Carey Jeanne, Perlman David C, Friedmann Patricia, Kaplan Wendy M, Nugent Ann, Deutscher Meredith, Masson Carmen L, Des Jarlais Don C
Department of Medicine, Beth Israel Medical Center, New York, NY 10003, USA.
J Subst Abuse Treat. 2005 Jul;29(1):47-53. doi: 10.1016/j.jsat.2005.03.004.
Injecting drug users (IDUs) are at high risk for contracting and spreading viral hepatitis through nonsterile injection practices, unprotected sexual contact, and unsanitary living conditions. We sought to characterize hepatitis knowledge, prior testing, and vaccination history among IDUs at a New York City syringe exchange program (SEP). IDU subjects generally had a poor understanding of viral hepatitis transmission and prevention. We also found low vaccination rates: only 8% reported receiving hepatitis A vaccine and 11%, hepatitis B vaccine. Educating IDUs about risky behaviors and medical preventive interventions, such as vaccines for hepatitis A and B and treatment for hepatitis C, may help prevent disease and reduce transmission. Stronger linkages between health-care centers and SEPs, drug treatment programs, and other service delivery centers where IDUs are encountered may promote hepatitis education and vaccination.
注射吸毒者通过不卫生的注射行为、无保护的性接触和不卫生的生活条件，面临感染和传播病毒性肝炎的高风险。我们试图在纽约市一个针头交换项目（SEP）中，对注射吸毒者的肝炎知识、既往检测情况和疫苗接种史进行特征描述。注射吸毒者受试者对病毒性肝炎的传播和预防普遍了解不足。我们还发现疫苗接种率较低：只有8%的人报告接种过甲型肝炎疫苗，11%的人接种过乙型肝炎疫苗。对注射吸毒者进行关于危险行为和医疗预防干预措施（如甲型和乙型肝炎疫苗以及丙型肝炎治疗）的教育，可能有助于预防疾病并减少传播。医疗保健中心与针头交换项目、药物治疗项目以及其他遇到注射吸毒者的服务提供中心之间建立更紧密的联系，可能会促进肝炎教育和疫苗接种。
