Declining trends in the rates of assisted injecting: a prospective cohort study

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• 作者：Jeanette Somlak Pedersen ; Huiru Dong ; Will Small ; Evan Wood…
• 关键词：Assisted injecting ; Injection drug use ; Harm reduction ; Vancouver
• 刊名：Harm Reduction Journal
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：13
• 期：1
• 全文大小：429 KB
• 参考文献：1.O’Connell JM, Kerr T, Li K, Tyndall MW, Hogg RS, Montaner JS, et al. Requiring help injecting independently predicts incident HIV infection among injection drug users. J Acquir Immune Defic Syndr. 2005;40:83–8.CrossRef PubMed
  2.Lee WK, Ti L, Hayashi K, Kaplan K, Suwannawong P, Wood E, et al. Assisted injection among people who inject drugs in Thailand. Subst Abuse Treat Prev Policy. 2013;8:32.PubMedCentral CrossRef PubMed
  3.Small W, Wood E, Tobin D, Rikley J, Lapushinsky D, Kerr T. The Injection Support Team: a peer-driven program to address unsafe injecting in a Canadian setting. Subst Use Misuse. 2012;47:491–501.CrossRef PubMed
  4.Wood E, Spittal PM, Kerr T, Small W, Tyndall MW, O’Shaughnessy MV, et al. Requiring help injecting as a risk factor for HIV infection in the Vancouver epidemic: implications for HIV prevention. Can J Public Health. 2003;94:355–9.PubMed
  5.Kral AH, Bluthenthal RN, Erringer EA, Lorvick J, Edlin BR. Risk factors among IDUs who give injections to or receive injections from other drug users. Addiction (Abingdon, England). 1999;94(5):675–83.
  6.Spittal PM, Craib KJ, Wood E, Laliberte N, Li K, Tyndall MW, et al. Risk factors for elevated HIV incidence rates among female injection drug users in Vancouver. CMAJ. 2002;166:894–9.PubMedCentral PubMed
  7.Doherty MC, Garfein RS, Monterroso E, Brown D, Vlahov D. Correlates of HIV infection among young adult short-term injection drug users. AIDS. 2000;14:717–26.CrossRef PubMed
  8.Miller CL, Johnston C, Spittal PM, Li K, Laliberte N, Montaner JS, et al. Opportunities for prevention: hepatitis C prevalence and incidence in a cohort of young injection drug users. Hepatology. 2002;36:737–42.CrossRef PubMed
  9.Lloyd-Smith E, Wood E, Zhang R, Tyndall MW, Montaner JS, Kerr T. Risk factors for developing a cutaneous injection-related infection among injection drug users: a cohort study. BMC Public Health. 2008;8:405.PubMedCentral CrossRef PubMed
  10.Kerr T, Fairbairn N, Tyndall M, Marsh D, Li K, Montaner J, et al. Predictors of non-fatal overdose among a cohort of polysubstance-using injection drug users. Drug Alcohol Depend. 2007;87:39–45.CrossRef PubMed
  11.McNeil R, Small W, Lampkin H, Shannon K, Kerr T. “People knew they could come here to get help”: an ethnographic study of assisted injection practices at a peer-run “unsanctioned” supervised drug consumption room in a Canadian setting. AIDS Behav. 2014;18:473–85.PubMedCentral CrossRef PubMed
  12.Lloyd-Smith E, Rachlis BS, Tobin D, Stone D, Li K, Small W, et al. Assisted injection in outdoor venues: an observational study of risks and implications for service delivery and harm reduction programming. Harm Reduct J. 2010;7:6.PubMedCentral CrossRef PubMed
  13.Spittal PM, Schechter MT. Injection drug use and despair through the lens of gender. CMAJ. 2001;164:802–3.PubMedCentral PubMed
  14.Bourgois P, Prince B, Moss A. The everyday violence of hepatitis C among young women who inject drugs in San Francisco. Hum Organ. 2004;63:253–64.PubMedCentral CrossRef PubMed
  15.Wood E, Tyndall MW, Montaner JS, Kerr T. Summary of findings from the evaluation of a pilot medically supervised safer injecting facility. CMAJ. 2006;175:1399–404.PubMedCentral CrossRef PubMed
  16.Wood RA, Wood E, Lai C, Tyndall MW, Montaner JS, Kerr T. Nurse-delivered safer injection education among a cohort of injection drug users: evidence from the evaluation of Vancouver’s supervised injection facility. Int J Drug Policy. 2008;19:183–8.CrossRef PubMed
  17.Solaia S, Dubois-Arbera F, Benninghoffa F, Benaroyo L. Ethical reflections emerging during the activity of a low threshold facility with supervised drug consumption room in Geneva, Switzerland. Int J Drug Policy. 2006;17:17–22.CrossRef
