首页> 外文学位 >Early Substance Use Experiences and Trajectories Leading to Injection Drug Use among Male and Female Current Injection Drug Users in the Mexico-US Border Region.
【24h】

Early Substance Use Experiences and Trajectories Leading to Injection Drug Use among Male and Female Current Injection Drug Users in the Mexico-US Border Region.

机译:墨西哥-美国边境地区男性和女性当前注射吸毒者中使用注射毒品的早期药物使用经验和轨迹。

获取原文
获取原文并翻译 | 示例

摘要

Background. The research proposed herein investigates factors associated with substance use trajectories leading to injection drug use (injection) and the circumstances surrounding injection within two different populations of injection drug users (IDUs). This study aims to identify factors associated with: (1) initiation of substance use through injection, (2) lifetime and current agua celeste use (an inhalant unique to Northern Mexico), and (3) time to initiation of sex work, and initiation of injection.;Methods. Three manuscripts form the basis of this dissertation using existing data from two datasets. Manuscript 1 uses data from IDU from the Proyecto El Cuete phase III dataset, and Manuscript 2 and 3 use data from female sex workers who inject drugs (FSW-IDU) in the Mujer Mas Segura dataset.;Results. Manuscript 1 identified a sub-group of IDUs who initiated illicit drug use by injecting the drug ('injection first'). 'Injection first' IDUs were more likely to first inject heroin and inject alone, but were not significantly riskier in their current drug use or sexual behaviors compared to IDUs who used illicit drugs prior to injection. Manuscript 2 found that only FSW-IDUs in Ciudad Juarez reported agua celeste use and prevalence overall (53%) and within the past 6 months (47%) was high. Manuscript 3 identified that early abuse and illicit drug use was associated an accelerated time to initiation of both sex work and injection. Low education and a perceived need to enter sex work to support family were associated with a shorter time to sex work initiation, and geographical migration was found to decelerate time to injection initiation. Having an intimate partner suggest sex work and injecting to deal with feelings of depression accelerated time to both sex work and injection initiation when they occurred at the same age.;Conclusions. The unique populations of IDUs studied and novel research questions make the findings within this dissertation valuable to the larger field of research on substance use careers. These findings build on previous literature showing that inhalant use is an important risk factor for subsequent injection and may help identify possible avenues for intervention that can delay or prevent onset of initiation of injection drug use and/or sex work.
机译:背景。本文提出的研究调查了与导致注射毒品使用(注射)​​的物质使用轨迹相关的因素以及注射毒品使用者(IDU)的两个不同人群中的注射情况。这项研究旨在确定与以下因素相关的因素:(1)通过注射开始使用毒品,(2)寿命和当前使用的阿瓜芹菜(北墨西哥特有的吸入剂),以及(3)开始性工作和开始性行为的时间注射方法。使用来自两个数据集的现有数据,三份手稿构成了本文的基础。原稿1使用来自Proyecto El Cuete III期数据集的IDU数据,而原稿2和3使用来自Mujer Mas Segura数据集中注射毒品的女性性工作者(FSW-IDU)的数据。原稿1鉴定了一个通过注射毒品(“先注射”)开始非法使用毒品的吸毒者亚组。 “先注射”注射吸毒者更可能先注射海洛因并单独注射,但与注射前使用非法药物的注射吸毒者相比,其目前的吸毒或性行为风险并不显着。原稿2发现,只有华雷斯城的FSW-IDU报道了使用阿瓜的天竺葵,其总体患病率(53%),并且在过去的6个月内较高。手稿3指出,早期滥用和非法吸毒与开始性工作和打针的时间加快有关。受教育程度低和认为需要进行性工作以支持家庭的原因与开始性工作的时间较短有关,并且发现地理迁移减少了开始注射的时间。有一个亲密的伴侣建议进行性工作,并进行注射以应对沮丧的感觉,从而缩短了性工作和注射开始于同一年龄时的时间。注射毒品者的独特人群和新颖的研究问题使本论文中的发现对更大范围的物质使用职业研究有价值。这些发现是建立在以前的文献基础之上的,这些文献表明,吸入剂是随后注射的重要危险因素,并且可以帮助确定可能延迟或阻止开始使用注射毒品和/或性工作的干预途径。

著录项

  • 作者

    Morris, Meghan Diane.;

  • 作者单位

    University of California, San Diego.;

  • 授予单位 University of California, San Diego.;
  • 学科 Health Sciences Public Health.;Health Sciences Epidemiology.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 244 p.
  • 总页数 244
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号