Patterns of drug use and associated harms among rural injecting drug users: comparisons with metropolitan injecting drug users.
Patterns of drug use and associated harms among rural injecting drug users: comparisons with metropolitan injecting drug users.
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DOI：
10.1111/j.1440-1584.2006.00775.x
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发表时间：
2006-06-01
期刊：
影响因子：
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通讯作者：
Dolan, Kate
中科院分区：
文献类型：
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作者：
Day, Carolyn;Conroy, Elizabeth;Dolan, Kate
目的：考虑到注射吸毒对个人和社区的危害以及农村地区此类数据的缺乏，本研究旨在比较：农村和城市注射吸毒者 (IDU) 的吸毒模式、危害以及服务获取和利用。设计：采用访谈员管理的结构化问卷进行横断面调查。参与者：164 名农村人口和 96 名农村人口 来自新南威尔士州七个不同地区卫生服务机构的大都市注射吸毒者，通过针头和注射器计划 (NSP)、滚雪球技术和广告招募。结果：农村和大都市参与者的年龄、性别、教育和就业情况相似。两个样本均报告使用了一系列药物，但农村参与者报告每日使用海洛因的可能性低于城市参与者（2% vs 10%），但报告在过去六个月注射吗啡的可能性更大（50% vs 21%）。据报道，在另一个人之后使用针头/注射器的比例也相似。农村参与者报告使用 NSP 的可能性较小（36% vs 80%），并报告了获得 NSP 和戒毒治疗服务的许多障碍。农村参与者报告说，血源性病毒检测之间的时间间隔明显较长。结论：农村注射吸毒者的样本与大城市相似，尽管报告称其吸毒模式存在一些差异。研究发现，提供的服务，包括获得新的注射设备、血源性病毒检测和药物治疗，给农村吸毒者带来了相当大的问题。这些问题值得进一步考虑。
OBJECTIVE: Given the harms associated with injecting drug use to both individuals and community and the paucity of such data from rural areas, the study aimed to compare: patterns of drug use, harms, and service access and utilisation among rural and metropolitan injecting drug users (IDU).DESIGN: Cross-sectional survey, using interviewer-administered structured questionnaire.PARTICIPANTS: One hundred and sixty-four rural and 96 metropolitan IDU from seven different New South Wales Area Health Services, recruited through needle and syringe programs (NSPs), snowballing techniques and advertisement.RESULTS: Age, gender, education and employment were similar for rural and metropolitan participants. Both samples reported use of a range of drugs, but rural participants were less likely than metropolitan participants to report daily heroin use (2% vs 10%), but more likely to report having injected morphine (50% vs 21%) in the last six months. Similar proportions reported using a needle/syringe after another person. Rural participants were less likely to report use of NSPs (36% vs 80%) and reported a number of barriers to NSP access and also to drug treatment services. Rural participants reported a significantly longer period of time between blood-borne virus testing.CONCLUSION: Samples of rural IDU are similar to metropolitan, although report some differences in patterns of drug use. Service provision, including access to new injecting equipment, blood-borne virus testing and drug treatment was found to cause considerable problems for rural IDU. These issues warrant further consideration.