Implementing an Updated "Break the Cycle" Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US "opioid epidemic" Setting
Implementing an Updated "Break the Cycle" Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US "opioid epidemic" Setting
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DOI：
10.1007/s10461-019-02467-y
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发表时间：
2019-09-01
影响因子：
4.4
通讯作者：
Tross, Susan
中科院分区：
文献类型：
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作者：
Des Jarlais, Don;Uuskula, Anneli;Tross, Susan
我们测试了以下假设：基于社会认知理论和动机访谈的最新“打破循环”（BtC）干预措施将降低当前注射吸毒者（PWID）在爱沙尼亚塔林和纽约市史坦顿岛首次注射时协助不注射吸毒者（非 PWID）的可能性。招募了 402 名注射吸毒者，进行了涵盖人口统计、吸毒情况的基线访谈，并协助非注射吸毒者进行首次注射药物，然后进行 BtC 干预。干预后 6 个月进行了 296 次后续访谈。塔林协助首次注射的百分比从 4.7% 下降到 1.3%（减少 73%）（p < 0.02），史坦顿岛从 15% 下降到 6%（减少 60%）（p < 0.05）。塔林接受首次注射协助的人数从 11 人减少到 3 人（p = 0.02），史坦顿岛则从 32 人减少到 13 人。 （p = 0.024）。在注射吸毒导致艾滋病毒/丙型肝炎流行以及阿片类药物流行的地区，迫切需要对 BtC 干预措施进行进一步的实施研究。
We tested the hypothesis that an updated "Break the Cycle" (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 PWID were recruited, a baseline interview covering demographics, drug use, and assisting non-PWID with first drug injections was administered, followed by BtC intervention. 296 follow-up interviews were conducted 6 months post-intervention. Percentages assisting with first injections declined from 4.7 to 1.3% (73% reduction) in Tallinn (p < 0.02), and from 15 to 6% (60% reduction) in Staten Island (p < 0.05). Persons assisted with first injections declined from 11 to 3 in Tallinn (p = 0.02) and from 32 to 13 in Staten Island. (p = 0.024). Further implementation research on BtC interventions is urgently needed where injecting drug use is driving HIV/HCV epidemics and areas experiencing opioid epidemics.