View in EDS HTML Full Text PDF Full Text

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

Saved in:
Bibliographic Details
Title: "Another Person Was Going to Do It": The Provision of Injection Drug Use Initiation Assistance in a High-Risk U.S.–Mexico Border Region.
Authors: Mittal, Maria L. (AUTHOR), Guise, Andrew (AUTHOR), Rafful, Claudia (AUTHOR), Gonzalez-Zuñiga, Patricia (AUTHOR), Davidson, Peter (AUTHOR), Vashishtha, Devesh (AUTHOR), Strathdee, Steffanie A. (AUTHOR), Werb, Dan (AUTHOR)
Source: Substance Use & Misuse. 2019, Vol. 54 Issue 14, p2338-2350. 13p. 2 Charts.
Subjects: Drug overdose risk factors, Drug administration, Health services accessibility, Interviewing, Longitudinal method, Research methodology, Risk assessment, Social services, Qualitative research, Judgment sampling, Harm reduction, Thematic analysis
Geographic Terms: Mexico
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. Participants described reluctance in engaging in this process. For some, access to resources (e.g., shared drugs or a monetary fee) was a motivator to initiate others. Conclusion: In Tijuana, public injection and a lack of harm reduction services are perceived to fuel the incidence of IDU initiation and to incentivize PWID to assist in injection initiation. IDU prevention efforts should address structural factors driving PWID participation in IDU initiation while including PWID in their development and implementation. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 139920904
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: "Another Person Was Going to Do It": The Provision of Injection Drug Use Initiation Assistance in a High-Risk U.S.–Mexico Border Region.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Mittal%2C+Maria+L%2E%22">Mittal, Maria L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guise%2C+Andrew%22">Guise, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rafful%2C+Claudia%22">Rafful, Claudia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gonzalez-Zuñiga%2C+Patricia%22">Gonzalez-Zuñiga, Patricia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davidson%2C+Peter%22">Davidson, Peter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vashishtha%2C+Devesh%22">Vashishtha, Devesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee%2C+Steffanie+A%2E%22">Strathdee, Steffanie A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Werb%2C+Dan%22">Werb, Dan</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2019, Vol. 54 Issue 14, p2338-2350. 13p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Drug+overdose+risk+factors%22">Drug overdose risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+administration%22">Drug administration</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Social+services%22">Social services</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mexico%22">Mexico</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. Participants described reluctance in engaging in this process. For some, access to resources (e.g., shared drugs or a monetary fee) was a motivator to initiate others. Conclusion: In Tijuana, public injection and a lack of harm reduction services are perceived to fuel the incidence of IDU initiation and to incentivize PWID to assist in injection initiation. IDU prevention efforts should address structural factors driving PWID participation in IDU initiation while including PWID in their development and implementation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=139920904
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2019.1648514
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 2338
    Subjects:
      – SubjectFull: Drug overdose risk factors
        Type: general
      – SubjectFull: Drug administration
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Social services
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Mexico
        Type: general
    Titles:
      – TitleFull: "Another Person Was Going to Do It": The Provision of Injection Drug Use Initiation Assistance in a High-Risk U.S.–Mexico Border Region.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Mittal, Maria L.
      – PersonEntity:
          Name:
            NameFull: Guise, Andrew
      – PersonEntity:
          Name:
            NameFull: Rafful, Claudia
      – PersonEntity:
          Name:
            NameFull: Gonzalez-Zuñiga, Patricia
      – PersonEntity:
          Name:
            NameFull: Davidson, Peter
      – PersonEntity:
          Name:
            NameFull: Vashishtha, Devesh
      – PersonEntity:
          Name:
            NameFull: Strathdee, Steffanie A.
      – PersonEntity:
          Name:
            NameFull: Werb, Dan
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: 2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 54
            – Type: issue
              Value: 14
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1