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拉丁美洲的非法药物使用研究:流行病学、服务利用与艾滋病毒

Illicit drug use research in Latin America: epidemiology service use, and HIV.

作者信息

Aguilar-Gaxiola Sergio, Medina-Mora María Elena, Magaña Cristina G, Vega William A, Alejo-Garcia Christina, Quintanar Tania Real, Vazquez Lucía, Ballesteros Patricia D, Ibarra Juan, Rosales Heidi

机构信息

Department of Internal Medicine, School of Medicine, Center for Reducing Health Disparities, University of California-Davis, Sacramento, CA 95817, USA.

出版信息

Drug Alcohol Depend. 2006 Sep;84 Suppl 1:S85-93. doi: 10.1016/j.drugalcdep.2006.05.010.

DOI:10.1016/j.drugalcdep.2006.05.010
PMID:16769182
Abstract

The purpose of this article is to review the research status of illicit drug use and its data sources in Latin America, with particular attention to the research that has been produced in the past 15 years in epidemiology of illicit drug use services utilization, and relationship between HIV and drug use. This article complements the series of articles that are published in this same volume which examine drug abuse research (epidemiology, prevention, and treatment) and HIV prevention in Latinos residing in the United States. This review resulted from extensive international and national searches using the following databases: Current Contents Connect, Social and Behavioral Sciences; EBSCO; EMBASE(R) Psychiatry; Evidence Based Medicine (through OVID); Medline, Neurosciences, PsychINFO, Pubmed, BIREME/PAHO/WHO--Virtual Health Library, and SciELO. Papers selected for further review included those published in Spanish, English, and Portuguese in peer-reviewed journals. From the evidence reviewed, it was found that the published research literature is heavily concentrated on descriptive epidemiologic surveys, providing primarily prevalence rates and general information on associated factors. Evidence on patterns of service delivery and HIV prevention and treatment is limited. The cumulative scope of this research clearly indicates variability in quantity and quality of research across Latin American nations and the need for greater uniformity in data collection elements, methodologies, and the creation of international collaborative research networks.

摘要

本文旨在回顾拉丁美洲非法药物使用情况及其数据来源的研究现状,特别关注过去15年中关于非法药物使用服务利用流行病学以及艾滋病毒与药物使用之间关系的研究。本文补充了同一卷中发表的一系列文章,这些文章探讨了居住在美国的拉丁裔人群中的药物滥用研究(流行病学、预防和治疗)以及艾滋病毒预防。本综述源于使用以下数据库进行的广泛国际和国内检索:《现刊目次连接》社会与行为科学版;EBSCO;EMBASE(R)精神病学;循证医学(通过OVID);医学索引、神经科学、心理学文摘、医学期刊全文数据库、BIREME/泛美卫生组织/世界卫生组织虚拟健康图书馆和科学电子图书馆在线。入选进一步综述的论文包括在同行评审期刊上以西班牙语、英语和葡萄牙语发表的文章。从所审查的证据来看,发现已发表的研究文献主要集中在描述性流行病学调查上,主要提供患病率及相关因素的一般信息。关于服务提供模式以及艾滋病毒预防和治疗的证据有限。这项研究的总体情况清楚地表明,拉丁美洲各国在研究数量和质量上存在差异,并且在数据收集要素、方法以及建立国际合作研究网络方面需要更大的统一性。

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