Caractéristiques de la clientèle des structures à bas seuil d'accès pour toxicomanes mettant à disposition du matériel d'injection stérile en Suisse [Characteristics of attenders of low threshold syringe-exchange centers providing sterile syringes in Switzerland].

Détails

ID Serval
serval:BIB_8B96B29FFF02
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Caractéristiques de la clientèle des structures à bas seuil d'accès pour toxicomanes mettant à disposition du matériel d'injection stérile en Suisse [Characteristics of attenders of low threshold syringe-exchange centers providing sterile syringes in Switzerland].
Périodique
Revue d'épidémiologie et de Santé Publique
Auteur(s)
Benninghoff F., Gervasoni J.P., Spencer B., Dubois-Arber F.
ISSN
0398-7620 (Print)
ISSN-L
0398-7620
Statut éditorial
Publié
Date de publication
1998
Peer-reviewed
Oui
Volume
46
Numéro
3
Pages
205-217
Langue
français
Résumé
BACKGROUND: The objectives of the present study were to evaluate Aids prevention in drug users attending low threshold centres providing sterile injection equipment in Switzerland, to identify the characteristics of these users, and to monitor the progress of indicators of drug-related harm.
METHODS: This paper presents results from a cross-sectional survey carried out in 1994.
RESULTS: The mean age of attenders was 28 years, and women represented 27% of the sample. 75% of attenders used a combination of hard drugs (heroin and cocaine). Mean duration of heroin consumption was 8 years, and of cocaine 7 years; 76% of attenders had a fixed abode, but only 34% had stable employment; 45% were being treated with methadone; 9% had shared their injection material in the last 6 months; 24% always used condoms in the case of a stable relationship, and 71% in casual relationships. In a cluster analysis constructed on the basis of multiple correspondence analysis, two distinct profiles of users emerge: highly marginalised users with a high level of consumption (21%); irregular users, better integrated socially, of which the majority are under methadone treatment (79%).
CONCLUSION: Theses centres play a major role in Aids prevention. Nevertheless, efforts to improve the hygiene conditions of drug injection in Switzerland should be pursued and extended. At the same time, prevention of HIV sexual transmissions should be reinforced.
Mots-clé
Acquired Immunodeficiency Syndrome/complications, Acquired Immunodeficiency Syndrome/prevention & control, Adult, Cluster Analysis, Cross-Sectional Studies, Female, Humans, Needle-Exchange Programs, Program Evaluation, Substance-Related Disorders/complications, Switzerland
Pubmed
Web of science
Création de la notice
27/04/2012 17:02
Dernière modification de la notice
20/08/2019 15:50
Données d'usage