Kleinman P H, Millman R B, Robinson H, Lesser M, Hsu C, Engelhart P, Finkelstein I
Cornell University Medical College (CUMC), Dept. Public Health, New York, NY 10021.
J Subst Abuse Treat. 1994 Sep-Oct;11(5):449-55. doi: 10.1016/0740-5472(94)90098-1.
Through understanding predictors of needle sharing, it may be possible to design AIDS prevention interventions more effectively. Data were collected from a sample of 416 patients in two New York City methadone programs in 1990. Questions were asked about needle sharing and about a battery of predictors covering 11 psychosocial domains. Based on factor analysis, these were reduced to seven factors: criminal history, antisocial characteristics, social integration, severity of psychiatric problems, current drug involvement, physical health, and personality disorders. Bivariate analyses showed that criminal involvement, antisocial characteristics, social integration, and age were significantly related to needle sharing. With the seven factors, as well as age, gender, and ethnicity simultaneously examined by means of regression analysis, it was found that criminal involvement, severity of psychiatric problems, and age were all positively associated with needle sharing. Implications for treatment are discussed.
通过了解共用针头的预测因素，或许有可能更有效地设计艾滋病预防干预措施。1990年，从纽约市两个美沙酮项目的416名患者样本中收集了数据。询问了有关共用针头以及一系列涵盖11个心理社会领域的预测因素的问题。基于因子分析，这些因素被归纳为七个因子：犯罪史、反社会特征、社会融合、精神问题严重程度、当前药物使用情况、身体健康状况和人格障碍。双变量分析表明，犯罪活动、反社会特征、社会融合和年龄与共用针头显著相关。通过回归分析同时考察这七个因子以及年龄、性别和种族后发现，犯罪活动、精神问题严重程度和年龄均与共用针头呈正相关。文中讨论了对治疗的启示。
