An evaluation of needle exchange programmes in China
An evaluation of needle exchange programmes in China
复制标题
DOI：
10.1097/01.aids.0000304707.56670.cf
复制
发表时间：
2007-12-01
期刊：
影响因子：
3.8
通讯作者：
Wu, Zunyou
中科院分区：
文献类型：
--
作者：
Liu, Bo;Sullivan, Sheena G.;Wu, Zunyou
目的：概述中国使用的针具交换计划（NEP）模型以及注射吸毒者（IDU）使用针具交换计划的相关因素。设计：横断面调查。方法：选择四川和广西两省的 15 个 NEP 进行研究。管理人员被要求填写一份简短的调查问卷，并参与有关所提供服务的采访，包括针周转率、客户数量以及同伴教育者的使用。当地高级警官接受了采访，了解他们对新经济政策的看法。最后，对使用NEP的吸毒者和强制戒毒所居民使用NEP服务的情况进行了调查。结果：NEP在正常工作时间提供服务，并利用同伴教育员进行额外的交流，涉及社区的二级交换者。机针周转率从 70.1±1% 到 100% 以上不等。大多数与会者（82.3%）通过朋友知道这项服务，但只有 7.3% 的本地注射吸毒者使用该服务。同伴教育者几乎可以获得他们所需的所有针头，但二级交换者只能获得所需针头的大约三分之二。与未参加 NEP 的人相比，参加 NEP 的人注射频率更高，受教育程度更高。当同伴教育者的工资较高且当地警察支持该计划时，针头周转率会更高。结论：NEP 在针头周转率和出勤率方面正在改善。为了扩大覆盖范围，需要加强警方的合作、提高同伴教育者的工资以及提高注射吸毒者对这些项目的认识。 (c) 2007 年 Wolters Kluwer Health I Lippincott Williams & Wilkins。
Objectives: To provide an overview of needle exchange programme (NEP) models used in China and factors associated with their use by injecting drug users (IDU).Design: A cross-sectional survey.Method: Fifteen NEP in Sichuan and Guangxi provinces were selected for study. The managers were asked to complete a short questionnaire and participate in an interview about the services offered, including needle turnover rates, number of clients, and use of peer educators. The local senior police officers were interviewed for their points of views about NEP. Finally, drug users using the NEP and those residents in compulsory detoxification centres were surveyed about using NEP services.Result: The NEP offered services during normal working hours and used peer educators to do additional exchanging that involved secondary exchangers in the community. Needle turnover ranged from 70.1 1% to over 100%. Most attendees (82.3%) knew about the service through friends, but only 7.3% of local IDU were using the services. Peer educators could get almost all the needles they needed, but secondary exchangers could only get approximately two-thirds of their required needles. NEP attendees were more frequent injectors and had a higher education than non-attendees. Needle turnover was higher when peer educators had a higher wage and when local police were supportive of the programme.Conclusion: NEP are improving in terms of needle turnover and attendance. Greater cooperation from police, higher wages for peer educators, and wider awareness of the programmes among IDU are needed to increase coverage. (c) 2007 Wolters Kluwer Health I Lippincott Williams & Wilkins.