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Nonmedical prescription drug users in private vs. public substance abuse treatment: A cross sectional comparison of demographic and HIV risk behavior profiles

机译：私人与公共药物滥用治疗中的非医疗处方药使用者：人口统计学和HIV风险行为概况的横断面比较

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Background Little is known regarding the demographic and behavioral characteristics of nonmedical prescription drug users (NMPDUs) entering substance abuse treatment settings, and information on the HIV-related risk profiles of NMPDUs is especially lacking. Participation in substance abuse treatment provides a critical opportunity for HIV prevention and intervention, but successful initiatives will require services appropriately tailored for the needs of NMPDUs. Methods This paper compares the HIV risk profiles of NMPDUs in public (n = 246) and private (n = 249) treatment facilities. Participants included in the analysis reported five or more recent episodes of nonmedical prescription drug use, a prior HIV negative test result, and current enrollment in a substance abuse treatment facility. A standardized questionnaire was administered by trained interviewers with questions about demographics, HIV risk, and substance use. Results Private treatment clients were more likely to be non-Hispanic White, younger, and opioid and heroin users. Injection drug use was higher among private treatment clients, whereas public clients reported higher likelihood of trading or selling sex. Public treatment clients reported higher rates of HIV testing and availability at their treatment facilities compared to private clients. Conclusions Findings suggest differing demographics, substance use patterns, profiles of HIV risk and access to HIV testing between the two treatment samples. Population tailored HIV interventions, and increased access to HIV testing in both public and private substance treatment centers, appear to be warranted.
机译：背景技术关于进入药物滥用治疗环境的非医疗处方药使用者（NMPDU）的人口统计学和行为特征知之甚少，尤其缺乏关于NMPDU与HIV相关的风险概况的信息。参与药物滥用治疗为艾滋病毒的预防和干预提供了关键的机会，但是成功的举措将需要针对NMPDU的需求量身定制的服务。方法本文比较了公共（n = 246）和私人（n = 249）治疗机构中NMPDU的艾滋病毒风险状况。分析中包括的参与者报告了最近五次或更多次非医疗处方药使用，先前的HIV阴性检测结果以及当前在滥用药物治疗设施中的注册情况。由受过训练的访调员管理一份标准化问卷，以询问有关人口统计学，艾滋病毒风险和药物使用的问题。结果私人治疗的患者更有可能是非西班牙裔白人，年轻，阿片类药物和海洛因使用者。私人治疗客户中注射毒品的使用率较高，而公共客户中发生性交易或卖淫的可能性更高。与私人客户相比，公共治疗客户报告其治疗设施中的艾滋病毒检测率和可及性更高。结论结论表明，两种治疗样本之间的人口统计学，药物使用模式，艾滋病毒感染风险概况和艾滋病毒检测方法不同。似乎有必要为人们量身定制艾滋病干预措施，并增加在公共和私人物质治疗中心进行艾滋病毒检测的机会。

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