Đang chuẩn bị liên kết để tải về tài liệu:
báo cáo khoa học: " Overdose experiences among injection drug users in Bangkok, Thailand"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Overdose experiences among injection drug users in Bangkok, Thailand | Milloy et al. Harm Reduction Journal 2010 7 9 http www.harmreductionjournal.eom content 7 1 9 HARM REDUCTION JOURNAL RESEARCH Open Access Overdose experiences among injection drug users in Bangkok Thailand M-J Milloy21 Nadia Fairbairn22 Kanna Hayashi22 Paisan Suwannawong23 Karyn Kaplan23 Evan Wood22 4 and Thomas Kerr 22 4 Abstract Background Although previous studies have identified high levels of drug-related harm in Thailand little is known about illicit drug overdose experiences among Thai drug users. We sought to investigate non-fatal overdose experiences and responses to overdose among a community-recruited sample of injection drug users IDU in Bangkok Thailand. Methods Data for these analyses came from IDU participating in the Mit Sampan Community Research Project. The primary outcome of interest was a self-reported history of non-fatal overdose. We calculated the prevalence of past overdose and estimated its relationship with individual drug-using social and structural factors using multivariate logistic regression. We also assessed the prevalence of ever witnessing an overdose and patterns of response to overdose. Results These analyses included 252 individuals their median age was 36.5 years IQR 29.0 - 44.0 and 66 26.2 were female. A history of non-fatal overdose was reported by 75 29.8 participants. In a multivariate model reporting a history of overdose was independently associated with a history of incarceration Adjusted Odds Ratio AOR 3.83 95 Confidence Interval CI 1.52 - 9.65 p 0.004 and reporting use of drugs in combination AOR 2.48 95 CI 1.16 - 5.33 p 0.019 . A majority 67.9 reported a history of witnessing an overdose most reported responding to the most recent overdose using first aid 79.5 . Conclusions Experiencing and witnessing an overdose were common in this sample of Thai IDU. These findings support the need for increased provision of evidence-based responses to overdose including peer-based overdose interventions. Background Accidental .