...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The International journal of drug policy >Access to harm reduction programs among persons who inject drugs: Findings from a respondent-driven sampling survey in Tehran, Iran
【24h】

Access to harm reduction programs among persons who inject drugs: Findings from a respondent-driven sampling survey in Tehran, Iran

机译：注射毒品者可享受减少伤害的方案：伊朗德黑兰由受访者推动的抽样调查的结果

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Over the past two decades, drug injection-related risk behaviors have been the major drivers of the HIV epidemic in Iran. This study assesses the access of people who injected drugs (PWID) to harm reduction services (needle-exchange programs [NEP] and methadone maintenance treatment [MMT]) in Tehran, Iran in 2007, almost five years after the large-scale implementation of these programs. Methods: 572 consenting PWID (>18 years old, ever injected in the past month, lived in Tehran or its suburbs) were recruited (24 seeds) into a sero-behavioral survey using respondent-driven sampling method. Participants completed a face-to-face interview about HIV-related risk behaviors and access to harm reduction services. We calculated adjusted population estimates using RDSAT. Results: Overall, 99.2% of the participants were male, 41.6% aged between 30 and 39 years old, 55.4% lived alone in the past year, 83.2% were ever incarcerated, and 88.8% lived in the southern areas of Tehran. In terms of "awareness" and "use" of services among PWID, 62.8% and 54.8% reported for NEP (respectively) and 19.7% and 9.1% for drug treatment services (respectively). PWID who lived in Northwest and South-central Tehran were more likely to be aware (85.0% and 82.8%, respectively) of one or more services than PWID who lived elsewhere. Similarly, PWID who lived with friends were more likely to be aware of (88.6%) and use (85.9%) services (vs. other living partners). Overall, 11% of the participants were aware of but had not used any harm reduction services. Conclusions: Despite a relatively high level of access to NEP among PWID in Tehran, a sizable fraction of the population remains without access to other services five years after their implementation. The use of harm reduction may be affected by certain PWID characteristics (e.g., living partners and geographical location). Ongoing surveillance activities are necessary to track change in access over time.
机译：背景：在过去的二十年中，毒品注射相关的危险行为一直是伊朗艾滋病毒流行的主要驱动力。这项研究评估了注射毒品（PWID）的人在伊朗德黑兰（Tehran）大规模实施实施将近五年后，于2007年获得的减害服务（针头交换计划[NEP]和美沙酮维持治疗[MMT]）的使用情况。这些程序。方法：采用应答者驱动的抽样方法，收集了572名同意接受PWID（年龄大于18岁，过去一个月曾注射，居住在德黑兰或其郊区）（24粒种子）用于血清学行为调查。参与者完成了有关艾滋病毒相关风险行为和获得减害服务的机会的面对面采访。我们使用RDSAT计算了调整后的人口估计。结果：总体而言，参与者的男性占99.2％，年龄在30-39岁之间的占41.6％，在过去的一年中单独居住的占55.4％，被监禁的占83.2％，在德黑兰南部地区居住的占88.8％。就PWID中的服务“意识”和“使用”而言，NEP分别报告为62.8％和54.8％，药物治疗服务分别报告为19.7％和9.1％。与居住在德黑兰西北部和中南部的PWID相比，居住在其他地方的PWID更有可能（分别占85.0％和82.8％）知道一种或多种服务。同样，与朋友一起生活的PWID更可能意识到（88.6％）和使用（85.9％）服务（相对于其他生活伙伴）。总体而言，有11％的参与者知道但没有使用任何减少伤害的服务。结论：尽管德黑兰PWID中获得NEP的水平相对较高，但实施该服务五年后，仍有相当一部分人口无法获得其他服务。减少伤害的使用可能会受到某些PWID特征（例如，生活伙伴和地理位置）的影响。持续的监视活动对于跟踪随时间变化的访问是必要的。

著录项

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