Incarceration experiences in a cohort of active injection drug users

Incarceration experiences in a cohort of active injection drug users
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DOI:
10.1080/09595230801956157
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发表时间:
2008-01-01
影响因子:
3.8
通讯作者:
Kerr, Thomas
Kerr, Thomas
中科院分区:
医学3区
文献类型:
--
作者:
Milloy, M. -J.;Wood, Evan;Kerr, Thomas

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背景资料。在注射吸毒者(IDU)中,监禁与一些与健康有关的危害有关。然而,对以社区为基础的注射吸毒者样本中监禁的流行率和相关性知之甚少。方法:研究方法。在2004年7月1日至2006年6月30日期间进行的监督注射科学评估(SEOSI)队列研究中,我们使用广义估计方程(GEE)检验了注射吸毒者近期监禁的患病率及其相关性。结果。共有902人被纳入分析,其中255人(28.72%)是女性,536人(59.42%)报告有监禁史。在多变量GEE模型中,最近的监禁与一些高风险的药物使用行为,包括共用注射器,独立地正相关。结论。据报道,活跃的注射吸毒者最近被监禁和在监禁期间注射的比例高得惊人。最近的监禁与共用注射器独立相关。这些发现进一步证明了加拿大监狱一再要求扩大适当的减少伤害措施。
Background. Incarceration has been associated with a number of health-related harms among injection drug users (IDU). However, little is known about the prevalence and correlates of incarceration among community-based samples of IDU. Methods. We examined the prevalence and correlates of recent incarceration among IDU in the Scientific Evaluation of Supervised Injecting (SEOSI) cohort examined between 1 July 2004 and 30 June 2006 using generalised estimating equations (GEE). Results. A total of 902 individuals were included in the analysis, of whom 255 (28.72%) were female and 536 (59.42%) reported a history of incarceration. In a multivariate GEE model, recent incarceration was associated positively and independently with a number of high-risk drug using behaviours, including syringe sharing. Conclusions. An alarmingly high proportion of active IDU reported recent incarceration and injecting while incarcerated. Recent incarceration was associated independently with syringe sharing. These findings add further evidence to repeated demands for an expansion of appropriate harm-reduction measures in Canada's prisons.