Association of Illicit Fentanyl Use with Injection Risk Practices Among People who Inject Drugs.

Autor: Kenny KS; Department of Community Health Sciences, University of Manitoba, 408-727 McDermot Ave, Winnipeg, R3E 3P5, Canada. Kathleen.Kenny@umanitoba.ca., Kolla G; Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.; Unity Health Toronto, Toronto, Canada., Greig S; Moss Park Overdose Prevention Site, South Riverdale Community Health Centre, Toronto, Canada., Bannerman M; Women and HIV/AIDS Initiative, Toronto, Canada., Phillips D; Unity Health Toronto, Toronto, Canada., Altenberg J; South Riverdale Community Health Centre, Toronto, Canada., Strike C; Unity Health Toronto, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Bayoumi AM; Unity Health Toronto, Toronto, Canada.; Department of Medicine, University of Toronto, Toronto, Canada.; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2023 Jun; Vol. 27 (6), pp. 1757-1765. Date of Electronic Publication: 2022 Nov 18.
DOI: 10.1007/s10461-022-03908-x
Abstrakt: We investigated the association between fentanyl injection frequency and sharing of injection equipment among people who inject drugs. We surveyed 249 people who inject drugs in Toronto in 2019. We estimated predicted probabilities of associations between fentanyl injection frequency and injection risk practices. In prior 6 months, 117 (47.0%) of participants injected fentanyl daily, 49 (19.7%) less than daily, and 78 (31.3%) did not inject fentanyl. Participants who injected fentanyl daily shared syringes more often than those not injecting fentanyl (25.0% vs. 4.9%; χ 2  = 11.54, p = 0.0007). Participants who injected fentanyl daily (42.4% vs. 11.3%; χ 2  = 18.05, p < 0.0001) and less than daily (37.2% vs. 11.3%; χ 2  = 5.88 p = 0.02) shared cookers more often than those not injecting fentanyl. Participants who injected fentanyl daily (30.2% vs. 9.7%; χ 2  = 9.05, p = 0.003) and less than daily (30.3% vs. 9.7%; χ 2  = 4.11, p = 0.04) shared filters more often than those not injecting fentanyl. No differences in probabilities of sharing equipment were detected between participants who injected fentanyl daily and less than daily. People using fentanyl reported injection practices that increased risk for infectious disease transmission.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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