Circumstances, pedagogy and rationales for injection initiation among new drug injectors.

Journal of Community Health
Lloyd A GoldsamtMichael C Clatts

Abstract

Injection drug use is especially risky for new injectors. To understand the social and environmental contexts in which risks occur, we interviewed individuals who had initiated injection within the past 3 years (n = 146, 69.2% male) about the circumstances and rationales for their initial injection events. Respondents typically initiated injection due to tolerance (49.3%) and/or for experimentation (61.1%). Most (86.2%) did not possess the technical skills required to self-inject, and relied on the assistance of someone older (58.5%). While low levels of syringe sharing (5.8%) were reported, a majority of respondents (60.5%) engaged in at least one type of behavioral risk. Female injectors were more likely than male injectors to rely on another individual (95.5 vs. 82.2%), often a sex partner (40.5 vs. 7.2%), for assistance. The diversity seen in early injection practices highlights the need for tailored prevention messages to reach this population prior to the onset of injection risk.

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Citations

Jan 9, 2014·AIDS and Behavior·Nooshin Khobzi RotondiElise Roy
Oct 6, 2014·Drug and Alcohol Dependence·Ricky N BluthenthalAlex H Kral
Jun 25, 2016·Child and Adolescent Psychiatric Clinics of North America·Bikash SharmaMarc Fishman
Mar 26, 2014·Drug and Alcohol Dependence·Sonya ArreolaAlex H Kral
Jun 22, 2011·The International Journal on Drug Policy·Stephen E LankenauMeghan Treese
May 16, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sarah LarneyLouisa Degenhardt
Mar 9, 2012·The International Journal on Drug Policy·Janie SimmonsJames M McMahon
Mar 5, 2015·Drug and Alcohol Dependence·Ricky N BluthenthalAlex H Kral
Aug 31, 2016·The International Journal on Drug Policy·Lynn D WengerRicky N Bluthenthal
Sep 16, 2016·Harm Reduction Journal·Daniel WerbSteffanie A Strathdee
Jul 12, 2012·Development and Psychopathology·Preeti Chauhan, Cathy Spatz Widom
Jul 8, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Michele StatonBridgette Peteet
Aug 18, 2017·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Amen Ben HamidaDan Werb
Oct 5, 2017·Substance Abuse Treatment, Prevention, and Policy·Maria Luisa MittalDan Werb
May 18, 2018·International Journal of Adolescent Medicine and Health·Mehdi NorooziHesam Ghiasvand
Jul 5, 2017·Harm Reduction Journal·Sanjib Kumar PhukanBrogen S Akoijam
Oct 14, 2020·Substance Abuse Treatment, Prevention, and Policy·Stephanie A MeyersMaria Luisa Mittal
Feb 25, 2018·Drug and Alcohol Dependence·Ricky N BluthenthalAlex H Kral

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