"Another Person Was Going to Do It" : The Provision of Injection Drug Use Initiation Assistance in a High-Risk U.S.-Mexico Border Region

Substance Use & Misuse
María Luisa MittalDan Werb

Abstract

Background: Persons who inject drugs (PWID) play a key role in assisting others' initiation into injection drug use (IDU). We aimed to explore the pathways and socio-structural contexts for this phenomenon in Tijuana, Mexico, a border setting marked by a large PWID population with limited access to health and social services. Methods: Preventing Injecting by Modifying Existing Responses (PRIMER) is a multi-cohort study assessing socio-structural factors associated with PWID assisting others into initiating IDU. Semi-structured qualitative interviews in Tijuana included participants ≥18 years old, who reported IDU within the month prior to cohort enrollment and ever initiating others into IDU. Purposive sampling ensured a range of drug use experiences and behaviors related to injection initiation assistance. Thematic analysis was used to develop recurring and significant data categories. Results: Twenty-one participants were interviewed (8 women, 13 men). Broadly, participants considered public injection to increase curiosity about IDU. Many considered transitioning into IDU as inevitable. Emergent themes included providing assistance to mitigate overdose risk and to protect initiates from being taken advantage of by others. Par...Continue Reading

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Citations

Oct 14, 2020·Substance Abuse Treatment, Prevention, and Policy·Stephanie A MeyersMaria Luisa Mittal
Apr 3, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Kathryn J BarnhartMichael Reece

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