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The identification of subtypes among injection drug users: HIV and hepatitis C differences as indicated with the theory of planned behaviour

机译:在注射吸毒者中确定亚型:计划行为理论表明艾滋病毒和丙型肝炎的差异

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Recent studies have reported differences in terms of high-risk drug using and sexual behaviour between younger and older injection drug users (IDUs), however, no studies have looked at the clustering pattern across IDUs using the theory of planned behaviour (TPB). The TPB is useful in the prediction of behavioural outcomes. This analysis examines the interplay of TPB components and needle sharing among a sample of IDUs from Montreal, Canada. The study includes 109 eligible IDUs, recruited via respondent driven sampling. Hierarchical cluster analysis was used to identify a typology of the respondents based on the responses to TPB measure. The results indicate that, among all of the measures, descriptive and injunctive norms, HIV/hepatitis C (HCV) status, and a measure of direct control were significantly different across the subtypes. Furthermore, it was possible to identify patterns in TPB measures across the subgroups. Specifically, the two TPB measures increased from the entrenched (Cluster 1), to the chronics (Cluster 4), to the initiators (Cluster 3), with the highest reported average within the survivor group (Cluster 2). Correspondingly, the proportion of the group reporting HIV/HCV status decreased in the opposite direction. Consequently drug use and HIV/HCV treatment and prevention programs need to concentrate intervention differently for each of these heterogeneous drug user populations.
机译:最近的研究报告了年轻人和老年人注射吸毒者(IDU)在高风险药物使用和性行为方面的差异,但是,没有研究使用计划行为理论(TPB)研究跨IDU的聚类模式。 TPB可用于预测行为结果。该分析检查了加拿大蒙特利尔的一个注射吸毒者样本中TPB成分和针头共享的相互作用。该研究包括109个合格的IDU,这些IDU是通过受访者驱动的抽样方式招募的。基于对TPB度量的响应,使用层次聚类分析来确定受访者的类型。结果表明,在所有措施中,描述性和禁令性规范,HIV /丙型肝炎(HCV)状况以及直接控制措施在各亚型中均存在显着差异。此外,有可能在整个亚组中确定城规会措施的模式。具体来说,这两种TPB度量值从根深蒂固(第1类)到慢性病(第4类)到发起者(第3类)有所增加,在幸存者组(第2类)中报告的平均值最高。相应地,报告HIV / HCV状况的人群比例反方向下降。因此,毒品使用以及HIV / HCV的治疗和预防计划需要针对这些异类吸毒人群中的每一个人群以不同的方式集中干预。

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