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A cross-sectional study was conducted by response driven and continuous samplings from January to July 2021. Descriptive, univariate and logistic regression were carried out. ATS users accounted for 95.6% of the target population, of whom one-third had cross-border experiences with 4.1% of the cross-border purchase of drugs. ATS users were mainly over 31\u2009years old (53.9%), male (98.7%), minority (79.1%), and unmarried (72.7%). Cross-border users consumed more ketamine (8%) and methamphetamine (40%) ( P\u2009&lt;\u2009.05). After adjusting for socioeconomic-demographic factors, cross-border activity [OR: 0.336 (0.141, 0.799)], occupation [OR: 0.273 (0.080, 0.929)], injecting drug behavior [OR: 6.239 (1. 087, 35.811)], frequency [OR: 0.251 (0.073, 0.859)], and ATS use location [OR: 2.915 (1.040, 8.168)] were possible factors influencing ATS use patterns ( P\u2009&lt;\u2009.05). Cross-border activity may be associated with polydrug use, especially predominantly methamphetamine use, among ATS users along the Southwest border. It implied that the focus of drug prevention and control in border areas should be on cross-border populations.<\/jats:p>","DOI":"10.1177\/00469580231206608","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T09:22:44Z","timestamp":1698657764000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Cross-border Activities Associated With Pattern of Amphetamine-type Stimulants Usage Among Drug Users in Southwest of China"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4587-8127","authenticated-orcid":false,"given":"Mingmei","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Public Health, Kunming Medical University, Kunming, Yunnan, China"},{"name":"NHC Key Laboratory of Drug Addiction Medicine, Kunming Medical University, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiashuang","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhua","family":"Fan","sequence":"additional","affiliation":[{"name":"Centre for Disease Control and Prevention, Xishuangbanna Dai Autonomous Prefecture, Jinghong, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongli","family":"Feng","sequence":"additional","affiliation":[{"name":"The Centre for Disease Control and Prevention in Jinghong, Jinghong, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Clinical Skills Centre, Kunming Medical University, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songyuan","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Health, Kunming Medical University, Kunming, Yunnan, China"},{"name":"NHC Key Laboratory of Drug Addiction Medicine, Kunming Medical University, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"bibr1-00469580231206608","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-022-00617-5"},{"key":"bibr2-00469580231206608","unstructured":"United Nations Office on Drugs and Crime. 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