Buchanan David, Shaw Susan, Teng Wei, Hiser Poppy, Singer Merrill
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA.
J Urban Health. 2003 Sep;80(3):438-54. doi: 10.1093/jurban/jtg050.
The article presents results from the Syringe Access, Use, and Discard: Context in AIDS Risk research project comparing two neighborhoods by (1) socioeconomic and demographic characteristics; (2) patterns of syringe access, use, and discard; and (3) encounters with a local human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) outreach project targeted to injection drug users (IDUs). The results show that IDUs in more economically advantaged neighborhoods were more likely to acquire syringes from a single source (rather than multiple sources), more likely to inject alone in their own residence (rather than public injection locales), and more likely to dispose of syringes in private garbage cans rather alleys or dumpsters. These results are further associated with the likelihood of encountering street outreach workers, with IDUs in more affluent neighborhoods much less likely to have any such contacts. Based on the different patterns of access, use, and discard evident in each neighborhood, the results indicate that different and more carefully tailored local outreach and prevention strategies are urgently needed.
本文呈现了“注射器获取、使用与丢弃：艾滋病风险背景”研究项目的结果，该项目通过以下几个方面对两个社区进行了比较：（1）社会经济和人口特征；（2）注射器获取、使用和丢弃模式；（3）与针对注射吸毒者（IDU）的当地人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）外展项目的接触情况。结果显示，经济条件较好社区的注射吸毒者更有可能从单一来源获取注射器（而非多个来源），更有可能在自己家中独自注射（而非在公共注射场所），并且更有可能将注射器丢弃在私人垃圾桶中，而不是小巷或垃圾桶里。这些结果还与遇到街头外展工作者的可能性相关，较富裕社区的注射吸毒者与这类工作者接触的可能性要小得多。基于每个社区明显不同的获取、使用和丢弃模式，结果表明迫切需要制定不同的、更具针对性的当地外展和预防策略。
