泰国社区招募的注射吸毒者中腹股沟注射情况。

Groin injecting among a community-recruited sample of people who inject drugs in Thailand.

机构信息

British Columbia Centre for Excellence in HIV/AIDS, St, Paul's Hospital, 1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.

出版信息

Subst Abuse Treat Prev Policy. 2014 Jan 16;9:4. doi: 10.1186/1747-597X-9-4.

DOI:10.1186/1747-597X-9-4

PMID:24433435

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3904698/

Abstract

BACKGROUND

Use of the femoral vein for the injection of illicit drugs (i.e. groin injecting) has been linked to various health-related harms, including deep vein thrombosis. However, little is known about the prevalence of groin injecting and factors that predict this practice among people who inject drugs (PWID) in Thailand. We sought to investigate the prevalence and factors associated with groin injecting in Bangkok, Thailand.

METHODS

Data were derived from the Mitsampan Community Research Project in Bangkok between July and October 2011. Multivariate logistic regression was used to identify factors associated with groin injecting in the last six months.

RESULTS

Among 437 participants, 34.3% reported groin injecting in the last six months. In multivariate analyses, factors positively associated with groin injecting included: having higher than secondary education (adjusted odds ratio [AOR] = 1.59; 95% confidence interval [CI]: 1.00 - 2.56), weekly midazolam injection (AOR = 8.26; 95% CI: 5.04 - 14.06), and reports of having had drugs planted on oneself by police (AOR = 2.14; 95% CI: 1.37 - 3.36).

CONCLUSIONS

Over one-third of our sample of Thai PWID reported recent groin injecting. Frequent midazolam injection and higher education were found to be associated with groin injecting. That high intensity PWID were more likely to inject in the groin is concerning given the known negative consequences associated with the groin as a site of injection. Additionally, PWID who reported drug planting by police were more likely to inject in the groin, suggesting that reliance on law enforcement approaches may undermine safe injection practices in this setting. These findings highlight the need for evidence-based interventions to address the harms associated with groin injecting, including efforts to alert PWID to risks of groin injecting, the distribution of appropriate injecting equipment, and efforts to encourage use of other injecting sites.

摘要

背景

使用股静脉注射非法药物（即腹股沟注射）与各种与健康相关的危害有关，包括深静脉血栓形成。然而，人们对泰国注射吸毒者（IDU）中腹股沟注射的流行情况以及预测这种做法的因素知之甚少。我们试图调查曼谷腹股沟注射的流行情况和相关因素。

方法

数据来自 2011 年 7 月至 10 月在曼谷的 Mitsampan 社区研究项目。多变量逻辑回归用于确定过去六个月与腹股沟注射相关的因素。

结果

在 437 名参与者中，34.3%报告过去六个月进行了腹股沟注射。在多变量分析中，与腹股沟注射呈正相关的因素包括：受过高于中学教育（调整后的优势比 [OR] = 1.59；95%置信区间 [CI]：1.00 - 2.56），每周咪达唑仑注射（OR = 8.26；95%CI：5.04 - 14.06），以及报告警察曾将毒品种植在自己身上（OR = 2.14；95%CI：1.37 - 3.36）。

结论

我们的泰国 IDU 样本中超过三分之一的人报告最近进行了腹股沟注射。频繁使用咪达唑仑和接受更高教育与腹股沟注射有关。高强度 IDU 更有可能在腹股沟注射，这令人担忧，因为腹股沟作为注射部位存在已知的负面影响。此外，报告警察种植毒品的 IDU 更有可能在腹股沟注射，这表明在这种情况下依赖执法方法可能会破坏安全注射实践。这些发现强调了需要采取循证干预措施来解决与腹股沟注射相关的危害，包括提醒 IDU 注意腹股沟注射的风险，分发适当的注射设备，以及努力鼓励使用其他注射部位。