, about this practice among youth. This study uses a multivariate generalized estimating equation to identify factors associated with receiving assistance with injecting among a cohort of street-involved youth aged 14–26 in Vancouver, Canada. A total of 253 participants reported injecting drugs during the study period, and 49% (n = 125) of these youth reported receiving assistance with injecting in the past six months. In multivariate analysis, younger age, female gender, binge drug use, heroin injecting, cocaine injecting, crystal methamphetamine injecting, and syringe sharing were positively and independently associated with assisted injection (all p < 0.05). These findings underscore the need for expanding substance abuse treatment alongside HIV prevention and health promotion interventions to empower youth to enact safer injection practices.