几内亚比绍吸毒者的吸毒模式和健康问题（2022 年）：采用受访者驱动抽样的横断面调查。

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2024-11-09 DOI:10.1016/j.drugpo.2024.104648

Andrew Scheibe , Andreia Teixeira , Mamadu Aliu Djaló , Miriam Nascimento Pereira , Kátia Ribeiro Barreto , Ibrahima Ba , Lucia Bird , Jason Eligh

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引用次数: 0

摘要

背景：关于几内亚比绍的可卡因、甲基苯丙胺、曲马多和海洛因使用情况或相关健康状况的数据很少。我们的目的是估算几内亚比绍使用注射毒品者的吸毒习惯、部分血液传播感染的流行率、抑郁症和人口规模：2022 年 7 月至 9 月期间，我们在三个城市（比绍、巴法塔和加布）采用受访者驱动的抽样方法招募了使用注射毒品的成年人参与此次横断面调查。参与者完成了一项由访谈者主持的调查，内容涉及社会人口特征、吸毒习惯和心理健康。对艾滋病毒、乙型肝炎表面抗原（HBsAg）和丙型肝炎抗体（抗-HCV）进行了快速诊断检测。数据在 RDS-Analyst 中使用自我报告的网络规模和 Gile 序列抽样估计器进行加权。使用两点捕获-再捕获法对人群规模进行估算：总共招募了 750 名参与者。据估计，吸毒者多为失业男性，年龄在 25 至 49 岁之间。甲基苯丙胺和快克可卡因是最常用的毒品。曾经注射毒品的比例从 6% 到 44% 不等。44%到52%的人有抑郁症状。艾滋病毒感染率为 1.9 % 至 5.2 %，HBsAg 感染率为 5.7 % 至 8.3 %，抗-HCV 感染率为 0.42 % 至 0.66 %。据估计，使用注射毒品的人口比例分别为：比绍 1637 人，巴法塔 1314 人，加布 424 人：结论：甲基苯丙胺和快克可卡因是几内亚比绍最常用的注射毒品。该国的吸毒者普遍有抑郁症状。要改善几内亚比绍吸毒者的健康和福祉，就必须提供循证吸毒治疗和减少危害干预措施，并将心理保健服务纳入其中。

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Drug use patterns and health problems among people who use drugs in Guinea-Bissau (2022): A cross-sectional survey using respondent-driven sampling

Background

Little data exists on the use of cocaine, methamphetamine, tramadol and heroin or related health conditions in Guinea Bissau. We aimed to estimate drug use practices and the prevalence of selected blood-borne infections, depression and population size estimates of people who use injectable drugs in Guinea-Bissau.

Methods

We used respondent-driven sampling to recruit adults who use injectable drugs in this cross sectional survey in three cities (Bissau, Bafatá and Gabú) between July and September 2022. Participants completed an interviewer administered survey enquiring about sociodemographic characteristics, drug use practices and mental health. Rapid diagnostic testing was done for HIV, hepatitis B surface antigen (HBsAg) and hepatitis C antibody (anti-HCV). Data was weighted in RDS-Analyst using self-reported network size and Gile's Sequential Sampling Estimator. Population size estimates were generated using the two point capture-recapture method.

Results

Overall, 750 participants were recruited. People who use drugs were estimated to be mostly unemployed males aged between 25 and 49 years. Methamphetamine and crack cocaine were most commonly used. Prevalence of ever injecting ranged from 6 % to 44 %. Between 44 % and 52 % of people experience symptoms of depression. Prevalence ranges from 1.9 % to 5.2 % for HIV, and 5.7–8.3 % for HBsAg and 0.42–0.66 % for anti-HCV. The population estimates of people who use injectable drugs were 1637 in Bissau, 1314 in Bafatá and 424 in Gabú.

Conclusion

Methamphetamine and crack cocaine are the most commonly used injectable drugs in Guinea-Bissau. Symptoms of depression are common among people who use drugs in the country. Access to evidence-based drug use treatment and harm reduction interventions that integrate mental health care services are needed to improve the health and wellbeing of people who use drugs in Guinea-Bissau.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.