Factors associated with being asked to initiate someone into injection drug use
Factors associated with being asked to initiate someone into injection drug use
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DOI：
10.1016/j.drugalcdep.2015.02.011
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发表时间：
2015-04-01
影响因子：
4.2
通讯作者：
Kral, Alex H.
中科院分区：
文献类型：
--
作者：
Bluthenthal, Ricky N.;Wenger, Lynn;Kral, Alex H.
目的：注射毒品使用的启动通常涉及一个既定的人谁注射毒品（PWID）帮助注射nave人注射。在开始之前，PWID可能参与提高非注射者注射开始风险的行为，例如描述如何注射和在注射新手面前注射。在这项分析中，我们研究是否PWID谁从事这些行为中的任何一个更有可能被要求发起人到drug injection.Methods：PWID（N=602）进行了采访，在加州之间的2011年和2013年。进行多变量分析，以确定与被要求启动someone.Results相关的因素：样本是多样化的年龄，种族/民族，和药物使用模式。71%的样本曾经被要求开始某人。被要求发起某人与在非注射者面前注射有关（调整后比值比[AOR] = 1.80，95%置信区间[CI] = 1.12，2.91），已描述注射至非注射者（AOR=3.63; 95%CI = 2.07，6.36），并做两个（AOR = 9.56; 95%CI = 4.43，20.65）相比，不做任何行为（指涉）。女性（AOR = 1.73; 95% CI = 1.10，2.73）和过去30天内非注射处方药滥用（AOR = 1.69; 95% CI = 1.12，2.53）也与被要求启动某人有关。预防注射启动的干预措施开发应包括已建立的PWID，并侧重于减少与启动注射请求相关的行为，并加强已建立的PWID中的拒绝技能和意图。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Aims: Injection drug use initiation typically involves an established person who injects drugs (PWID) helping the injection-nave person to inject. Prior to initiation, PWID may be involved in behaviors that elevate injection initiation risk for non-injectors such as describing how to inject and injecting in front of injection-nave people. In this analysis, we examine whether PWID who engage in either of these behaviors are more likely to be asked to initiate someone into drug injection.Methods: Interviews with PWID (N=602) were conducted in California between 2011 and 2013. Multivariate analysis was conducted to determine factors associated with being asked to initiate someone.Results: The sample was diverse in terms of age, race/ethnicity, and drug use patterns. Seventy-one percent of the sample had ever been asked to initiate someone. Being asked to initiate someone was associated with having injected in front of non-injectors (Adjusted Odds Ratio [AOR] = 1.80, 95% Confidence Interval [CI] = 1.12, 2.91), having described injection to non-injectors (AOR=3.63; 95% CI= 2.07, 6.36), and doing both (AOR = 9.56; 95% CI = 4.43, 20.65) as compared to doing neither behavior (referent). Being female (AOR = 1.73; 95% CI = 1.10, 2.73) and non-injection prescription drug misuse in the last 30 days (AOR = 1.69; 95% CI = 1.12, 2.53) were also associated with having been asked to initiate someone.Conclusion: Reducing initiation into injection drug use is an important public health goal. Intervention development to prevent injection initiation should include established PWID and focus on reducing behaviors associated with requests to initiate injection and reinforcing refusal skills and intentions among established PWID. (C) 2015 Elsevier Ireland Ltd. All rights reserved.