Characteristics of hospitalized heroin smokers and heroin injectors in Taiwan.

Changgeng yi xue za zhi Pub Date : 1999-06-01
C K Chen, L W Su, S K Lin
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Abstract

Background: Heroin usage in Taiwan has been under-investigated. Use of the same drug by different routes provides an opportunity for examination of drug behavior and complications related to the drug itself and to the different routes of administration.

Methods: A sample of 245 hospitalized heroin users received semi-structured interviews, drug screen urine tests, serological screens for hepatitis B infection, and liver function tests. The sample was divided into a smokers group and an injectors group for comparison.

Results: The heroin injectors had lower educational status, spent less money on day-to-day heroin usage, but had longer drug-using careers than the heroin smokers. There was a trend for injectors to have a higher rate of abnormal liver function than the smokers although there was no significant difference in the prevalence of hepatitis B infection.

Conclusion: Major differences exist between heroin smokers and heroin injectors. Therefore harm reduction intervention for heroin users should take account of the different routes of administration. A comprehensive survey of risk factors relating to hepatic dysfunction in heroin addicts in Taiwan is indicated.

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台湾住院吸食海洛因者与注射海洛因者之特征。
背景:台湾的海洛英使用情况调查不足。通过不同的给药途径使用同一种药物,为检查药物行为和与药物本身和不同给药途径有关的并发症提供了机会。方法:对245例住院海洛因使用者进行半结构化访谈、药物筛查、尿检、乙型肝炎血清学筛查和肝功能检查。将样本分为吸烟组和注射组进行比较。结果:海洛因注射者的受教育程度较低,每日使用海洛因的花费较少,但吸毒生涯较长。注射人群的肝功能异常率高于吸烟人群,但乙型肝炎感染率无显著差异。结论:海洛因吸食者与海洛因注射者存在较大差异。因此,对海洛因使用者的减少危害干预应考虑到不同的给药途径。本文对台湾海洛因依赖者肝功能障碍之危险因素作一综合调查。
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