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澳大利亚经常注射毒品者的药物使用与风险:年龄有影响吗?

Drug use and risk among regular injecting drug users in Australia: does age make a difference?

作者信息

Degenhardt Louisa, Kinner Stuart A, Roxburgh Amanda, Black Emma, Bruno Raimondo, Fetherston James, Fry Craig L

机构信息

National Drug and Alcohol Research Centre, University of NSW, New South Wales, Australia.

出版信息

Drug Alcohol Rev. 2008 Jul;27(4):357-60. doi: 10.1080/09595230701750643.

Abstract

INTRODUCTION AND AIMS

To examine age-related differences in drug use and risk among regular injecting drug users (IDU) in Australia.

DESIGN AND METHODS

Cross-sectional data from the 2006 Illicit Drug Reporting System were examined for age-related differences in demographic characteristics, drug use history and current use patterns and self-reported risk behaviours.

RESULTS

IDU under 25 years of age were more likely to have initiated injecting at a younger age, to identify as Aboriginal and/or Torres Strait Islander, and to be injecting daily or more often than their older counterparts. They reported more frequent heroin use in the preceding 6 months, and were more likely to report morphine as the first drug injected than were IDU aged 35 years or over. Younger IDU were also more likely to report providing used needles to others, engaging in recent property crime and drug dealing and arrest in the last year.

CONCLUSIONS

Younger IDU reported significantly different drug use patterns and higher rates of risk behaviours than their older counterparts. Treatment services need to ensure that harm and demand reduction services deliver messages to new cohorts of IDU, particularly given that their drug use patterns may be different to those of older users.

摘要

引言与目的

研究澳大利亚定期注射吸毒者(IDU)中与年龄相关的药物使用及风险差异。

设计与方法

对2006年非法药物报告系统的横断面数据进行分析,以研究人口统计学特征、药物使用史、当前使用模式及自我报告的风险行为方面的年龄相关差异。

结果

25岁以下的注射吸毒者比年长的注射吸毒者更有可能在更年轻时开始注射,更有可能认定自己为原住民和/或托雷斯海峡岛民,且每天或更频繁地注射。他们报告在前6个月中更频繁地使用海洛因,并且比35岁及以上的注射吸毒者更有可能报告首次注射的毒品是吗啡。年轻的注射吸毒者还更有可能报告向他人提供用过的针头、最近实施财产犯罪、进行毒品交易以及在过去一年中被捕。

结论

年轻的注射吸毒者报告的药物使用模式与年长的注射吸毒者有显著不同,且风险行为发生率更高。治疗服务需要确保减少伤害和需求的服务向新一批注射吸毒者传达相关信息,特别是考虑到他们的药物使用模式可能与年长使用者不同。

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