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首页> 外文期刊>The International journal of drug policy >Opiate substitution treatment to reduce in-prison drug injection: A natural experiment
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Opiate substitution treatment to reduce in-prison drug injection: A natural experiment

机译：阿片类药物替代治疗可减少监狱药物注射：自然实验

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Background: There is emerging evidence that opiate substitution treatment (OST) in prison is associated with reduced injecting drug use (IDU). In Australia OST is available in prison for men and women in all jurisdictions except Queensland, where it is available only for women. The aim of this study was to examine the association between in-prison OST and in-prison IDU in New South Wales (NSW) and Queensland. Methods: Cross-sectional survey of Australian prisoners in NSW ( N=. 1128) and Queensland ( N=. 1325). Lifetime IDU and in-prison IDU measured by self-report. Results: Lifetime history of IDU was significantly more common among females than males in both jurisdictions. Among those with a lifetime history of IDU, the lifetime prevalence of in-prison IDU was significantly higher for males than females in both jurisdictions, however the magnitude of this sex difference was considerably greater in Queensland than in NSW. Conclusion: Provision of OST in prison is associated with a reduced lifetime prevalence of in-prison drug injection, among those with a lifetime history of IDU. Irrespective of OST policies, women with a history of IDU are less likely than their male counterparts to inject in prison; reasons for this novel and replicable sex difference require further examination.
机译：背景：越来越多的证据表明，监狱中的鸦片替代治疗（OST）与减少注射毒品的使用（IDU）有关。在澳大利亚，除昆士兰州（仅适用于女性）外，所有辖区的男女都可以在监狱中使用OST。这项研究的目的是检查新南威尔士州（NSW）和昆士兰州监狱中OST与监狱中IDU之间的关联。方法：在新南威尔士州（N =。1128）和昆士兰州（N =。1325）对澳大利亚囚犯进行横断面调查。生命周期IDU和监狱IDU通过自我报告进行测量。结果：在两个地区中，女性的IDU终生史明显多于男性。在具有IDU终生史的人中，两个州的男性监狱中IDU终生患病率均明显高于女性，但昆士兰州的这种性别差异的幅度明显大于新南威尔士州。结论：在有IDU终身病史的人中，在监狱中提供OST可以降低终身服药的患病率。不论OST政策如何，有吸毒史的女性比男性更容易入狱。这种新颖且可复制的性别差异的原因需要进一步研究。

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