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Carl Latkin Wallace Mandell David Vlahov Maria Oziemkowska Amy Knowlton David Celentano 《American journal of community psychology》1994,22(3):415-430
Information is sparse on the social context of illicit drug injection behaviors and their relationship to HIV infection. This
study examined relationships between injection settings, injecting with others, and HIV risk behaviors of sharing needles
and not cleaning contaminated needles in a sample of 630 inner-city injecting drug users in Baltimore, MD. Through open-ended
interviews, five primary settings of injection behavior were identified. These settings included one's own, friends' and mother's
residence, shooting galleries, and semipublic areas. Most participants reported injecting in their own residence (92%) and
friends' residence (86%) in the prior 6 months. In a multiple regression analysis, injecting at friends' residence, in shooting
galleries, and in semipublic areas and frequency of injecting with others were significantly associated with frequency of
sharing uncleaned needles, “slipping” (i.e., failure to disinfect shared needles), and not always cleaning used needles before
injecting. Results suggest that interventions may benefit from targeting settings as well as behaviors to reduce the spread
of HIV.
This research was supported by grants DA04334, DA05911, DA06313, and DA08985 from the National Institute on Drug Abuse. 相似文献
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Stimulus fading in the form of gradually increased exposure to a fear-evoking stimulus, often combined with differential reinforcement, has been used to treat phobias in children who are otherwise normal and in children with autism. In this investigation, we applied stimulus fading plus differential reinforcement with an adolescent with autism and diabetes whose needle phobia had prevented medical monitoring of his blood glucose levels for over 2 years. Results showed that the treatment was successful in obtaining daily blood samples for measuring glucose levels. 相似文献
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C. Meghan McMurtry Anna Taddio Melanie Noel Martin M. Antony Christine T. Chambers Gordon J. G. Asmundson 《Cognitive behaviour therapy》2016,45(3):217-235
Needle fear typically begins in childhood and represents an important health-related issue across the lifespan. Individuals who are highly fearful of needles frequently avoid health care. Although guidance exists for managing needle pain and fear during procedures, the most highly fearful may refuse or abstain from such procedures. The purpose of a clinical practice guideline (CPG) is to provide actionable instruction on the management of a particular health concern; this guidance emerges from a systematic process. Using evidence from a rigorous systematic review interpreted by an expert panel, this CPG provides recommendations on exposure-based interventions for high levels of needle fear in children and adults. The AGREE-II, GRADE, and Cochrane methodologies were used. Exposure-based interventions were included. The included evidence was very low quality on average. Strong recommendations include the following. In vivo (live/in person) exposure-based therapy is recommended (vs. no treatment) for children seven years and older and adults with high levels of needle fear. Non-in vivo (imaginal, computer-based) exposure (vs. no treatment) is recommended for individuals (over seven years of age) who are unwilling to undergo in vivo exposure. Although there were no included trials which examined children < 7 years, exposure-based interventions are discussed as good clinical practice. Implementation considerations are discussed and clinical tools are provided. Utilization of these recommended practices may lead to improved health outcomes due to better health care compliance. Research on the understanding and treatment of high levels of needle fear is urgently needed; specific recommendations are provided. 相似文献
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流行病学研究显示甲状腺结节是常见的疾病。成人中约5%有甲状腺结节存在,其中约14.9%为恶性病变。近来超声技术被越来越广泛地应用于临床诊断甲状腺结节性疾病。细针吸取细胞学检查是一种甲状腺结节精确诊断的有效方法。本文重点介绍超声检查和细针吸取细胞学检查在甲状腺结节诊断中的作用概况。 相似文献
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