Guydish J, Bucardo J, Clark G, Bernheim S
Institute for Health Policy Studies, University of California, San Francisco 94109, USA.
Subst Use Misuse. 1998 Apr;33(5):1173-96. doi: 10.3109/10826089809062213.
This study was designed to describe demographic and drug use characteristics, health status, and HIV-related risk behavior among clients attending the San Francisco needle exchange program (NEP), and to assess the relationship between NEP utilization and risk behavior. Randomly selected clients were interviewed when they visited the NEP. Participants were of diverse ethnicity, had a mean age of 38.2, and 72% were male. Many reported being homeless (25%), unemployed (34%), uninsured (52%), and having an episode of infectious disease in the past 2 years (36%). Clients who received a higher proportion of their needles from the exchange were less likely to report sharing of needles or rinse water. Clients who attended the exchange more frequently were more likely to clean their skin prior to injecting and less likely to use the same needle repeatedly. Frequency of visiting the NEP was not associated with the likelihood of sharing needles or rinse water. Efforts to evaluate needle exchange in the United States will benefit from descriptive reports from other NEP programs, and the use of nonexchange comparison groups.
本研究旨在描述旧金山针头交换项目（NEP）参与者的人口统计学特征、药物使用特点、健康状况及与HIV相关的风险行为，并评估使用NEP与风险行为之间的关系。随机选取的参与者在访问NEP时接受访谈。参与者种族多样，平均年龄为38.2岁，72%为男性。许多人报告称无家可归（25%）、失业（34%）、未参保（52%），且在过去两年内有过传染病发作（36%）。从交换处获得较高比例针头的参与者报告共用针头或冲洗水的可能性较小。更频繁访问交换项目的参与者在注射前清洁皮肤的可能性更大，重复使用同一针头的可能性更小。访问NEP的频率与共用针头或冲洗水的可能性无关。美国评估针头交换项目的工作将受益于其他NEP项目的描述性报告以及非交换对照组的使用。
