Characteristics associated with motivation to stop substance use and improve skin and needle hygiene among hospitalized patients who inject drugs.
Characteristics associated with motivation to stop substance use and improve skin and needle hygiene among hospitalized patients who inject drugs.
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DOI：
10.1080/08897077.2021.2007520
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发表时间：
2022
期刊：
影响因子：
3.5
通讯作者：
Stein, Michael D.
中科院分区：
文献类型：
--
作者：
Kimmel, Simeon D.;Phillips, Kristina T.;Anderson, Bradley J.;Stein, Michael D.
注射毒品者的住院治疗是解决药物使用问题的机会。然而，人们对住院PWID停止使用药物或改善皮肤和针头卫生的动机知之甚少，这是减少注射后遗症的常用手段。我们使用了一项随机对照试验的基线数据，该试验旨在改善2014年1月至2018年6月期间252名住院PWID的皮肤和针头卫生。我们检查了停止使用药物、使用新针头和清洁皮肤的动机（量表1-10），并使用多元线性回归模型评估与这些结果相关的特征。在注射相关（154，61.1%）和非注射相关住院（98，38.9%）期间招募PWID。停止使用药物的动机为7.11（SD 2.67），使用新针头为7.8（SD 1.9），清洁皮肤为6.7（SD 2.3）。在调整后的模型中，经历注射相关住院与停止使用药物（Beta −0.76，SE 0.299），使用新针头（Beta 0.301，SE 0.255）或清洁皮肤（Beta 0.476，SE 0.323）的动机没有显著相关性（P> 0.05）。去年皮肤和软组织感染的数量与使用新针头的动机（Beta −0.109，SE 0.049，P<0.05）和清洁皮肤（Beta −0.131，SE 0.062，P<0.05）呈负相关。阿片类药物戒断程度越高，使用新针头的动机越低（Beta −0.275，SE 0.92，P<0.01）。在住院PWID中，停止使用药物和改善皮肤和针头卫生的动机是中等偏高的，但注射相关的住院与更大的动机无关。需要努力减少所有住院PWID的注射后遗症。
Hospitalizations for people who inject drugs (PWID) are opportunities to address substance use. However, little is known about hospitalized PWIDs’ motivation to stop substance use or improve skin and needle hygiene, common means for reducing injection sequelae. We used baseline data from a randomized controlled trial of a behavioral intervention to improve skin and needle hygiene among 252 hospitalized PWID between January 2014 and June 2018. We examined motivation (scale 1–10) to stop substance use, use new needles, and clean skin and used multiple linear regression models to evaluate characteristics associated with these outcomes. PWID were recruited during injection-related (154, 61.1%) and non-injection-related hospitalizations (98, 38.9%). Motivation to stop substance use was 7.11 (SD 2.67), use new needles was 7.8 (SD 1.9) and clean skin was 6.7 (SD 2.3). In adjusted models, experiencing an injection-related hospitalization was not significantly associated (P>.05) with motivation to stop substance use (Beta −0.76, SE 0.299), use new needles (Beta 0.301, SE 0.255), or clean skin (Beta 0.476, SE 0.323). Number of past-year skin and soft tissue infections was negatively associated with motivation to use new needles (Beta −0.109, SE 0.049, P<0.05) and clean skin (Beta −0.131, SE 0.062, P<0.05). Greater opioid withdrawal was associated with lower motivation to use new needles (Beta −0.275, SE 0.92, P<0.01). Among hospitalized PWID, motivation to stop substance use and improve skin and needle hygiene was moderately high but injection-related hospitalizations were not associated with greater motivation. Efforts to reduce injection sequelae for all hospitalized PWID are needed.
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影响因子：
4.5
作者：
Fernandes RM;Cary M;Duarte G;Jesus G;Alarcão J;Torre C;Costa S;Costa J;Carneiro AV
通讯作者：
Carneiro AV
影响因子：
11.8
作者：
Kimmel, Simeon D.;Kim, June-Ho;Larochelle, Marc R.
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影响因子：
4.2
作者：
Phillips KT;Stewart C;Anderson BJ;Liebschutz JM;Herman DS;Stein MD
通讯作者：
Stein MD
DOI：
10.1377/hlthaff.2015.1424
发表时间：
2016-05-01
期刊：
Health affairs (Project Hope)
影响因子：
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作者：
Ronan MV;Herzig SJ
通讯作者：
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影响因子：
3.8
作者：
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通讯作者：
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