Use of supervised injection facilities and injection risk behaviours among young drug injectors
Por:
Bravo, MJ, Royuela, L, De la Fuente, L, Brugal, MT, Barrio, G, Domingo-Salvany, A
Publicada:
1 abr 2009
Resumen:
To study the use of supervised injection facilities (SIFs) as a predictor of safer injecting practices.
Cross-sectional study conducted with face-to-face interview using a structured questionnaire with computer-assisted personal interviewing. Dried blood spot samples were collected for human immunodeficiency virus (HIV) and hepatitis C virus (HCV) antibody testing.
All participants were street-recruited by chain referral methods in Madrid and Barcelona.
A total of 249 young heroin drug injectors recruited by the ITINERE cohort study in two Spanish cities with SIFs.
The main outcome measures were self-reported injecting behaviours and SIFs attendance.
SIF users were more marginalized socially than non-users. They were also more often regular injectors (weekly or more versus sporadic) [odds ratio (OR) = 4.9, 95% confidence interval (CI): 2.7-8.8], speedball users (OR = 2.5, 95% CI: 1.5-4.3) and anti-HCV-positive (OR = 3.1, 95% CI: 1.4-7.1). In the logistic regression analysis, using SIFs was associated independently with not borrowing used syringes (OR = 3.3, 95% CI: 1.4-7.7). However, no significant association was found between SIF use and not sharing injection equipment indirectly (OR = 1.1, 95% CI: 0.5-2.2).
SIFs attract highly disadvantaged drug injectors who engage none the less in less borrowing of used syringes than non-users of these facilities. The risks of indirect sharing should be emphasized when counselling SIF attendees.
Filiaciones:
Bravo, MJ:
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid 28029, Spain
Royuela, L:
European Monitoring Ctr Drugs & Drug Addict, Lisbon, Portugal
De la Fuente, L:
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid 28029, Spain
Minist Sanidad & Consumo, Secretana Plan Nacl Sida, Madrid, Spain
Brugal, MT:
Agencia Salut Publ Barcelona, Barcelona, Spain
Domingo-Salvany, A:
IMIM Hosp Mar, Drug Abuse Epidemiol Res Grp, Barcelona, Spain
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