Traumatic Event Re-exposure in Injecting Drug Users
Traumatic Event Re-exposure in Injecting Drug Users
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DOI：
10.1007/s11524-011-9619-9
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发表时间：
2012-02-01
影响因子：
6.6
通讯作者：
Kidorf, Michael S.
中科院分区：
文献类型：
--
作者：
Peirce, Jessica M.;Kolodner, Ken;Kidorf, Michael S.
吸毒者一生中接触创伤性事件的比例非常高，这会导致严重的精神并发症。尽管终生接触毒品的比率很高，但对吸毒者持续再次接触新的创伤性事件的比率知之甚少。我们调查了巴尔的摩使用注射器交换服务的男性和女性注射吸毒者的创伤性事件再暴露率（N = 197）。参与者每月接受一次创伤性事件再暴露评估，持续16个月。在整个随访期间，平均每个月有27%的参与者再次接触创伤性事件，在16个月的研究期间有72%的参与者再次接触创伤性事件。女性报告任何创伤性事件再次暴露的可能性是男性的两倍多（调整后的优势比[AOR] = 2.48; 95% CI = 1.54-3.99），女性比男性更容易出现危及生命的疾病、亲人死亡和亲人受伤或生病等特定事件。创伤性事件再暴露的发生比以前报道的要频繁得多，其中女性注射吸毒者的风险最高。重新评估创伤性事件可能有助于确定最需要帮助的人，并鼓励他们接受治疗。
Drug users have very high rates of lifetime exposure to traumatic events, leading to significant psychiatric complications. In spite of the high rate of lifetime exposure, very little is known about the rate of ongoing re-exposure to new traumatic events in drug users. We investigated the rate of traumatic event re-exposure in male and female injecting drug users using syringe exchange services in Baltimore (N = 197). Participants were assessed monthly for traumatic event re-exposure for 16 months. Averaged over the entire follow-up period, 27% of participants were re-exposed to a traumatic event each month and 72% were re-exposed over the 16-month study period. Women were over twice as likely to report any traumatic event re-exposure as men (adjusted odds ratio [AOR] = 2.48; 95% CI = 1.54-3.99), with the specific events of life-threatening illness, death of a loved one, and injury or illness of a loved one being more common in women than men. Traumatic event re-exposure occurs far more often than previously reported, with women injecting drug users at the highest risk. Reassessment of traumatic events may help to identify people most in need and encourage entry into treatment.