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首页> 外文期刊>The International journal of drug policy >Prevalence and factors related to public injecting in Ottawa, Canada:implications for the development of a trial safer injecting facility
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Prevalence and factors related to public injecting in Ottawa, Canada:implications for the development of a trial safer injecting facility

机译：加拿大渥太华的公共注射流行率和相关因素：对试验性更安全注射设施发展的启示

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Background: In January 200.3, the Canadian federal government announced its support of the scientific evaluation of safer injecting facilities (SIFs) in Canada. As emerging evidence from Europe and Australia has demonstrated that SIFs contribute significantly to reductions in the injection of drugs in public areas, the objective of this paper is to examine the nature of public injecting in Ottawa and its implications for a prospective SIF in the city. Methods: Between October 2002 and January 2003, street-recruited active IDUs consented to personal interviews. Multiple logistic regression was used to determine factors related to public injecting. Content analysis was undertaken of responses to an open-ended question regarding reasons for injecting in public locations. Findings: Overall, 65% of 506 participants reported injecting in any public place in the previous six months. Homelessness was the strongest predictor of public injecting (adjusted odds ratio: 6.6, 95% confidence interval (CI): 3.8-11.6). IDUs injecting in public locations were also significantly more likely to be males; to have initiated drug injecting at younger ages; to score higher on a severity of addiction scale; and to report sharing used needles, injecting most often with any opiate other than morphine, injecting with five or more different people in the previous six months, and trading sex with male clients. Receiving most income from welfare was protective. IDUs who injected predominantly in public places were in chronic need of a location offering privacy and safety, whereas casual public injectors tended to report injecting in public only when in immediate need of a drug fix. Conclusions: These findings suggest that the implementation of a SIF could help alleviate harms related to public injecting among IDUs in Ottawa by the provision of a clean, private, and safe place to inject, with access to sterile injection equipment and housing and addiction services.
机译：背景：200.3年1月，加拿大联邦政府宣布支持对加拿大更安全的注射设施（SIF）进行科学评估。正如来自欧洲和澳大利亚的新证据表明，SIF在减少公共区域注射毒品方面做出了重大贡献，因此本文的目的是研究渥太华公共注射的性质及其对未来城市SIF的影响。方法：在2002年10月至2003年1月之间，街头招募的活跃吸毒者同意接受个人采访。多元逻辑回归用于确定与公共注射有关的因素。内容分析是针对有关在公共场所注射原因的开放性问题的回答。调查结果：总体而言，在506名参与者中，有65％的人报告在过去六个月中在任何公共场所进行过注射。无家可归是公开注资的最强预测指标（调整后的优势比：6.6，95％置信区间（CI）：3.8-11.6）。在公共场所注射的注射毒品使用者也很可能是男性。在年轻时就开始注射毒品;在成瘾严重程度上得分更高;并报告共享用过的针头，最常见的是注射吗啡以外的任何鸦片制剂，在过去六个月中与五个或更多不同的人一起注射，并与男性客户进行性交易。从福利中获得大部分收入是保护性的。主要在公共场所注射的注射毒品使用者急需一个提供隐私和安全的场所，而随意的公共注射者往往仅在迫切需要药物治疗时才报告在公共场所注射。结论：这些发现表明，SIF的实施可以通过提供清洁，私人和安全的注射场所，并提供无菌注射设备，住房和成瘾服务，来减轻渥太华注射毒品使用者中与公共注射有关的伤害。

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