Factors associated with needle sharing among people who inject drugs in Yunnan, China: a combined network and regression analysis

Xin Chen; Lin Zhu; Yan-Heng Zhou; Feng-Liang Liu; Hong Li; Zhi-Hong Yao; Lin Duo; Wei Pang; Mei Ye; Yong-Tang Zheng

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Factors associated with needle sharing among people who inject drugs in Yunnan, China: a combined network and regression analysis

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Background:Network analyses have been widely utilized to evaluate large datasets,but have not yet been used to explore factors associated with risk behaviours.In combination with traditional regression analysis,network analyses may provide useful information and highlight key factors for reducing needle sharing behaviours among people who inject drugs(PWID).Methods:Sociodemographic data,and information on injection behaviour and sexual practices were collected from a cross-sectional survey that was conducted with PWID in five prefectures of Yunnan province,China.A combination of logistic regression and correlation network analyses were used to explore key factors for reducing needle-sharing behaviours among PWID.Results:In a total of 1049 PWID,37.5%had a history of needle or syringe sharing.The logistic analysis showed that Zhaotong,Qujing,Dehong,or Lincang residents,diazepam use,longer injection duration,needle reuse,and infection with HIV,viral hepatitis,tuberculosis and/or malaria were independently associated with needle sharing.The correlation network analyses showed that,compared to PWID who had never shared needles,PWID who did share needles would achieve harm reduction goals faster and more permanently.HIV serostatus and marital status were found to be closely associated with other risk factors.By combining regression analyses with network analyses,it was shown that PWID who are HIV seropositive will be an ideal target group for harm reduction programs.Conclusion:Needle-sharing behaviours are common among PWID in Yunnan,and harm reduction programs may help PWID who are HIV seropositive reduce risk behaviours and prevent blood borne diseases.

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《贫困所致传染病（英文）》 |2016年第001期|P.660-669|共10页
作者
Xin Chen; Lin Zhu; Yan-Heng Zhou; Feng-Liang Liu; Hong Li; Zhi-Hong Yao; Lin Duo; Wei Pang; Mei Ye; Yong-Tang Zheng;
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Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 ChinaKunming College of Life Science University of Chinese Academy of Sciences Kunming Yunnan 650204 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 ChinaKunming College of Life Science University of Chinese Academy of Sciences Kunming Yunnan 650204 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 ChinaCollege of Life Sciences Yan’an University Yan’an Shaanxi 716000 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 China;

Yunnan Center for Disease Control and Prevention Kunming Yunnan 650022 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 China;

The Second People’s Hospital of Yunnan Province Kunming Yunnan 650021 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 ChinaKunming College of Life Science University of Chinese Academy of Sciences Kunming Yunnan 650204 China;

Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province Kunming Institute of Zoology Chinese Academy of Sciences Kunming Yunnan 650223 China;

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正文语种 chi
中图分类中国工业经济;
关键词
People who inject drugs; Needle sharing; Risk behaviours; Network analysis; Regression analysis; China;

Factors associated with needle sharing among people who inject drugs in Yunnan, China: a combined network and regression analysis

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