法国里昂（TRABOUL 调查）的一项研究显示，在该市无公开吸毒场所的情况下，吸毒者使用吸毒室的意愿。

Willingness to use a drug consumption room among people who use drugs in Lyon, France, a city with no open scene of drug use (the TRABOUL survey).

机构信息

Service d'Hépatologie et d'Addictologie, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.

Service Universitaire d'Addictologie de Lyon (SUAL), Hospices Civils de Lyon, Hôpital Edouard Herriot, Pavillon K, 5 Place d'Arsonval, 69002, Lyon, France.

出版信息

Harm Reduct J. 2023 Oct 16;20(1):149. doi: 10.1186/s12954-023-00887-7.

DOI:10.1186/s12954-023-00887-7

PMID:37845698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10580523/

Abstract

BACKGROUND

Drug consumption rooms (DCRs) have been developed in cities with open drug scenes, with the aim to reduce drug-related harm. In Lyon, France's second-largest city, there is no distinct drug use area, which raised doubts regarding the need for a DCR.

METHODS

We conducted a face-to-face survey of 264 people who use drugs (PWUDs), recruited in harm reduction or addiction treatment centers, in the streets or in squats. We assess their willingness to use a DCR, and we collected sociodemographic and medical features. Bivariable comparisons and analyses adjusted for sociodemographic parameters explored the association between willing to use a DCR and other variables, thus providing crude (ORs) and adjusted odds ratios (aORs) and 95% confidence intervals (95% CI).

RESULTS

In total, 193 (73.1%) PWUDs accepted to participate (mean age 38.5 ± 9.3 years; 80.3% men). Among them, 64.2% declared willing to use a DCR. Being treatment-seeker (aOR 0.20, 95% CI [0.08-0.51]; p < 0.001) and not living alone (aOR 0.29; 95% CI [0.10-0.86], p = 0.025) were negatively associated with willing to use a DCR. By contrast, receiving precarity social insurance (aOR 4.12; 95% CI [1.86-9.14], p < 0.001), being seropositive for hepatitis C (aOR 3.60; 95% CI [1.20-10.84], p = 0.022), being cannabis user (aOR 2.45; 95% CI [1.01-5.99], p = 0.049), and reporting previous problems with residents (aOR 5.99; 95% CI [2.16-16.58], p < 0.001) or with the police (aOR = 4.85; 95% CI [1.43-16.39], p = 0.011) were positively associated.

CONCLUSIONS

PWUDs, especially the most precarious ones, largely supported the opening of a DCR in Lyon, a city with no open drug scene.

摘要

背景

毒品注射室（DCR）已在开放毒品场所的城市中建立，旨在减少与毒品相关的伤害。在法国第二大城市里昂，没有明显的毒品使用区域，这引发了对是否需要 DCR 的质疑。

方法

我们对 264 名吸毒者（PWUD）进行了面对面调查，这些吸毒者是在减少伤害或戒毒治疗中心、街头或棚户区招募的。我们评估了他们使用 DCR 的意愿，并收集了社会人口学和医学特征。单变量比较和调整社会人口学参数的分析探讨了愿意使用 DCR 与其他变量之间的关系，从而提供了未经调整的（OR）和调整后的优势比（aOR）和 95%置信区间（95%CI）。

结果

共有 193 名（73.1%）PWUD 同意参与（平均年龄 38.5±9.3 岁；80.3%为男性）。其中，64.2%的人表示愿意使用 DCR。寻求治疗（aOR 0.20，95%CI [0.08-0.51]；p<0.001）和不独居（aOR 0.29；95%CI [0.10-0.86]，p=0.025）与愿意使用 DCR 呈负相关。相比之下，接受不稳定的社会保险（aOR 4.12；95%CI [1.86-9.14]，p<0.001）、丙型肝炎血清阳性（aOR 3.60；95%CI [1.20-10.84]，p=0.022）、大麻使用者（aOR 2.45；95%CI [1.01-5.99]，p=0.049）以及报告与居民（aOR 5.99；95%CI [2.16-16.58]，p<0.001）或警察（aOR=4.85；95%CI [1.43-16.39]，p=0.011）发生过问题，与愿意使用 DCR 呈正相关。