Characterising the increasing prevalence of crystal methamphetamine use in Vancouver, Canada, from 2006-2017: A gender-based analysis.
Characterising the increasing prevalence of crystal methamphetamine use in Vancouver, Canada, from 2006-2017: A gender-based analysis.
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DOI：
10.1111/dar.13126
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发表时间：
2020-11
影响因子：
3.8
通讯作者：
Fairbairn N
中科院分区：
文献类型：
--
作者：
Bach P;Hayashi K;Milloy MJ;Nosova E;Kerr T;Wood E;Fairbairn N
在北美，甲基苯丙胺的使用量正在增加，并与许多负面健康影响和社会危害有关。由于与毒品相关的伤害往往与性别有关，这项研究试图在加拿大一组注射多物质使用率较高的人群中，研究性别对冰毒使用趋势、风险因素和健康影响的不同影响。数据是从加拿大温哥华的两个预期注射吸毒者队列中收集的。我们使用Cochrane-Armitage趋势测试检查了2006-2017年间报告的冰毒使用趋势。我们使用了按性别分层的多变量广义估计方程，以确定与冰毒使用相关的独立风险因素和健康结果。总共有1984名参与者参加了这项研究，其中包括694名(35%)女性。在过去6个月内报告的冰毒使用率从2006年的19%上升到2017年的36%，男女都出现了上升(P<；0.001)。据报告，在男女中，冰毒的使用与许多危险行为和与毒品有关的伤害有关，而在女性中，这与性暴力经历的增加有关(调整后的优势比1.64，95%可信区间1.18，2.27)。这些发现表明，在多物质使用率较高的一组人群中，温哥华报告的晶体甲基苯丙胺使用率不断上升。这项工作突出了男女与使用冰毒有关的毒品和性相关危险行为，并强调有必要制定战略，解决冰毒使用日益增多的问题。
Methamphetamine use is increasing in North America and is associated with numerous negative health effects and social harms. As drug-related harms are often gendered, this study sought to examine the differential impacts of gender on the trends, risk factors and health implications of crystal methamphetamine use among a Canadian cohort of people with high rates of injection polysubstance use. Data were collected from two prospective cohorts of people who inject drugs in Vancouver, Canada. We examined trends in reported crystal methamphetamine use from 2006–2017 using the Cochrane-Armitage test for trend. We used multivariable generalised estimating equations, stratified by gender, to determine independent risk factors and health outcomes associated with crystal methamphetamine use. In total, 1984 participants were included in the study, including 694 (35%) women. The prevalence of reported crystal methamphetamine use within the previous 6 months rose from 19% in 2006 to 36% in 2017, with a rise seen in both genders (P < 0.001). Reported crystal methamphetamine use was associated with numerous risk behaviours and drug-related harms in both genders, and in women it was associated with an increase in experiences of sexual violence (adjusted odds ratio 1.64, 95% confidence interval 1.18, 2.27). These findings demonstrate the rising prevalence of reported crystal methamphetamine use in Vancouver in a cohort with high rates of polysubstance use. This work highlights drug and sex-related risk behaviours associated with crystal methamphetamine use for both genders, and underscores the need to develop strategies to address the growing use of crystal methamphetamine.
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性别暴力和预防过量场所：加拿大温哥华过量流行期间的一项快速民族志研究。
DOI：
10.1111/add.14417
发表时间：
2018-12
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Boyd J;Collins AB;Mayer S;Maher L;Kerr T;McNeil R
通讯作者：
McNeil R
影响因子：
3.9
作者：
Hser, YI;Evans, E;Huang, YC
通讯作者：
Huang, YC
影响因子：
2
作者：
Al-Tayyib A;Koester S;Langegger S;Raville L
通讯作者：
Raville L
影响因子：
3.7
作者：
Cohen, JB;Dickow, A;Reiber, C
通讯作者：
Reiber, C
影响因子：
4.2
作者：
Argento, Elena;Strathdee, Steffanie A.;Shannon, Kate
通讯作者：
Shannon, Kate