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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >Estimating numbers of injecting drug users in metropolitan areas for structural analyses of community vulnerability and for assessing relative degrees of service provision for injecting drug users
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Estimating numbers of injecting drug users in metropolitan areas for structural analyses of community vulnerability and for assessing relative degrees of service provision for injecting drug users

机译：估算大都市地区的注射毒品使用者数量以进行社区脆弱性的结构分析并评估为注射毒品使用者提供服务的相对程度

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This article estimates the population prevalence of current injection drug users (IDUs) in 96 large US metropolitan areas to facilitate structural analyses of its predictors and sequelae and assesses the extent to which drug abuse treatment and human immunodeficiency virus (HIV) counseling and testing are made available to drug injectors in each metropolitan area. We estimated the total number of current IDUs in the United States and then allocated the large metropolitan area total among large metropolitan areas using four different multiplier methods. Mean values were used as best estimates, and their validity and limitations were assessed. Prevalence of drug injectors per 10,000 population varied from 19 to 173 (median 60; interquartile range 42–87). Proportions of drug injectors in treatment varied from 1.0% to 39.3% (median 8.6%); and the ratio of HIV counseling and testing events to the estimated number of IDUs varied from 0.013 to 0.285 (median 0.082). Despite limitations in the accuracy of these estimates, they can be used for structural analyses of the correlates and predictors of the population density of drug injectors in metropolitan areas and for assessing the extent of service delivery to drug injectors. Although service provision levels varied considerably, few if any metropolitan areas seemed to be providing adequate levels of services.
机译：本文估算了美国96个大都市区当前注射吸毒者（IDU）的人口患病率，以方便对其预测因素和后遗症进行结构分析，并评估了进行药物滥用治疗和人类免疫缺陷病毒（HIV）咨询和测试的程度适用于每个大都市地区的注射毒品者。我们估算了美国当前的注射毒品使用者总数，然后使用四种不同的乘数法将大型都市区的总数分配到大型都市区中。将平均值用作最佳估计，并评估其有效性和局限性。每10,000个人口中的吸毒者患病率从19到173（中位数60；四分位间距42-87）。药物注射器的治疗比例从1.0％到39.3％（中位数8.6％）不等。艾滋病毒咨询和检测事件与估计的吸毒者人数之比在0.013至0.285之间（中位数为0.082）。尽管这些估计的准确性受到限制，但它们可用于大城市地区喷油器人口密度的相关性和预测因素的结构分析，以及用于评估向喷油器提供服务的程度。尽管服务提供水平差异很大，但几乎没有大都市地区提供的服务水平足够。

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