Drug injection among street youth:: the first time
Drug injection among street youth:: the first time
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DOI：
10.1046/j.1360-0443.2002.00161.x
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发表时间：
2002-08-01
期刊：
影响因子：
6
通讯作者：
Boivin, JF
中科院分区：
文献类型：
--
作者：
Roy, É;Haley, N;Boivin, JF
目的描述街头青少年首次注射毒品的情况。设计一项队列研究，受试者年龄14-25岁，来自蒙特利尔所有为街头青少年提供免费服务的主要组织。报告曾经注射过毒品的测量对象完成关于他们第一次注射情况的问题(日历时间、地点、与发起者的关系类型、是否存在他人、第一次注射毒品、针头来源和使用干净的针头和其他注射材料)。在研究过程中增加了关于引发剂的特征和第一次注射药物的先前使用的问题。在980名参与者中，530人(54%)曾经注射过药物。505名受试者完成了问卷调查，其中77人也回答了额外的问题。首次注射的平均年龄为17.7岁。首次注射主要发生在公共场所(41%)。这是由密友(41%)、年轻人本人(27%)、熟人(15%)、情人(10%)或其他人(7%)进行的。总体而言，84%的年轻人第一次注射时使用的是干净的针头；只有62%的人使用了干净的药物制备设备。第一次注射的毒品一般是可卡因(47%)或海洛因(41%)。有2/3(53/77)的流浪青年曾使用过首次注射的药物，但大多数人没有依赖。结论大多数街头青年在第一次注射时使用清洁针头，但使用其他清洁注射材料的频率较低。依赖以外的因素似乎在注射的启动过程中起着重要作用。
Aims To describe the circumstances of the first drug injection among street youth.Design A cohort study conducted in 19 95-2000.Participants Subjects aged 14-25 years old were recruited in all major Montreal organizations offering free services to street youth.Measurement Subjects who reported having ever injected drugs completed questions on the circumstances of their first injection (calendar time, location, type of relationship with the initiator, presence of others, drug first injected, source of needle and use of clean needle and other injection materials). Questions on characteristics of the initiator and prior use of the first injected drug were added during the course of the study.Findings Of 980 participants, 530 (54%) had ever injected drugs. Questionnaires were completed by 505 subjects, including 77 who also answered the additional questions. The mean age at first injection was 17.7 years. First injection occurred mainly in public places (41%). It was performed by a close friend (41%), the youth himself/herself (27%), an acquaintance (15%), a lover (10%) or another person (7%). Overall, 84% of youth first injected with a clean needle; only 62% used clean drug preparation equipment. The first drug injected was generally cocaine (47%) or heroin (41%). Two-thirds (53/77) had used the drug of first injection previously; however, the majority was not dependent upon it.Conclusions Most street youth used clean needles at first injection, but use of other clean injection materials was less frequent. Factors other than dependence appear to play a significant role in initiation into injection.