Abstract:
:Background: The bulk of research on adoption of injecting is from Europe and America, despite the existence of syndemics of drug injecting, HIV, and viral hepatitis globally. Objectives: This study explores adoption and continuation of injecting drug use. Methods: The study draws on in-depth interviews with 41 (n = 41) current male and female people who inject drugs recruited via snow-ball sampling in Uyo, Nigeria. A thematic and descriptive analysis was undertaken informed by the risk environment framework and focused on accounts of the factors influencing the process. Results: Accounts emphasized injecting adoption and continuation as a process influenced by individual, social, and structural factors within the risk environment, including concerns for pleasure/efficiency, prestige, exposure to/support for injecting within peer and sexual relationships, availability and purity of drugs, and dependence and increased cost of drug use. Conclusions/implications: Findings highlight the need to prevent adoption of injecting, reduce prevalence of injecting, and promote safe injecting through multi-level interventions, including peer-driven education, drug treatment services, needle and syringe distribution, oral drug substitution, and law enforcement targeting drug suppliers. The need for equivalent pleasure with minimal risk points to the strategic importance of peer interactions for inculcating new understandings of drug use and pleasure.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Nelson EE,Obot ISdoi
10.1080/10826084.2019.1681452subject
Has Abstractpub_date
2020-01-01 00:00:00pages
405-413issue
3eissn
1082-6084issn
1532-2491journal_volume
55pub_type
杂志文章abstract::Based on a 1996 sample of adult children and their parents in Moscow, this study investigates the degree to which alcohol use patterns are transmitted from parents to adult children and examines the roles of gender, family status, and family interaction dynamics for transmission. Findings suggest that parents' drinkin...
journal_title:Substance use & misuse
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