Malchy Leslie, Bungay Vicky, Johnson Joy
School of Nursing, University of British Columbia, #302-6190 Agronomy Road, Vancouver, BC V6T1Z3, Canada.
Int J Drug Policy. 2008 Aug;19(4):339-41. doi: 10.1016/j.drugpo.2007.06.005. Epub 2007 Aug 3.
People who smoke crack cocaine have a distinct social profile when compared to other drug user groups (e.g., injection drug users), may be at increased risk for particular health problems and experience unique social harms as a consequence of their crack use. In particular, they are exposed to dangers associated with unsafe crack pipe use and lack resources to enable safer consumption practices. The objectives of this pilot study were to determine the current practices of people who smoke crack in Vancouver and to discover common attitudes towards the modification of crack smoking practices in the direction of safer crack use.
Members of a community coalition administered a short survey to street-entrenched crack cocaine users regarding their smoking equipment, their current crack smoking practices, the physical consequences of smoking crack and their attitudes towards safer crack use.
Most respondents engaged in 'unsafe' crack use practices and experienced harmful consequences associated with crack use. Those who shared their equipment were at higher risk for experiencing these harmful consequences.
The information from this study suggests that strategies aimed at reducing the harms associated with crack use, as well as safer crack use education and programming, should be incorporated into substance misuse interventions, disease prevention and health promotion policy, and that further research about these issues is needed.
与其他吸毒群体（如注射吸毒者）相比，吸食快克可卡因的人具有独特的社会特征，可能面临特定健康问题的风险增加，并且因其吸食快克而遭受独特的社会危害。特别是，他们面临与不安全使用快克烟斗相关的危险，并且缺乏资源来实现更安全的消费行为。这项试点研究的目的是确定温哥华吸食快克者的当前行为，并发现他们对朝着更安全使用快克的方向改变吸食快克行为的普遍态度。
一个社区联盟的成员对长期在街头吸食快克可卡因的使用者进行了一项简短调查，内容涉及他们的吸烟器具、当前吸食快克的行为、吸食快克的身体后果以及他们对更安全使用快克的态度。
大多数受访者从事“不安全”的快克使用行为，并经历了与使用快克相关的有害后果。那些共用器具的人经历这些有害后果的风险更高。
这项研究的信息表明，旨在减少与使用快克相关危害的策略，以及更安全使用快克的教育和规划，应纳入药物滥用干预、疾病预防和健康促进政策，并且需要对这些问题进行进一步研究。
