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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.

DOI:10.1111/1467-9566.12226
PMID:25688570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4478155/
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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本文引用的文献

1
Symbiotic goals and the prevention of blood-borne viruses among injection drug users.共生目标与预防注射吸毒者中的血源性病毒
Subst Use Misuse. 2011;46(2-3):307-15. doi: 10.3109/10826084.2011.523316.
2
HIV among drug users at Beth Israel Medical Center, New York City, the first 25 years.在纽约市贝丝以色列医疗中心的吸毒者中的 HIV,前 25 年。
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Spatial distribution and characteristics of injecting drug users (IDU) in five Northeastern states of India.印度东北部五个邦的注射吸毒者(IDU)的空间分布和特征。
BMC Public Health. 2011 Jan 31;11:64. doi: 10.1186/1471-2458-11-64.
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Social stability and HIV risk behavior: evaluating the role of accumulated vulnerability.社会稳定性和艾滋病风险行为:评估累积脆弱性的作用。
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5
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Int J Drug Policy. 2010 May;21(3):179-85. doi: 10.1016/j.drugpo.2009.08.007. Epub 2009 Sep 27.
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Using hepatitis C virus and herpes simplex virus-2 to track HIV among injecting drug users in New York City.利用丙型肝炎病毒和单纯疱疹病毒2型追踪纽约市注射吸毒者中的艾滋病毒。
Drug Alcohol Depend. 2009 Apr 1;101(1-2):88-91. doi: 10.1016/j.drugalcdep.2008.11.007. Epub 2008 Dec 23.
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The social production of hepatitis C risk among injecting drug users: a qualitative synthesis.注射吸毒者中丙型肝炎风险的社会产生:一项定性综合分析
Addiction. 2008 Oct;103(10):1593-603. doi: 10.1111/j.1360-0443.2008.02306.x.
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Greater drug injecting risk for HIV, HBV, and HCV infection in a city where syringe exchange and pharmacy syringe distribution are illegal.在一个注射器交换和药房注射器分发均属非法的城市,注射毒品感染艾滋病毒、乙肝病毒和丙肝病毒的风险更高。
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