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Cross-border activities and association with current methamphetamine use among Chinese injection drug users (IDUs) in a China-Myanmar border region

机译:在中缅边境地区的中国注射吸毒者(IDU)的跨境活动及其与当前甲基苯丙胺使用的关联

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Background: Methamphetamine has become one of the most widely used illicit substances in the world. We measured the prevalence and identified the correlates of methamphetamine use amongst current injection drug users (IDUs) in a China-Myanmar border region.Methods: A cross-sectional survey including interviews and serological testing was conducted in 2012. Chinese IDUs who had injected within the past six months and aged >18 years were recruited using respondent-driven sampling (RDS). Logistic regression indentified factors associated with current methamphetamine use.Results: Among 370 IDUs recruited, prevalence of lifetime and current methamphetamine use was 84.2% and 75.2% respectively. Amongst 293 current users, 18.1% ever purchased methamphetamine from Myan-mar while 8.9% ever used it there chirfng the past 6 months. IDUs who had cross-border activities, including purchasing drugs (AOR: 1.20; 95% CI: 1.10,1.31) and visiting family/friends, doing business or odd jobs in Myanmar (AOR: 1.13; 95% CI: 1.02,1.24) were more likely to use methamphetamine in the past six months. Other factors independently associated with current methamphetamine use included being younger (aged <25 years, AOR: 1.24; 95% CI: 1.09,1.41), being syphilis positive (AOR: 1.17; 95% CI: 1.03,1.33), having used previously self-used needle/syringe (AOR: 1.20; 95% CI: 1.08,1.34) and recently received prevention services (AOR: 1.15; 95% CI: 1.04,1.28).
机译:背景:甲基苯丙胺已成为世界上使用最广泛的非法物质之一。我们测量了这一患病率,并确定了中缅边境地区目前注射吸毒者中使用甲基苯丙胺的相关性。方法:2012年进行了包括访谈和血清学检测在内的横断面调查。在过去的六个月中,年龄大于18岁的患者使用受访者驱动的抽样(RDS)进行招募。 Logistic回归确定了与当前使用甲基苯丙胺相关的因素。结果:在招募的370名IDU中,终生和当前使用甲基苯丙胺的患病率分别为84.2%和75.2%。在目前的293位用户中,有18.1%的人从Myan-mar购买了甲基苯丙胺,而在过去6个月中有8.9%的人在此使用过。从事跨境活动的毒品注射者,包括购买毒品(AOR:1.20; 95%CI:1.10,1.31)和探望家人/朋友,在缅甸经商或从事零工(AOR:1.13; 95%CI:1.02,1.24)在过去的六个月中,他们更可能使用甲基苯丙胺。与当前使用甲基苯丙胺独立相关的其他因素包括,以前曾使用过的年轻(年龄<25岁,AOR:1.24; 95%CI:1.09,1.41),梅毒呈阳性(AOR:1.17; 95%CI:1.03,1.33)。自用针头/注射器(AOR:1.20; 95%CI:1.08,1.34)和最近接受的预防服务(AOR:1.15; 95%CI:1.04,1.28)。

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