温哥华监管注射设施使用者中与公开注射相关的因素。
Factors associated with public injecting among users of Vancouver's supervised injection facility.
作者信息
McKnight Ian, Maas Ben, Wood Evan, Tyndall Mark W, Small Will, Lai Calvin, Montaner Julio S G, Kerr Thomas
机构信息
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, British Columbia, Canada.
出版信息
Am J Drug Alcohol Abuse. 2007;33(2):319-25. doi: 10.1080/00952990601175102.
BACKGROUND
We evaluated factors associated with public drug injection among a cohort of injection drug users (SEOSI) originally recruited from within Vancouver's supervised injecting facility (SIF).
METHODS
We used univariate statistics and logistic regression to examine factors associated with public drug injection among SEOSI participants.
FINDINGS
Between June 2004 and July 2005, 714 IDU were followed up as part of SEOSI. In multivariate analyses, factors associated with public drug injection included homelessness (adjusted odds ratio (aOR) = 3.10; p < .001), syringe lending (aOR = 5.39; p < .001), requiring help injecting (aOR = 1.60; p = .05), and reporting that wait times affected frequency of SIF use (aOR = 3.26; p < .001).
INTERPRETATION
Persistent public injection was independently associated with elevated HIV risk behaviors, as well as programmatic factors that limit SIF use. SIF program expansion may further help to reduce persistent risk behaviors and the community concerns related to public injection drug use.
背景
我们评估了一组最初从温哥华监督注射设施（SIF）招募的注射吸毒者（SEOSI）中与公开注射毒品相关的因素。
方法
我们使用单变量统计和逻辑回归来研究SEOSI参与者中与公开注射毒品相关的因素。
结果
在2004年6月至2005年7月期间，714名注射吸毒者作为SEOSI的一部分接受了随访。在多变量分析中，与公开注射毒品相关的因素包括无家可归（调整后的优势比（aOR）= 3.10；p <.001）、注射器出借（aOR = 5.39；p <.001）、需要帮助注射（aOR = 1.60；p =.05）以及报告等待时间影响了SIF的使用频率（aOR = 3.26；p <.001）。
解读
持续的公开注射与更高的艾滋病毒风险行为以及限制SIF使用的项目因素独立相关。SIF项目的扩展可能进一步有助于减少持续的风险行为以及与公开注射毒品使用相关的社区担忧。
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