Exner Heidi, Gibson Erin K, Stone Ryan, Lindquist Jennifer, Cowen Laura, Roth Eric A
Department of Anthropology, University of Victoria, Victoria, British Columbia, Canada.
Harm Reduct J. 2009 Jul 29;6:20. doi: 10.1186/1477-7517-6-20.
The concept of risk dominates the HIV/AIDS literature pertaining to People Who Use Injection Drugs (PWUID). In contrast the associated concept of worry is infrequently applied, even though it can produce important perspectives of PWUID's lives. This study asked a sample (n = 105) of PWUID enrolled in a Victoria, British Columbia needle exchange program to evaluate their degree of worry about fourteen factors they may encounter in their daily lives.
Exploratory factor analysis was used to analyze their responses.
Factor analysis delineated three factors: 1) overall personal security, 2) injection drug use-specific risks including overdosing and vein collapse and, 3) contracting infectious diseases associated with injection drug use (e.g. HIV/AIDS and hepatitis C).
PWUID in this study not only worry about HIV/AIDS but also about stressful factors in their daily life which have been linked to both increased HIV/AIDS risk behaviour and decreased anti-retroviral treatment adherence. The importance PWUID give to this broad range of worry/concerns emphasizes the need to place HIV/AIDS intervention, education, and treatment programs within a broader harm-reduction framework that incorporates their perspectives on both worry and risk.
风险概念在与注射吸毒者（PWUID）相关的艾滋病毒/艾滋病文献中占据主导地位。相比之下，相关的担忧概念很少被应用，尽管它能产生关于注射吸毒者生活的重要观点。本研究让不列颠哥伦比亚省维多利亚市一个针头交换项目中的105名注射吸毒者样本，评估他们对日常生活中可能遇到的14个因素的担忧程度。
采用探索性因素分析来分析他们的回答。
因素分析确定了三个因素：1）总体人身安全，2）与注射吸毒相关的特定风险，包括过量用药和静脉塌陷，以及3）感染与注射吸毒相关的传染病（如艾滋病毒/艾滋病和丙型肝炎）。
本研究中的注射吸毒者不仅担心艾滋病毒/艾滋病，还担心日常生活中的压力因素，这些因素既与艾滋病毒/艾滋病风险行为增加有关，也与抗逆转录病毒治疗依从性降低有关。注射吸毒者对这种广泛担忧的重视强调了有必要将艾滋病毒/艾滋病干预、教育和治疗项目置于一个更广泛的减少伤害框架内，该框架纳入了他们对担忧和风险的看法。
