匈牙利布达佩斯 IDUs 中社会边缘化与注射饮酒之间的关联。
The association between social marginalisation and the injecting of alcohol amongst IDUs in Budapest, Hungary.
机构信息
European Monitoring Centre for Drugs and Drug Addiction, Lisbon, Portugal.
出版信息
Int J Drug Policy. 2011 Sep;22(5):393-7. doi: 10.1016/j.drugpo.2011.05.001. Epub 2011 Jul 20.
BACKGROUND
Alcohol injecting may cause intense irritation, serious vein damage, and additional risks. What little is known about alcohol injecting points to the potential role of social marginalisation.
METHODS
Injecting drug users (N=215) were recruited between October 2005 and December 2006 in Budapest, Hungary from non-treatment settings. Multivariate logistic regression models identified correlates of lifetime alcohol injecting.
RESULTS
About a quarter (23%) reported ever injecting alcohol-only 3% reported injecting alcohol in the past 30 days. In multivariate analysis, six variables were statistically significantly associated with ever injecting alcohol: male gender, being homeless, ever sharing cookers or filters and injecting mostly in public places showed a positive association, whilst Roma ethnicity and working at least part time showed a negative association.
CONCLUSIONS
Our study suggests that alcohol injecting is more of a rare event than a so far undiscovered research and prevention priority. Still, providers of harm reduction services should be aware that alcohol injecting happens, albeit rarely, especially amongst socially marginalised IDUs, who should be counselled about the risks of and discouraged from alcohol injecting.
背景
酒精注射可能会导致强烈的刺激、严重的静脉损伤和其他风险。对于酒精注射，我们知之甚少，但这表明社会边缘化可能是一个潜在的因素。
方法
2005 年 10 月至 2006 年 12 月，在匈牙利布达佩斯的非治疗环境中，我们招募了 215 名注射吸毒者。多变量逻辑回归模型确定了与终生酒精注射相关的因素。
结果
约四分之一（23%）的人报告曾经只注射过酒精，只有 3%的人在过去 30 天内注射过酒精。在多变量分析中，有六个变量与曾经注射过酒精有统计学上的显著关联：男性、无家可归、曾经共用注射器或滤嘴，以及主要在公共场所注射与阳性关联，而罗姆族裔和至少部分时间工作则与阴性关联。
结论
我们的研究表明，酒精注射是一种罕见的情况，而不是迄今为止未被发现的研究和预防重点。尽管如此，减少伤害服务的提供者应该意识到，酒精注射虽然很少见，但确实会发生，特别是在社会边缘化的 IDU 中，应该向他们提供有关风险的咨询，并劝阻他们进行酒精注射。
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