Social structural factors that shape assisted injecting practices among injection drug users in Vancouver, Canada: a qualitative study.
Social structural factors that shape assisted injecting practices among injection drug users in Vancouver, Canada: a qualitative study.
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DOI：
10.1186/1477-7517-7-20
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发表时间：
2010-08-31
影响因子：
4.4
通讯作者：
Kerr T
中科院分区：
文献类型：
--
作者：
Fairbairn N;Small W;Van Borek N;Wood E;Kerr T
注射吸毒者通常寻求人工协助进行非法药物注射，这种做法已知与各种健康相关危害有关。我们调查了形成与辅助注射相关的风险的社会结构因素以及可能导致的危害。20个半结构化的定性访谈与IDU登记在访问或温哥华注射吸毒者研究（VIDUS）谁报告需要援助注射在过去的六个月。对访谈录音进行了逐字转录，并进行了专题分析。自我注射的障碍包括缺乏正确注射技术的知识，失去可进入的静脉和药物戒断。以金钱或毒品换取注射援助的现象很普遍。需要协助注射的注射吸毒者所经历的伤害包括药物被盗、错过注射、过量和血液传播疾病的风险。在参与者叙述中，在亲密关系的背景下，艾滋病毒/丙型肝炎病毒感染的脆弱性增加。注射吸毒者查明，需要协助注射的人得不到服务，值得注意的是，温哥华监督注射设施的使用受到限制。本研究记录了辅助注射引起的许多严重危害。在温哥华背景下，形成与辅助注射有关的风险的社会结构因素包括亲密伴侣关系和要求为提供注射援助交换商品的社会习俗。对需要注射帮助的注射吸毒者的保健服务应包括有针对性的干预措施，受监督的注射设施应设法接纳需要注射帮助的个人。
Injection drug users (IDU) commonly seek manual assistance with illicit drug injections, a practice known to be associated with various health-related harms. We investigated the social structural factors that shape risks related to assisted injection and the harms that may result. Twenty semi-structured qualitative interviews were conducted with IDU enrolled in the ACCESS or Vancouver Injection Drug Users Study (VIDUS) who reported requiring assistance injecting in the past six months. Audio-recorded interviews were transcribed verbatim and a thematic analysis was conducted. Barriers to self-injecting included a lack of knowledge of proper injecting technique, a loss of accessible veins, and drug withdrawal. The exchange of money or drugs for assistance with injecting was common. Harms experienced by IDU requiring assistance injecting included theft of the drug, missed injections, overdose, and risk of blood-borne disease transmission. Increased vulnerability to HIV/HCV infection within the context of intimate relationships was represented in participant narratives. IDU identified a lack of services available for those who require assistance injecting, with notable mention of restricted use of Vancouver's supervised injection facility. This study documents numerous severe harms that arise from assisted injecting. Social structural factors that shape the risks related to assisted injection in the Vancouver context included intimate partner relations and social conventions requiring an exchange of goods for provision of injecting assistance. Health services for IDU who need help injecting should include targeted interventions, and supervised injection facilities should attempt to accommodate individuals who require assistance with injecting.
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影响因子：
168.9
作者：
Mathers, Bradley M.;Degenhardt, Louisa;Mattick, Richard P.
通讯作者：
Mattick, Richard P.
影响因子：
3.8
作者：
Wood, E;Tyndall, MW;Schechter, MT
通讯作者：
Schechter, MT
影响因子：
1.9
作者：
Tompkins, Charlotte N. E.;Sheard, Laura;Howes, Nik
通讯作者：
Howes, Nik
影响因子：
2.4
作者：
Wright, Nat M. J.;Tompkins, Charlotte N. E.;Sheard, Laura
通讯作者：
Sheard, Laura
DOI：
10.1097/01.qai.0000157006.28535.ml
发表时间：
2005-09-01
影响因子：
3.6
作者：
O'Connell, JM;Kerr, T;Wood, E
通讯作者：
Wood, E