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Negative Affect, Affect-Related Impulsivity, and Receptive Syringe Sharing Among People Who Inject Drugs

机译:负面影响,影响相关冲动接受共享注射器注入中的人药物

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摘要

Receptive syringe sharing (RSS) among people who inject drugs (PWID) is a risk factor for hepatitis C virus and HIV infections. PWID with borderline personality disorder (BPD) have increased risk of RSS, but it remains unclear what drives this association. This study used ecological momentary assessment (EMA) to study characteristics associated with BPD, and RSS among PWID. We recruited PWID, ages 18-35. through two Community Outreach Intervention Projects syringe service program sites in Chicago. Illinois. After a baseline interview, participants used a mobile phone app to respond to momentary surveys on mood, substance use, and injection risk behavior for two weeks. For each momentary assessment, ratings on negative mood descriptors were combined to create measures of total negative affect (NA), and NA components of dejection. shame, anger, irritability, and worry. RSS was defined by participant responses indicating that they had used a syringe that someone else had used. We estimated mixed effects logistic models, regressing RSS on baseline affect-related impulsivity, lagged momentary NA, and the interaction term. Out of 163 participants who completed at least two EMA assessments, 152 (93%) reported at least one injection event and had valid pre-injection mood assessments required to be included in the analysis. We found that affect-related impulsivity. combined with worried mood in the hours preceding the injection episode. predicted increased risk of RSS. PWID having difficulties with emotion regulation may be at increased risk of RSS during periods of anxiety or tension.
机译:接受注射器之间共享(RSS)人注射毒品(PWID)是一个风险因素丙肝病毒和艾滋病毒感染。边缘型人格障碍(BPD)RSS的风险增加,但目前仍不清楚是什么因素导致了协会。生态的评估(EMA)学习特征与桶,和RSSPWID之一。通过两个社区外展干预项目注射器服务程序网站芝加哥。参与者使用手机应用程序响应短暂的调查对情绪、物质使用和注射两周的危险行为。短暂的评估,评级的负面情绪描述符是创建措施相结合总消极影响(NA)和NA组件沮丧。RSS是由参与者的反应表明他们已经用一个注射器其他人使用。物流模型,回归RSS在基线短暂的NA影响相关冲动性,滞后,和交互项。完成至少两个EMA评估,152(93%)至少一个注入事件和报告需要有效的预先灌浆法情绪评估被包括在分析中。影响相关的冲动。情绪在注射前的几个小时一集。遇到困难,情绪调节RSS时期的风险增加焦虑或紧张。

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