National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.
School of Psychological Sciences, University of Tasmania, Hobart, Australia.
Drug Alcohol Rev. 2024 Jul;43(5):1104-1111. doi: 10.1111/dar.13765. Epub 2023 Nov 12.
This paper examines the acquisition and dissemination of harm reduction information among people who inject drugs, as well as preferred sources of information.
Data were obtained from 862 people who inject drugs, recruited from Australian capital cities for the 2021 Illicit Drug Reporting System. Multivariable regression analyses were performed to assess potential factors associated with knowledge sharing.
Almost two-fifths (37%) reported that they had received information about how to keep themselves safe when using drugs within the past 6 months. Reporting on their last occasion of receiving information, participants stated that it was commonly about injecting practices (56%), overdose prevention (26%) and injection-related injuries (22%), and was mostly received from an alcohol and other drug worker (54%), followed by other health professional (24%) and social network (18%). Among those who reported receiving information, 50% shared this information with other people, predominantly with their social network: no factors were found to be significantly associated with sharing information. The majority reported that peer workers and/or people with lived experience would be the first person they would talk to for information about a range of topics (e.g., injecting/harm reduction practices, overdose prevention).
Two in five participants had recently obtained information about how to keep themselves safe while using drugs, with half sharing this information with their social network. Peer workers were the preferred source of information, suggesting that the peer educator workforce should be expanded to embrace the capacities and expertise of people who inject drugs.
本文研究了注射毒品者获取和传播减少伤害信息的情况，以及他们偏好的信息来源。
数据来自于 2021 年澳大利亚首都地区非法毒品报告系统招募的 862 名注射毒品者。采用多变量回归分析评估与知识共享相关的潜在因素。
近五分之二（37%）的人报告称，他们在过去 6 个月内收到过有关如何在使用毒品时保护自己安全的信息。在报告最后一次收到信息的情况时，参与者表示，这些信息通常是关于注射实践（56%）、预防过量（26%）和与注射相关的伤害（22%），主要来自酒精和其他药物工作者（54%），其次是其他卫生专业人员（24%）和社交网络（18%）。在那些报告收到信息的人中，有 50%的人将这些信息与其他人分享，主要是与他们的社交网络分享：没有发现与分享信息相关的显著因素。大多数人表示，同伴工作人员和/或有过亲身经历的人将是他们在一系列主题（如注射/减少伤害实践、预防过量）方面寻求信息的首选对象。
五分之二的参与者最近获得了有关如何在使用毒品时保护自己安全的信息，其中一半人将这些信息与他们的社交网络分享。同伴工作人员是信息的首选来源，这表明同伴教育工作者队伍应该扩大，以吸纳注射毒品者的能力和专业知识。
