Lankenau Stephen E, Clatts Michael C, Goldsamt Lloyd A, Welle Dorinda L
Stephen E. Lankenau, Ph.D., is an assistant professor in the Department of Sociomedical Sciences at Columbia University, Mailman School of Public Health. He conducts research on hidden populations, high-risk youth, and out-of-treatment drug users. Muchael C. Clatts, Ph.D., is the director of the Institute for International Research on Youth at Risk (IRYAR) at National Development and Research Institutes, Inc. (NDRI). His principal area of interest is in community epidemiology and the development of community-based public health programs. Lloyd A. Goldsamt, Ph.D., is deputy director of the Institute for International Research on Youth at Risk (IRYAR) at National Development and Research Institutes, Inc. (NDRI). His primary area of interest is public health research with high risk youth populations, with an emphasis on the initiation of risk behaviors. Dorinda L. Welle, Ph.D., director of youth and Community Development Core of the Institute for International Research on Youth at Risk (IRYAR) at National Development and Research Institutes, Inc. (NDRI). She is currently conducting a longitudinal ethnographic study of how the AIDS epidemic informs adolescent development and identity dynamics among youth.
J Drug Issues. 2004;34(2):319-332. doi: 10.1177/002204260403400204.
This article examines the behavioral practices and health risks associated with preparing crack cocaine for injection. Using an ethno-epidemiological approach, injection drug users (n=38) were recruited between 1999 and 2000 from public settings in New York City and Bridgeport, Connecticut and responded to a semistructured interview focusing on crack injection initiation and their most recent crack injection. Study findings indicate that methods of preparing crack for injection were impacted by a transforming agent, heat applied to the "cooker," heroin use, age of the injector, and geographic location of the injector. The findings suggest that crack injectors use a variety of methods to prepare crack, which may carry different risks for the transmission of bloodborne pathogens. In particular, crack injection may be an important factor in the current HIV epidemic.
本文探讨了与准备注射快克可卡因相关的行为习惯和健康风险。采用民族流行病学方法，于1999年至2000年间从纽约市和康涅狄格州布里奇波特的公共场所招募了38名注射吸毒者，并对他们进行了半结构化访谈，重点围绕开始注射快克可卡因的情况以及他们最近一次注射快克可卡因的情况展开。研究结果表明，快克可卡因注射准备方法受到转化剂、施加于“煮器”的热量、海洛因使用情况、注射者年龄以及注射者地理位置的影响。研究结果表明，快克可卡因注射者使用多种方法准备快克可卡因，这可能会带来不同的血源性病原体传播风险。特别是，快克可卡因注射可能是当前艾滋病流行的一个重要因素。
