Health behaviors of young adult heroin injectors in the Seattle area
Health behaviors of young adult heroin injectors in the Seattle area
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DOI：
10.1016/j.drugalcdep.2015.11.011
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发表时间：
2016-01-01
影响因子：
4.2
通讯作者：
Banta-Green, Caleb J.
中科院分区：
文献类型：
--
作者：
Cedarbaum, Emily R.;Banta-Green, Caleb J.
背景资料：最近的指标表明，在美国大部分地区以及整个华盛顿州，年轻的海洛因使用者人数大幅增加。这项研究的特点，这年轻一代的海洛因注射者，以告知公共卫生responses.Methods：横断面分析进行了街头拦截调查，在国王县，西澳注射器交换计划在2013年。调查答复仅限于海洛因注射者（n = 389），然后按参与者的年龄（= 30）进行描述性流行病学分析。结果：在回归分析中，调整其他特征后，年轻人与30岁以下的用户特征有显著性差异，而年轻人与30岁以下的用户特征有显著性差异，年轻人与30岁以下的用户特征有显著性差异。（p < 0.05）更可能：重复使用注射器2-4次（与使用过一次注射器者相比，OR = 2.28），共用注射器（OR = 2.92），报告他们在使用海洛因之前“迷上”处方型阿片类药物（OR = 2.54），在过去一年中有过性伴侣（异性OR = 7.37，同性OR = 23.29，两种性别OR = 22.04），并报告前3个月使用粉末可卡因（OR = 2.49），与年龄30岁及以上的人相比。年轻人显着不太可能报告使用止痛药（OR = 0.33），有脓肿在前一年（OR = 033）或已测试为丙型肝炎阳性（OR = 0.22）比老年人调整其他variables.Conclusions：年轻的海洛因注射者从事危险的注射做法比老年人海洛因注射者。沿着其他显著差异，这些发现对年轻海洛因注射者的外展计划和医疗保健有影响。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Background: Recent indicators point to substantial increases in the number of young heroin users across much of the United States as well as across Washington State. This study characterizes this younger generation of heroin injectors in order to inform public health responses.Methods: Across-sectional analysis was conducted using street-intercept surveys at King County, WA syringe exchange programs in 2013. Survey responses were restricted to heroin injectors (n = 389) and then categorized by the participant's age (= 30) for a descriptive epidemiological analysis. A manual stepwise logistic regression tested the independent relationship of user characteristics with being under the age of 30.Results: In regression analyses, adjusting for other characteristics, young adults were significantly (p < 0.05) more likely to: re-use syringes 2-4 times (OR = 2.28 compared to those who used a syringe once), share syringes (OR = 2.92), report they were "hooked on" prescription-type opioids prior to using heroin (OR = 2.54), have had a sexual partner in the prior year (opposite sex OR = 7.37, same sex OR = 23.29, both genders OR = 22.04), and report powder cocaine use in the prior 3 months (OR = 2.49) compared to those ages 30 and older. Young adults were significantly less likely to report using pain medicines (OR = 0.33), having an abscess in the prior year (OR = 033) or having tested positive for hepatitis C (OR = 0.22) than older adults adjusting for other variables.Conclusions: Younger heroin injectors engage in risky injection practices more than older heroin injectors. Along with other significant differences, these findings have implications for outreach programs and medical care for younger heroin injectors. (C) 2015 Elsevier Ireland Ltd. All rights reserved.