手机和互联网在注射毒品者中的使用:对移动健康干预措施的启示。
Mobile phone and internet use among people who inject drugs: Implications for mobile health interventions.
机构信息
Department of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, WV, USA.
Pacific Institute for Research and Evaluation, Calverton, MD, USA.
出版信息
Subst Abus. 2022;43(1):592-597. doi: 10.1080/08897077.2021.1975871. Epub 2021 Sep 7.
Mobile health (mHealth) interventions have the potential to improve substance use treatment engagement and outcomes, and to reduce risk behaviors among people who inject drugs (PWID). However, there are few studies assessing mobile technology use among PWID and none have investigated continuity of mobile phone use. : We surveyed 494 PWID. We used bivariate (independent-sample t- and chi-square tests) and multivariate (logistic regression) analyses to determine whether mobile phone and/or internet use differed as a function of participant- and/or injection-related characteristics. : Most participants (77%) had a mobile phone, with 67% having a phone that was free of charge. Participants with a phone were significantly less likely to be homeless (AOR = 0.28), to have shared syringes (AOR = 0.53), and to have reused syringes (AOR = 0.26) in the past 3 months. We observed high rates of phone and number turnover, with more than half reporting that they got a new phone (57%) and/or number (56%) at least once within the past 3 months. Most participants were familiar with using the internet (80% ever use), though participants who had ever used the internet were younger (AOR = 0.89), were less likely to be homeless (AOR = 0.38), were less likely to have shared syringes (AOR = 0.49), and were more likely to have injected methamphetamine by itself (AOR = 2.49) in the past 3 months. : Overall, mobile technology and internet use was high among our sample of PWID. Several factors should be considered in recruiting diverse samples of PWID to minimize bias in mHealth study outcomes, including mobile phone access and protocol type (text- vs internet-based).
移动医疗(mHealth)干预措施有可能改善物质使用治疗的参与度和效果,并降低注射毒品者(PWID)的风险行为。然而,很少有研究评估 PWID 对移动技术的使用情况,也没有研究调查手机使用的连续性。
我们调查了 494 名 PWID。我们使用了双变量(独立样本 t 检验和卡方检验)和多变量(逻辑回归)分析,以确定手机和/或互联网使用是否因参与者和/或注射相关特征而异。
大多数参与者(77%)拥有手机,其中 67%的手机是免费的。拥有手机的参与者明显不太可能无家可归(AOR=0.28),不太可能共用注射器(AOR=0.53),不太可能在过去 3 个月内重复使用注射器(AOR=0.26)。我们观察到手机和号码的高周转率,超过一半的人报告说他们在过去 3 个月内至少换过一次手机(57%)和/或号码(56%)。大多数参与者都熟悉使用互联网(80%的人曾经使用过),尽管曾经使用过互联网的参与者更年轻(AOR=0.89),不太可能无家可归(AOR=0.38),不太可能共用注射器(AOR=0.49),并且更有可能在过去 3 个月内单独注射冰毒(AOR=2.49)。
总体而言,我们调查的 PWID 样本中移动技术和互联网的使用量很高。在招募多样化的 PWID 样本以最大限度地减少 mHealth 研究结果的偏差时,应考虑几个因素,包括手机的访问和协议类型(文本与基于互联网的)。
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