Health and safety risks associated with public injecting among people who inject drugs in Bangkok, Thailand

© 2013 Australasian Professional Society on Alcohol and other Drugs..

INTRODUCTION AND AIMS: The injection of illicit drugs in public spaces is known to pose significant health risks to people who inject drugs (IDU). However, to our knowledge this practice has not been explored in the Asian context. Therefore, we sought to characterise the prevalence of and factors associated with public injecting among a community-recruited sample of IDU in Bangkok, Thailand.

DESIGN AND METHODS: Data were derived from the Mitsampan Community Research Project between July and October 2011. Using multivariate logistic regression, this cross-sectional study examined the prevalence and correlates of public injecting within the past six months among 437 IDU participants.

RESULTS: In total, 121 (27.7%) participants reported injecting drugs in a public space within the past six months. In multivariate analyses, public drug injection was independently associated with male gender [adjusted odds ratio (AOR) 2.51, 95% confidence interval (CI)) 1.29-5.22], weekly heroin injection (AOR 2.19, 95% CI 1.27-3.77), assisted injection (AOR 1.93, 95% CI 1.06-3.49), rushed injection (AOR 4.36, 95% CI 2.65-7.24), incarceration (AOR 2.27, 95% CI 1.01-5.04) and noticing police presence where drugs are bought or used (AOR 1.83, 95% CI 1.06-3.19).

DISCUSSION AND CONCLUSION: A substantial proportion of Thai IDU in our sample reported recent public drug injection. This behaviour was independently associated with a wide range of individual and contextual factors that pose significant health and safety risks to the IDU. These findings highlight the importance of addressing the broader social and physical risk environment surrounding IDU as a means of preventing negative health outcomes among this population.

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Drug and alcohol review - 32(2013), 6 vom: 21. Nov., Seite 582-7

Sprache:

Englisch

Beteiligte Personen:

Leung, Leslie Tze Fung [VerfasserIn]
Ti, Lianping [VerfasserIn]
Hayashi, Kanna [VerfasserIn]
Suwannawong, Paisan [VerfasserIn]
Kaplan, Karyn [VerfasserIn]
Wood, Evan [VerfasserIn]
Kerr, Thomas [VerfasserIn]

Links:

Volltext

Themen:

Assisted injection
Illicit Drugs
Injection drug use
Journal Article
Law enforcement
Public injecting
Research Support, Non-U.S. Gov't
Thailand

Anmerkungen:

Date Completed 23.06.2014

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/dar.12060

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM230843794