Substance abuse and high-risk needle-related behaviors among homeless youth in Minneapolis:: Implications for prevention

Substance abuse and high-risk needle-related behaviors among homeless youth in Minneapolis:: Implications for prevention
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DOI:
10.1093/jurban/78.4.690
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发表时间:
2001-12-01
影响因子:
6.6
通讯作者:
Halcón, LL
Halcón, LL
中科院分区:
医学2区
文献类型:
--
作者:
Lifson, AR;Halcón, LL

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无家可归和离家出走的青年面临各种健康风险,包括与滥用药物和使用未消毒针头有关的风险。在1998-1999年期间,我们招募了201明尼阿波利斯无家可归的青年,年龄在15-22岁,这些青年进行了采访,有经验的街头外展工作者从设置,街头青年聚集。受访者在过去一年中花了6个月的时间住在街上或“沙发上跳”。“有37%的人报告每周有IS或更多的酒精饮料,41%的人每天吸1包或更多的香烟,37%的人每周使用大麻3次或更多次; 15%的人报告终身注射毒品使用,包括6%的人在上个月使用注射毒品。20%的人接受了纹身,18%的人用未经消毒或被别人使用过的针头刺穿身体。有68%的人没有接受过人类免疫缺陷病毒(HIV)检测,52%的人没有接受过B型肝炎检测,25%的人没有接受过丙型肝炎检测。有44%的人表示他们没有足够的有关B型和C型肝炎的信息。不到一半(43%)的人接种了B型肝炎疫苗;然而,51%的未接种疫苗的年轻人表示,如果提供疫苗,他们会接种。这些中西部无家可归的年轻人面临着多种健康风险,包括与药物使用和接触未消毒针头有关的风险。尽管有不安全的行为,但这些年轻人中有许多人对保护他们健康的方法感兴趣,包括教育、了解他们的艾滋病毒或病毒性肝炎血清状况以及获得B型肝炎免疫接种。
Homeless and runaway youth face a variety of health risks, including those related to substance abuse and use of unsterile needles. During 1998-1999, we recruited 201 Minneapolis homeless youths aged 15-22 years; these youths were interviewed by experienced street outreach workers from settings where street youth were known to congregate. Respondents spent a median of 6 months in the previous year living on the streets or "couch hopping." There were 37% who reported having IS or more alcoholic drinks per week, 41% smoked 1 pack or more of cigarettes per day, and 37% used marijuana 3 or more times a week; 15% reported lifetime injection drug use, including 6% who used injection drugs within the previous month. Twenty percent bad received a tattoo, and 18% body piercing with a needle that bad not been sterilized or bad been used by someone else. There were 68% who bad been tested for human immunodeficiency virus (HIV), 52% for hepatitis B, and 25% for hepatitis C. There were 44% who said they did not have enough information about hepatitis B and C. Less than half (43%) received hepatitis B vaccine; however, 51 % of unvaccinated youths indicated that they would receive vaccination if offered. These Midwestern homeless youths face multiple health risks, including those related to substance use and exposure to unsterile needles. Despite unsafe behaviors, many of these youths were interested in methods to protect their health, including education, knowing their HIV or viral hepatitis serostatus, and obtaining hepatitis B immunization.