Factors associated with injury and blood-borne infection risk when providing assisted injection among people who inject drugs.
Factors associated with injury and blood-borne infection risk when providing assisted injection among people who inject drugs.
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DOI：
10.1016/j.drugpo.2021.103297
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发表时间：
2021-11
影响因子：
4.4
通讯作者：
Bluthenthal, Ricky N.
中科院分区：
文献类型：
--
作者：
Ceasar, Rachel Carmen;Goldshear, Jesse L.;Brothers, Sarah;Wenger, Lynn D.;Kral, Alex H.;Bluthenthal, Ricky N.
先前的研究已将辅助注射与风险行为联系起来，但尚未评估其他风险，如受伤，静脉遗漏和注射期间偶然暴露于血源性感染。在下文中，我们介绍了这些其他风险的发生频率，并确定了与注射毒品（PWID）人群中静脉缺失和偶然血液暴露相关的因素。我们对2016年和2017年期间在洛杉矶和加州的旧金山弗朗西斯科使用目标抽样招募的PWID数据进行了横断面分析。分析样本包括336名参与者，他们报告在过去6个月内提供注射援助。开发了多变量逻辑回归模型，用于报告以下风险：缺少静脉;将接受者的血液带到注射提供者身上;将血液带到衣服或表面上。在过去的6个月里，最常见的负面后果是衣服或表面沾到血液（40%）、注射者沾到接受者的血液（23%）以及缺少静脉（17%）。在多变量逻辑回归分析中，静脉缺失与辅助腿部注射的几率较高显著相关，而在提供者身上获得注射接受者的血液或在衣服或附近表面获得血液与辅助腹股沟注射的几率较高相关。提供注射辅助可能会导致意外的血液暴露和伤害，特别是在身体敏感部位注射时。减少与这种做法相关的风险的减少危害干预措施对于改善PWID的福祉至关重要。
Prior research has associated assisted injection with risk behaviors, but other risks such as injury, missed veins, and incidental exposures to blood-borne infections during an injection episode have not been assessed. In the following, we present the frequency of these other risks and determine factors associated with missing a vein and incidental blood exposure among people who inject drugs (PWID). We conducted a cross-sectional analysis of data from PWID who were recruited using targeted sampling in Los Angeles and San Francisco, California, during 2016 and 2017. The analytic sample consist of 336 participants who reported providing injection assistance in the last 6 months. Multivariate logistic regression models were developed for reporting the following risks: missing a vein; getting the recipient’s blood on the injection provider; and getting blood on clothes or surfaces. In the last 6 months, the most common negative consequences were getting blood on clothes or surfaces (40%), getting the recipient’s blood on the injection provider (23%), and missing a vein (17%). In multivariate logistic regression analysis, missing the vein was significantly associated with higher odds of assisting a leg injection while getting the injection recipient’s blood on the provider or getting blood on clothes or nearby surfaces was associated with higher odds of assisting a groin injection injecting in the groin. Providing injection assistance can result in incidental blood exposures and injury, particularly when injecting in sensitive locations on the body. Harm reduction interventions to reduce risks associated with this practice are essential to improving the well-being of PWID.
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影响因子：
4.2
作者：
Bluthenthal, Ricky N.;Wenger, Lynn;Kral, Alex H.
通讯作者：
Kral, Alex H.
影响因子：
4.4
作者：
Fast, Danya;Small, Will;Kerr, Thomas
通讯作者：
Kerr, Thomas
影响因子：
4.4
作者：
Cheng T;Kerr T;Small W;Dong H;Montaner J;Wood E;DeBeck K
通讯作者：
DeBeck K
影响因子：
4.5
作者：
Akbarzadeh V;Mumtaz GR;Awad SF;Weiss HA;Abu-Raddad LJ
通讯作者：
Abu-Raddad LJ
DOI：
10.1093/jurban/jtg137
发表时间：
2003-03-01
影响因子：
6.6
作者：
Evans, JL;Hahn, JA;Moss, AR
通讯作者：
Moss, AR