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首页> 外文期刊>The International journal of drug policy >Interest in low-threshold employment among people who inject illicit drugs: implications for street disorder.
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Interest in low-threshold employment among people who inject illicit drugs: implications for street disorder.

机译：注射非法药物者对低门槛就业的兴趣：对街头疾病的影响。

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BACKGROUND: Income generation opportunities available to people who use illicit drugs have been associated with street disorder. Among a cohort of injection drug users (IDU) we sought to examine street-based income generation practices and willingness to forgo these sources of income if other low-threshold work opportunities were made available. METHODS: Data were derived from a prospective community recruited cohort of IDU. We assessed the prevalence of engaging in disorderly street-based income generation activities, including sex work, drug dealing, panhandling, and recycling/salvaging/vending. Using multivariate logistic regressions based on Akaike information criterion and the best subset selection procedure, we identified factors associated with disorderly income generation activities, and assessed willingness to forgo these sources of income during the period of November 2008 to July 2009. RESULTS: Among our sample of 874 IDU, 418 (48%) reported engaging in a disorderly income generation activity in the previous six months. In multivariate analyses, engaging in disorderly income generation activities was independently associated with high intensity stimulant use, as well as binge drug use, having encounters with police, being a victim of violence, sharing used syringes, and injecting in public areas. Among those engaged in disorderly income generation, 198 (47%) reported a willingness to forgo these income sources if given opportunities for low-threshold employment, with sex workers being most willing to engage in alternative employment. CONCLUSION: Engagement in disorderly street-based income generation activities was associated with high intensity stimulant drug use and various markers of risk. We found that a high proportion of illicit drug users were willing to cease engagement in these activities if they had options for causal low-threshold employment. These findings indicate that there is a high demand for low-threshold employment that may offer important opportunities to reduce drug-related street disorder and associated harms.
机译：背景：吸毒者可获得的创收机会与街头疾病有关。在一组注射吸毒者（IDU）中，我们试图研究基于街头的创收行为，以及是否有其他低门槛工作机会的意愿，放弃这些收入来源。方法：数据来自IDU的前瞻性社区招募队列。我们评估了参加以街头为基础的无序创收活动（包括性工作，毒品交易，搬运和回收/打捞/贩卖）的普遍性。使用基于Akaike信息准则和最佳子集选择程序的多元logistic回归，我们确定了与无序创收活动相关的因素，并评估了在2008年11月至2009年7月期间放弃这些收入来源的意愿。结果：在我们的样本中在874个注射吸毒者中，有418个（48％）报告在过去六个月中从事了无序的创收活动。在多变量分析中，参与无序的创收活动与高强度兴奋剂的使用，暴饮毒药的使用，与警察的遭遇，暴力的受害者，共用用过的注射器以及在公共场所的注射有关。在从事无序收入创造的人中，有198人（47％）报告说，如果有低门槛就业机会，他们愿意放弃这些收入来源，其中性工作者最愿意从事另类工作。结论：参与无序的以街道为基础的创收活动与高强度兴奋剂药物使用和各种风险标志物有关。我们发现，如果有非法吸毒者可以选择因果关系低门槛就业，他们愿意停止参与这些活动。这些发现表明，对低门槛工作的需求很高，这可能为减少与毒品有关的街头疾病和相关危害提供重要机会。

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