Increasing Heroin-Methamphetamine (Goofball) Use and Related Morbidity Among Seattle Area People Who Inject Drugs.
Increasing Heroin-Methamphetamine (Goofball) Use and Related Morbidity Among Seattle Area People Who Inject Drugs.
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DOI：
10.1111/ajad.13115
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Golden MR
中科院分区：
文献类型：
--
作者：
Glick SN;Klein KS;Tinsley J;Golden MR
在美国，甲基苯丙胺的使用正在增加，可能包括同时注射甲基苯丙胺和海洛因（傻瓜）。我们比较了西雅图地区注射吸毒者（PWID）的人口学、行为、环境和健康因素，这些人报告说他们的主要药物是可卡因、海洛因或甲基苯丙胺。我们使用了2017年和2019年西雅图和金县公共卫生注射器服务项目客户横断面调查的数据（N=792）。在PWID参与者中，55.3%的人报告在过去3个月内使用过goofball，报告将goofball作为主要药物的比例在2017年（10.3%）和2019年（20.1%,p<0.001）之间翻了一番。“傻瓜组”的比例最高的是年龄小于30岁的女性、无家可归者或住房不稳定的人，以及最近被监禁的人。PWID报告了相当大的健康风险和发病率，其主要药物为goofball。目睹阿片类药物过量最常见的是主要药物是“傻瓜”的参与者。该组也报告纳洛酮持有和使用过量的情况下比其他参与者。大多数参与者对减少或停止使用阿片类药物和兴奋剂感兴趣。在PWID中，使用goofball作为主要药物的人数在两年内翻了一番，其特点是环境和个人因素增加了发病率和死亡率的风险。这是第一个将“傻蛋”作为主要药物的研究。减少与阿片类药物使用相关的发病率的临床和公共卫生工作需要纳入解决共同使用甲基苯丙胺问题的干预措施。
Methamphetamine use is increasing in the United States, potentially including the simultaneous injection of methamphetamine with heroin (goofball). We compared demographic, behavioral, contextual, and health factors among people who inject drugs (PWID) in the Seattle area and who reported that their main drug was goofball, heroin, or methamphetamine. We used data from 2017 and 2019 cross-sectional surveys of clients at Public Health–Seattle & King County’s syringe services program (N=792). Among PWID participants, 55.3% reported using goofball in the last 3 months, and the proportion reporting goofball as their main drug doubled between 2017 (10.3%) and 2019 (20.1%, p<0.001). The goofball group had the highest proportions of people who were age <30, women, homeless or unstably housed, and recently incarcerated. PWID whose main drug was goofball reported considerable health risks and morbidity. Witnessing an opioid overdose was most commonly reported by participants whose main drug was goofball. This group also reported naloxone possession and use in an overdose situation more than other participants. The majority of participants were interested in reducing or stopping their opioid and stimulant use. Among PWID, using goofball as a main drug doubled over two years and was characterized by contextual and individual factors that increase risk of morbidity and mortality. This is the first study to characterize goofball use as a main drug. Clinical and public health efforts to diminish morbidity associated with opioid use need to integrate interventions that address co-use of methamphetamine.
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影响因子：
2.6
作者：
Lin, D;Reeck, JB;Murr, AH
通讯作者：
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3.4
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4.2
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影响因子：
2
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