Correlates of lending needles/syringes among HIV-seropositive injection drug users
Correlates of lending needles/syringes among HIV-seropositive injection drug users
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DOI：
10.1097/qai.0b013e3181576818
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发表时间：
2007-11-01
影响因子：
3.6
通讯作者：
Latka, Mary H.
中科院分区：
文献类型：
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作者：
Metsch, Lisa R.;Pereyra, Margaret;Latka, Mary H.
在HIV阳性的注射吸毒者（IDUs）中，我们研究了艾滋病毒阴性和身份不明的注射伙伴出借针头/注射器的相关性。来自美国4个城市的HIV阳性注射吸毒者（N = 738），报告在过去3个月内与其他注射吸毒者一起注射吸毒，参加了一次计算机辅助自我管理的音频访谈。18%的研究参与者自我报告曾将针头借给艾滋病毒阴性或身份不明的注射伴侣。多变量分析显示，6个变量与这种高风险的注射做法显着相关。年龄较大的注射吸毒者、高中毕业生和那些报告更支持更安全使用药物的同伴规范的人不太可能借出针头/注射器。在过去6个月内入院接受药物治疗，在过去3个月内与> 1人注射，以及有更多的精神症状都与更多的风险有关。这些研究结果强调，需要继续将预防重点放在艾滋病毒阳性注射吸毒者身上，认识到吸毒、心理健康因素和社会因素的结合可能影响这种高风险注射做法，这可能与艾滋病毒和丙型肝炎传播有关。
Among HIV-positive injection drug users (IDUs), we examined the correlates of lending needles/syringes with HIV-negative and unknown status injection partners. HIV-positive IDUs (N = 738) from 4 cities in the United States who reported injection drug use with other IDUs in the past 3 months participated in an audio computer-assisted self-administered interview. Eighteen percent of study participants self-reported having lent their needles to HIV-negative or unknown status injection partners. Multivariate analyses showed that 6 variables were significantly associated with this high-risk injecting practice. Older IDUs, high school graduates, and those reporting more supportive peer norms for safer drug use were less likely to lend needles/syringes. Admission to a hospital for drug treatment in the past 6 months, having injected with > 1 person in the past 3 months, and having more psychiatric symptoms were all associated with more risk. These findings underscore the need for a continued prevention focus on HIV-positive IDUs that recognizes the combination of drug use, mental health factors, and social factors that might affect this high-risk injecting practice, which could be associated with HIV and hepatitis C transmission.