overdose experiences among injection drug users in bangkok, thailand过量注射吸毒者中体验在曼谷,泰国.pdfVIP

Milloy et al. Harm Reduction Journal 2010, 7:9 /content/7/1/9 R E S E A R C H Open Access Research Overdose experiences among injection drug users in Bangkok, Thailand M-J Milloy†1, Nadia Fairbairn†2, Kanna Hayashi†2, Paisan Suwannawong†3, Karyn Kaplan†3, Evan Wood†2,4 and Thomas Kerr*†2,4 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 sam