Loimer N, Werner E, Presslich O
University of Vienna, Department of Psychiatry, Austria.
Br J Addict. 1991 Jun;86(6):775-8. doi: 10.1111/j.1360-0443.1991.tb03103.x.
Sharing of needles and syringes plays a central role in HIV-1 transmission among intravenous drug users (IVDUs). There have been several suggestions to protect the injecting population from further harm, but focused mainly on the use of sterile needles and syringes as well as information about safer sexual behavior. This study examined a total of 366 IVDUs at the drug dependence out-patient ward of the Psychiatric University Clinic of Vienna. HIV-1 antibodies were found in 29.7% (58) in 1989 and in 26.9% (42) in 1990. The results show that in 1989 14% and in 1990 5% IVDUs who never shared needles or syringes or other drug paraphernalia were found to be HIV-1 positive. In spite of the high information standard among Viennese drug addicts on risk reduction, the underestimated co-factors during drug administration might be responsible for a further HIV-1 transmission. Educational interventions on this subject should address even IVDUs who do not share needles and have adjusted to 'safer sex' practices.
共用针头和注射器在静脉注射吸毒者（IVDUs）之间传播HIV-1过程中起着核心作用。已有多项建议旨在保护注射人群免受进一步伤害，但主要集中在使用无菌针头和注射器以及提供关于更安全性行为的信息。本研究对维也纳大学精神病诊所药物依赖门诊病房的366名静脉注射吸毒者进行了调查。1989年，29.7%（58人）检测出HIV-1抗体，1990年为26.9%（42人）。结果显示，1989年14%以及1990年5%从未共用过针头、注射器或其他吸毒用具的静脉注射吸毒者被检测出HIV-1呈阳性。尽管维也纳吸毒者对降低风险的信息了解程度较高，但药物注射过程中被低估的辅助因素可能导致了HIV-1的进一步传播。关于这一主题的教育干预措施应针对那些不共用针头且已适应“更安全性行为”做法的静脉注射吸毒者。
