Ti Lianping, Hayashi Kanna, Kaplan Karyn, Suwannawong Paisan, Wood Evan, Kerr Thomas
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, Canada, V6Z 1Y6.
Prev Sci. 2015 Feb;16(2):313-20. doi: 10.1007/s11121-014-0477-z.
People who inject drugs (IDU) often rush their injections; however, the prevalence and predictors of rushing during injecting has not been well studied. We sought to identify correlates of rushed injecting among a community-recruited sample of IDU in Bangkok, Thailand. Data were derived from IDU who participated in the Mitsampan Community Research Project in Bangkok between July and October in 2011. Multivariate logistic regression was used to identify the prevalence and factors associated with frequent rushed injecting, defined as rushing injections at least 25 % of the time in the last 6 months. Among 437 participants, 27 % reported frequent rushed injecting. In multivariate analyses, factors positively and independently associated with frequent rushed injecting included: syringe sharing, injecting in public places, and having noticed increased police presence where drugs are bought or used. Many Thai IDU in this setting reported frequent rushed injecting and factors known to increase HIV risk were found to be associated with this behavior. These findings reinforce the need for public health interventions that address the broader social and physical risk environment where drug injecting takes place.
注射毒品的人（IDU）常常快速注射；然而，注射时快速注射的发生率及其预测因素尚未得到充分研究。我们试图在泰国曼谷通过社区招募的注射毒品者样本中确定快速注射的相关因素。数据来自于2011年7月至10月期间参与曼谷米桑潘社区研究项目的注射毒品者。采用多变量逻辑回归来确定频繁快速注射的发生率及相关因素，频繁快速注射定义为在过去6个月中至少25%的时间里快速注射。在437名参与者中，27%报告有频繁快速注射行为。在多变量分析中，与频繁快速注射呈正相关且独立相关的因素包括：共用注射器、在公共场所注射，以及注意到在购买或使用毒品的地方警察出现增多。在这种情况下，许多泰国注射毒品者报告有频繁快速注射行为，并且发现已知会增加艾滋病病毒感染风险的因素与这种行为有关。这些发现强化了开展公共卫生干预措施的必要性，这些措施应针对注射毒品发生的更广泛的社会和物质风险环境。
