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照顾好自己:长期注射吸毒者如何保持无艾滋病毒和丙型肝炎感染

Taking care of themselves: how long-term injection drug users remain HIV and Hepatitis C free.

作者信息

Meylakhs Peter, Friedman Samuel R, Mateu-Gelabert Pedro, Sandoval Milagros, Meylakhs Nastia

机构信息

Laboratory for Comparative Social Research, National Research University Higher School of Economics, St. Petersburg, Russia.

National Development and Research Institutes, New York, USA.

出版信息

Sociol Health Illn. 2015 May;37(4):626-41. doi: 10.1111/1467-9566.12226. Epub 2015 Feb 16.

Abstract

Though prevalence of HIV and especially Hepatitis C is high among people who inject drugs (PWID) in New York, about a third of those who have injected for 8-15 years have avoided infection by either virus despite their long-term drug use. Based on life history interviews with 35 long-term PWID in New York, this article seeks to show how successful integration and performance of various drug using and non-drug using roles may have contributed to some of these PWID's staying uninfected with either virus. We argue that analysis of non-risk related aspects of the lives of the risk-takers (PWID) is very important in understanding their risk-taking behaviour and its outcomes (infection statuses). Drawing on work-related, social and institutional resources, our double-negative informants underwent both periods of stability and turmoil without getting infected.

摘要

尽管在纽约注射毒品者(PWID)中,艾滋病毒尤其是丙型肝炎的感染率很高,但约三分之一注射毒品8至15年的人尽管长期吸毒,却未感染这两种病毒中的任何一种。基于对纽约35名长期注射毒品者的生活史访谈,本文旨在展示各种吸毒和非吸毒角色的成功整合与表现如何促成了其中一些注射毒品者未感染这两种病毒。我们认为,分析风险承担者(注射毒品者)生活中与风险无关的方面对于理解他们的风险行为及其结果(感染状况)非常重要。借助与工作相关、社会和机构资源,我们的双重阴性受访者经历了稳定和动荡时期却未被感染。

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