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首页> 外文期刊>Drug and alcohol review >Injecting and non-injecting cocaine use in Sydney, Australia: physical and psychological morbidity.
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Injecting and non-injecting cocaine use in Sydney, Australia: physical and psychological morbidity.

机译：澳大利亚悉尼注射和非注射可卡因的使用：身体和心理上的发病率。

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摘要

This study aimed to examine the physical and psychological harms of cocaine use and investigate the role of injecting versus non-injecting routes of administration in the severity of such harms. Two hundred and twelve cocaine users from inner-city and south-western Sydney were administered a structured interview containing sections on demographics, drug treatment history, drug use history, cocaine use patterns, cocaine dependence and physical and psychological problems associated with cocaine use. Serious physical and psychological symptoms were prevalent among both injecting and non-injecting cocaine users. The prevalence and extent of symptoms was greater among injecting cocaine users, however route of administration did not prove to be a significant independent predictor of harm when other factors, such as frequency of use and level of dependence, were taken into account. While the level of physical and psychological harm was greater among cocaine injectors, it would appear that factors engendered by injecting, such as more frequent use and higher levels of dependence, result in higher levels of harm, rather than the route of administration per se. Physical and psychological problems were also reported among infrequent users, suggesting that cocaine can cause harm irrespective of frequency or method of use. Harm reduction initiatives should be targeted towards all cocaine users, not just those who seek treatment for dependence or present with acute medical complications.
机译：这项研究旨在检查可卡因使用对身体和心理的危害，并调查注射和非注射给药途径在此类危害的严重性中的作用。来自市区和悉尼西南部的112名可卡因使用者接受了结构化访谈，内容包括人口统计学，药物治疗史，药物使用史，可卡因使用方式，可卡因依赖以及与可卡因使用有关的身体和心理问题。注射和非注射可卡因使用者中都普遍存在严重的身心症状。注射可卡因的使用者中症状的发生率和程度更大，但是，在考虑其他因素（例如使用频率和依赖性水平）时，给药途径并不能证明是有害的重要独立预测因子。尽管可卡因注射者的身体和心理伤害水平更高，但似乎注射引起的因素（例如更频繁地使用和更高水平的依赖性）导致更高程度的伤害，而不是给药途径本身。还报告了不经常使用者的身体和心理问题，这表明可卡因可能会造成伤害，而与使用频率或使用方法无关。减少危害的举措应针对所有可卡因使用者，而不仅仅是寻求依赖治疗或出现急性医疗并发症的使用者。

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