Drug users' involvement in the drug economy: Implications for harm reduction and HIV prevention programs

Drug users' involvement in the drug economy: Implications for harm reduction and HIV prevention programs
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DOI:
10.1093/jurban/79.2.266
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发表时间:
2002-06-01
影响因子:
6.6
通讯作者:
Latkin, CA
Latkin, CA
中科院分区:
医学2区
文献类型:
--
作者:
Sherman, SG;Latkin, CA

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本文的目的是探讨个人和社会特征与吸毒者参与毒品经济之间的样本低收入海洛因和可卡因使用者(n = 1,288)在巴尔的摩,马里兰州。研究样本曾参与一项以网络为导向的吸毒人群艾滋病危险行为干预研究。在样本中,44%(n = 569)在毒品经济中至少扮演一个角色,平均扮演1.17个角色。在参与毒品经济的人中,报告每日吸毒者(60.6%对40.2%)、每日注射海洛因(36.0%对21.8%)、每日快速注射(23.6%对14.7%)和每日吸食海洛因(18.3%对13.4%)的比例明显较高。在社交网络方面,参与毒品经济的人报告的社交网络明显更大(9.98对8.97),活跃吸毒者在其社交网络中的比例更高(47%对44%),日常吸毒者在其社交网络中的比例更高(40%对33%),以及更大的毒品支持网络(6.7对5.6)。研究表明,吸毒对他们生活的许多方面产生了深远影响,包括他们参与毒品经济。减少吸毒者的吸毒频率可能会减少这种参与。作为毒品经济的一部分,吸毒者面临许多风险,但也使他们能够影响他人。检查吸毒者的社交网络可以深入了解他们直接社会环境的构成,并为艾滋病毒预防方案提供信息。
The Purpose of this article is to explore individual and social characteristics associated with drug users' involvement in the drug economy among a sample of low-income heroin and cocaine users (n = 1,288) in Baltimore, Maryland. The study sample had participated in a network-oriented intervention study of human immunodeficiency virus (HIV) risk behaviors among drug users. Of the sample, 44% (n = 569) held at least one role in the drug economy, performing an average of 1.17 roles. A significantly higher percentage of those involved in the drug economy reported being daily drug users (60.6% vs. 40.2%), injecting heroin daily (36.0% vs. 21.8%), injecting speed daily (23.6% vs. 14.7%), and snorting heroin daily (18.3% vs. 13.4%). In terms of social networks, those involved in the drug economy reported a significantly larger social network (9.98 vs. 8.97), greater percentage of active drug users in their social network (47% vs. 44%), greater percentage of daily drug users in their social network (40% vs. 33%), and larger drug support networks (6.7 vs. 5.6). The study indicates the far-reaching influence of drug use on many aspects of their lives, including their involvement with the drug economy. Reducing drug users' frequency of use could have the consequence of decreasing this involvement. Being a Part of the drug economy exposes drug users to many risks, but also places them in a position to influence others. Examining drug users' social networks could provide insight into the composition of their immediate social environment and could inform HIV Prevention programs.