Institute for International Research on Youth at Risk, National Development and Research Institutes, Inc, 71 West 23rd Street, 8th Floor, New York, NY 10010, USA.
J Community Health. 2010 Jun;35(3):258-67. doi: 10.1007/s10900-010-9231-z.
Injection drug use is especially risky for new injectors. To understand the social and environmental contexts in which risks occur, we interviewed individuals who had initiated injection within the past 3 years (n = 146, 69.2% male) about the circumstances and rationales for their initial injection events. Respondents typically initiated injection due to tolerance (49.3%) and/or for experimentation (61.1%). Most (86.2%) did not possess the technical skills required to self-inject, and relied on the assistance of someone older (58.5%). While low levels of syringe sharing (5.8%) were reported, a majority of respondents (60.5%) engaged in at least one type of behavioral risk. Female injectors were more likely than male injectors to rely on another individual (95.5 vs. 82.2%), often a sex partner (40.5 vs. 7.2%), for assistance. The diversity seen in early injection practices highlights the need for tailored prevention messages to reach this population prior to the onset of injection risk.
注射吸毒对新吸毒者来说风险尤其大。为了了解风险发生的社会和环境背景，我们采访了过去 3 年内（n = 146，69.2%为男性）开始注射毒品的人，了解他们最初注射毒品的情况和原因。受访者通常因为耐受性（49.3%）和/或出于实验目的（61.1%）开始注射。大多数人（86.2%）不具备自行注射所需的技术技能，依赖于年长的人的帮助（58.5%）。尽管报告的注射器共享率较低（5.8%），但大多数受访者（60.5%）至少存在一种行为风险。女性注射者比男性注射者更有可能依赖另一个人（95.5%比 82.2%），通常是性伴侣（40.5%比 7.2%）来获得帮助。早期注射行为的多样性表明，在开始注射风险之前，需要针对这一人群量身定制预防信息。
