TRANSITIONS IN PATTERNS OF HEROIN ADMINISTRATION - A STUDY OF HEROIN CHASERS AND HEROIN INJECTORS
TRANSITIONS IN PATTERNS OF HEROIN ADMINISTRATION - A STUDY OF HEROIN CHASERS AND HEROIN INJECTORS
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DOI：
10.1111/j.1360-0443.1994.tb00896.x
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发表时间：
1994-03-01
期刊：
影响因子：
6
通讯作者：
STRANG, J
中科院分区：
文献类型：
--
作者：
GRIFFITHS, P;GOSSOP, M;STRANG, J
一个社区样本的408海洛因使用者进行了采访，他们的主要途径的海洛因管理的变化。对特定给药途径的明显偏好是显而易见的。发现两种主要的给药途径：注射（54%）和“追龙”（44%）。超过三分之一的样本改变了主要的给药途径（“过渡”）。最常见的情况是，只报告了一种转变，即从追逐到注射。然而，过渡到注射并不是不可避免的：尽管多年来经常使用高剂量，但大多数“追逐者”从未转向常规注射。模型表明，许多追逐者放弃海洛因而不进行注射。然而，结果表明，对于那些继续使用的人来说，从追逐转向注射的风险仍然存在。女性不太可能从追逐转向注射。一些海洛因使用者已经从注射过渡到追逐;目前的追逐者中有28人（16%）以前是经常注射海洛因的人。这种路线的变化不太为人所知，据我们所知，以前没有调查过。途径的多次转换不常见;一旦确立，主要给药途径似乎稳健。旨在改变海洛因使用者危险行为的减少危害干预措施应考虑到目前不同的给药途径以及今后在继续吸毒的情况下发生过渡的可能性。
A community sample of 408 heroin users was interviewed about changes in their predominant route of heroin administration. Clear preferences for specific routes of drug administration were evident. Two predominant routes of administration were found: injection (54%) and 'chasing the dragon' (44%). More than a third of the sample had changed their predominant route of administration (a 'transition'). Most commonly, only one transition was reported, from chasing to injecting. However, transition to injection was not inevitable: the majority of 'chasers' had never moved to regular injecting despite often using at high doses for many years. Modelling suggests that many chasers give up heroin without moving to injecting. The results indicate, however, a continuing risk of switching from chasing to injecting for those who continued to use. Women were less likely to move from chasing to injecting. Some heroin users had made the transition from injection to chasing; 28 (16%) of the current chasers had previously been regular heroin injectors. This change in route is less well-known and to our knowledge has not been previously investigated. Multiple transitions in route were uncommon; predominant route of administration, once established appears robust. Harm reduction interventions directed towards changing the risk behaviours of heroin users should take account of the different routes of current administration and the potential for future transitions within continued drug use.