Patterns of substance use in male incarcerated drug users in Sri Lanka
Patterns of substance use in male incarcerated drug users in Sri Lanka
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DOI：
10.1111/j.1465-3362.2009.00062.x
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发表时间：
2009-11-01
影响因子：
3.8
通讯作者：
Stadlin, Alfreda
中科院分区：
文献类型：
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作者：
Dissabandara, Lakal O.;Dias, Shavindra R.;Stadlin, Alfreda
介绍和目标。在过去十年里，斯里兰卡被监禁的非法药物使用者人数一直在增加。本文介绍了一组男性吸毒者的吸毒特点和冒险行为。设计和方法。斯里兰卡三所监狱的278名吸毒者填写了一份由访谈者管理的结构式问卷。结果大多数（81.3%）受访者年龄在25-45岁之间。他们中的大多数人受教育程度低，童年时有过犯罪经历，成长环境差。药物使用主要是在青春期早期开始的，然后持续到慢性和药物依赖的发展。药物滥用家族史的发生率很高（25-35%）。在过去30天内，滥用的主要药物为海洛英（98%）及大麻（54%）。多种药物的使用很常见（过去12个月为75%）。烟草和酒精的使用很普遍。静脉注射吸毒的流行率高于官方报告的流行率（15.8%对1%）。冒险性行为的发生率很高（53%）。讨论和结论。毒品使用模式与邻国报告的情况相似。然而，注射吸毒和冒险性行为的日益流行令人关切。目前迫切需要制定有效的治疗战略，防止艾滋病毒和肝炎在斯里兰卡蔓延。[Dissabandara LO，Dias SR，Dodd PR，Stadlin A.斯里兰卡男性被监禁吸毒者的药物使用模式。Drug Alcohol Rev 2009]。
Introduction and Aims. The number of illicit drug users incarcerated in Sri Lanka has been growing over the last decade. This paper presents drug-use characteristics and risk-taking behaviours among a group of male incarcerated drug users. Design and Methods. An interviewer-administered structured questionnaire was completed by 278 drug users in three prisons in Sri Lanka. Results. The majority (81.3%) of interviewees were aged 25-45 years. Most of them had received low levels of education, and experienced childhood delinquency and a deprived upbringing. Drug use was largely initiated during early adolescence, then continued to chronicity and the development of drug dependence. There was a high incidence (25-35%) of family history of drug abuse. Heroin (98%) and cannabis (54%) were the main drugs of abuse in the past 30 days. Polydrug use was common (75% in the past 12 months). Tobacco and alcohol use were widespread. The prevalence of intravenous drug use was higher than officially reported (15.8% vs. 1%). There was a high prevalence (53%) of risk-taking sexual behaviour. Discussion and Conclusion. The pattern of drug use was similar to those reported in nearby countries. However, the increasing prevalence of injecting drug use and risk-taking sexual behaviour is a concern. There is an urgent need to develop effective treatment strategies and to prevent the spread of HIV and hepatitis in Sri Lanka. [Dissabandara LO, Dias SR, Dodd PR, Stadlin A. Patterns of substance use in male incarcerated drug users in Sri Lanka. Drug Alcohol Rev 2009].