The Surveillance Lab, McGill University, Montréal, Québec, Canada.
Health Place. 2011 May;17(3):757-66. doi: 10.1016/j.healthplace.2011.01.013. Epub 2011 Mar 2.
The role that the urban environment plays in influencing drug users' injection and needle disposal decisions is poorly understood. We identified potential attractors and deterrents of needle discarding, and then used a geographic information system (GIS) to quantify these factors for a neighborhood in Montréal, Canada. In multivariate logistic regression, discarded needles were found to have more associations with physical factors than with social factors. Visual exposure and proximity to a single-room occupancy hotel, a pay phone, an adult service or a pawnshop were important physical environmental predictors. These findings are discussed in relation to developing public health and urban design-based harm reduction approaches to needle discarding in public space.
城市环境在影响吸毒者注射和针具处置决策方面的作用尚未得到充分理解。我们确定了可能导致丢弃针具的吸引因素和阻碍因素，然后使用地理信息系统（GIS）对加拿大蒙特利尔的一个街区进行了量化分析。多变量逻辑回归分析发现，丢弃的针具与物理因素的关联比与社会因素的关联更多。视觉暴露以及与单人间出租旅馆、付费电话、成人服务或当铺的接近程度是重要的物理环境预测因素。本文讨论了这些发现如何与开发基于公共卫生和城市设计的减少公共空间中丢弃针具的危害方法相关。
