School of Public Health, University of Puerto Rico, PO Box 365067, San Juan, PR.
J Community Health. 2011 Dec;36(6):999-1003. doi: 10.1007/s10900-011-9400-8.
This paper examines changes in the interval between first heroin smoking and onset of injection in a large, out-treatment sample of male heroin users in Hanoi, Vietnam (n = 1,115). Mean age at initiation of heroin use (smoking) was 18.4 and mean age of onset of heroin injection was 20.9 years. Full multivariate analysis indicates that the interval between first heroin use (smoking) and first heroin injection has been significantly attenuated among more recent heroin initiates (P = 0.0043), suggesting that heroin users in Vietnam may be at increased risk for exposure to HIV relatively soon after onset of heroin use, highlighting the need for behavioral interventions that target heroin smokers. Critical intervention goals include delaying the onset of injection and improved education about safer drug sharing and drug injection practices.
本文考察了越南河内一个大型戒毒男性海洛因使用者样本中首次吸食海洛因与开始注射的时间间隔变化（n=1115）。首次使用海洛因（吸食）的平均年龄为 18.4 岁，首次注射海洛因的平均年龄为 20.9 岁。全变量分析表明，最近开始使用海洛因的人群中，首次使用海洛因（吸食）与首次注射海洛因的时间间隔明显缩短（P=0.0043），这表明越南的海洛因使用者在开始使用海洛因后可能相对较快地面临感染艾滋病毒的风险，这突出表明需要针对吸食海洛因者开展行为干预措施。关键的干预目标包括延迟注射的开始，并加强关于更安全的共用毒品和毒品注射行为的教育。