  18.Lappalainen L, Kerr T, Hayashi K, Dong H, Wood E. Decreasing impact of requiring assistance injecting on HIV incidence. J Acquir Immune Defic Syndr. 2015;69:e40–2.CrossRef PubMed
  19.Strathdee SA, Patrick DM, Currie SL, Cornelisse PG, Rekart ML, Montaner JS, et al. Needle exchange is not enough: lessons from the Vancouver injecting drug use study. AIDS. 1997;11:F59–65.CrossRef PubMed
  20.Fairbairn N, Small W, Van Borek N, Wood E, Kerr T. Social structural factors that shape assisted injecting practices among injection drug users in Vancouver, Canada: a qualitative study. Harm Reduct J. 2010;7:20.PubMedCentral CrossRef PubMed
  21.Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993;138:923–36.PubMed
  22.Seaman S, Pavlou M, Copas A. Review of methods for handling confounding by cluster and informative cluster size in clustered data. Stat Med. 2014;33:5371–87.PubMedCentral CrossRef PubMed
  23.Pan W. Akaike’s information criterion in generalized estimating equations. Biometrics. 2001;57(1):120–5.CrossRef PubMed
  24.Haritavorn N. Surviving in two worlds: social and structural violence of Thai female injecting drug users. Int J Drug Policy. 2014;25:116–23.CrossRef PubMed
  25.Choi SY, Cheung YW, Chen K. Gender and HIV risk behavior among intravenous drug users in Sichuan Province. China Soc Sci Med. 2006;62:1672–84.CrossRef PubMed
  26.Small W, Rhodes T, Wood E, Kerr T. Public injection settings in Vancouver: physical environment, social context and risk. Int J Drug Policy. 2007;18:27–36.CrossRef PubMed
  27.Kinnard EN, Howe CJ, Kerr T, Skjodt Hass V, Marshall BD. Self-reported changes in drug use behaviors and syringe disposal methods following the opening of a supervised injecting facility in Copenhagen, Denmark. Harm Reduct J. 2014;11:29.PubMedCentral CrossRef PubMed
  28.Zurhold H, Degkwitz P, Verthein U, Haasen C. Drug consumption rooms in Hamburg, Germany: evaluation of the effects on harm reduction and the reduction in public nuisance. J Drug Issues. 2003;33:663–88.CrossRef
  29.B.C. Centre for Excellence in HIV/AIDS. Drug situation in Vancouver: report prepared by the Urban Health Research Initiative of the BC Centre for Excellence in HIV/AIDS. 2nd ed. Vancouver: B.C. Centre for Excellence in HIV/AIDS. 2013. http://​www.​cfenet.​ubc.​ca/​sites/​default/​files/​uploads/​news/​releases/​war_​on_​drugs_​failing_​to_​limit_​drug_​use.​pdf . Accessed 2 Nov 2015.
  30.Darke S, Ross J, Kaye S. Physical injecting sites among injecting drug users in Sydney, Australia. Drug Alcohol Depend. 2001;62:77–82.CrossRef PubMed
  31.Rafful C, Wagner KD, Werb D, Gonzalez-Zuniga PE, Verdugo S, Rangel G, et al. Prevalence and correlates of neck injection among people who inject drugs in Tijuana, Mexico. Drug Alcohol Rev. 2015;34:630–6.CrossRef PubMed
  32.Kerr T, Oleson M, Tyndall MW, Montaner J, Wood E. A description of a peer-run supervised injection site for injection drug users. J Urban Health. 2005;82:267–75.PubMedCentral CrossRef PubMed
  
• 作者单位：Jeanette Somlak Pedersen (1)
  Huiru Dong (2)
  Will Small (2) (3)
  Evan Wood (2) (4)
  Paul Nguyen (2)
  Thomas Kerr (2) (4)
  Kanna Hayashi (2) (4) (5)
  
  1. Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada
  2. British Columbia Centre for Excellence in HIV/AIDS, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
  3. Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, 15A 1S6, Canada
  4. Department of Medicine, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
  5. B.C. Centre for Excellence in HIV/AIDS, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
  
• 刊物主题：Health Promotion and Disease Prevention; Social Policy; Social Work; Health Psychology;
• 出版者：BioMed Central
• ISSN：1477-7517

文摘

Background Assisted injecting has been associated with increased risk of blood-borne infections, overdose, and other harms among people who inject drugs (PWID), particularly women. Given the changing availability of relevant harm reduction interventions in Vancouver, Canada, in recent years, we conducted a gender-based analysis to examine changes in rates and correlates of assisted injecting over time among active PWID.