Gender differences in circumstances surrounding first injection experience of rural injection drug users in the United States.
Gender differences in circumstances surrounding first injection experience of rural injection drug users in the United States.
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DOI：
10.1016/j.drugalcdep.2013.10.013
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发表时间：
2014-01-01
影响因子：
4.2
通讯作者：
Havens, Jennifer R.
中科院分区：
文献类型：
--
作者：
Young, April M.;Larian, Nika;Havens, Jennifer R.
研究表明，在开始注射吸毒的情况下，可能存在很大的性别差异;然而，在无法获得注射器交换的农村地区或主要注射处方药的人中，对首次注射的性别动态知之甚少。本研究探讨了主要注射处方阿片类药物的农村居民首次注射经验的性别差异。访谈管理的问卷调查收集的数据，从注射吸毒者（n = 394）的样本招募来自阿巴拉契亚肯塔基州使用响应驱动的抽样。女性更有可能由于社会压力而开始注射（p = 0.001），接受药物作为礼物（p = 0.011），在伴侣家中开始（p = 0.004）在伴侣在场时（p <0.001）、由其伴侣注射（p <0.001）、使用不干净的注射器（p = 0.026）和从其伴侣处接受注射器（p <0.001）。女性也更有可能在开始之前或之后进行性交（p <0.001）。男性更有可能亲自购买药物（p = 0.002），从药房/诊所获得注射器（p = 0.004），并与朋友（p = 0.001）或家庭成员（p = 0.020）一起注射。男性也更有可能让朋友进行第一次注射（p = 0.007）。在这一农村吸毒者群体中，观察到注射开始方面存在显著的性别差异。社会压力在妇女的第一次注射经历中发挥了更大的作用，男性伴侣在妇女开始注射方面发挥了不可或缺的作用。
Research has demonstrated that there can be substantial gender differences in circumstances surrounding initiation of injection drug use; however, little is known about the gendered dynamics of first injection in rural areas where syringe exchange is inaccessible or among those who predominantly inject prescription medications. The present study examines gender differences in first injection experience among rural residents who predominantly inject prescription opioids. Interview-administered questionnaires collected data from a sample of injection drug users (n=394) recruited from Appalachian Kentucky using respondent-driven sampling. Women were more likely to have initiated injection due to social-pressure (p=0.001), received the drugs as a gift (p=0.011), initiated in their partner’s home (p=0.004) and in their partner’s presence (p<0.001), been injected by their partner (p<0.001), used an unclean syringe (p=0.026), and received the syringe from their partner (p<0.001). Women were also more likely to report having engaged in sexual intercourse before or after initiation (p<0.001). Men were more likely to have personally purchased the drugs (p=0.002), to have acquired the syringe from a pharmacy/clinic (p=0.004), and to have injected with a friend (p=0.001) or family member (p=0.020). Men were also more likely to have a friend administer the first injection (p=0.007). In this population of rural drug users, notable gender differences in injection initiation were observed. Social pressure played a more substantial role in women’s first injection experience, and male partners had an integral role in women’s initiation.
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影响因子：
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作者：
Goldsamt LA;Harocopos A;Kobrak P;Jost JJ;Clatts MC
通讯作者：
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